Prevalence, correlates, and health indicators associated with meal-skipping among middle-aged and older adults in Thailand: A national longitudinal study

IF 2.4 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2024-09-25 DOI:10.1111/ggi.14966

Supa Pengpid, Karl Peltzer, Dararatt Anantanasuwong

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引用次数: 0

Abstract

Aim

The purpose of this longitudinal study was to evaluate the prevalence and correlates of and the factors contributing to meal-skipping in middle-aged and older adults in Thailand.

Methods

We examined prospective cohort data from three consecutive waves of the Health, Aging and Retirement in Thailand (HART) study (analytic sample size = 2863) for participants 45 years of age and older. Meal-skipping was assessed with a one- and two-day recall of breakfast, lunch, and dinner. We used generalized estimating equations analysis to evaluate the longitudinal relationships between sociodemographic, lifestyle, and health indicators and meal-skipping between 2015 (wave 1), 2017 (wave 2), and 2020 (wave 3). Furthermore, binary logistic regression was used to establish the longitudinal association between meal-skipping and the incidence of multiple chronic conditions.

Results

The prevalence of meal-skipping was 6.2% in 2015, 16.2% in 2017, and 13.6% in 2020, and across study years the highest proportion of meal skipping was for lunch (6.0%), followed by breakfast (4.6%), and dinner (2.8%). In the final model, sociodemographic factors (higher education, urban residence, and lower subjective economic status), lifestyle factors (high alcohol use, current smoking, and obesity class II), and health indicators (probable depression and wearing dentures) were positively associated with meal-skipping. In the adjusted logistic regression models, compared with no meal-skipping, meal-skipping in 2–3 study waves was associated with incident obesity and incident probable depression.

Conclusion

Skipping meals was linked to a number of lifestyle variables and indicators of physical and mental illness. Geriatr Gerontol Int 2024; 24: 1196–1202.

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泰国中老年人不吃正餐的流行率、相关因素和健康指标：一项全国纵向研究。

目的：这项纵向研究的目的是评估泰国中老年人逃餐的发生率、相关性以及导致逃餐的因素：我们研究了泰国健康、老龄化和退休（HART）研究连续三波的前瞻性队列数据（分析样本量 = 2863），研究对象为 45 岁及以上的参与者。通过对早餐、午餐和晚餐进行一天和两天的回忆来评估漏餐情况。我们使用广义估计方程分析法评估了 2015 年（第 1 次调查）、2017 年（第 2 次调查）和 2020 年（第 3 次调查）之间社会人口学、生活方式和健康指标与弃餐之间的纵向关系。此外，还采用二元逻辑回归法来确定逃餐与多种慢性病发病率之间的纵向关系：2015年的漏餐率为6.2%，2017年为16.2%，2020年为13.6%，在各研究年份中，漏餐比例最高的是午餐（6.0%），其次是早餐（4.6%）和晚餐（2.8%）。在最终模型中，社会人口学因素（高等教育、城市居住和主观经济地位较低）、生活方式因素（大量饮酒、目前吸烟和肥胖等级 II）和健康指标（可能患有抑郁症和佩戴假牙）与不吃正餐呈正相关。在调整后的逻辑回归模型中，与不逃餐相比，在2-3次研究中逃餐与肥胖症和抑郁症的发生有关：结论：不吃饭与许多生活方式变量以及身体和精神疾病指标有关。Geriatr Gerontol Int 2024; --：-----.

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.