Vanessa De la Cruz-Góngora , Betty Manrique-Espinoza , Aarón Salinas-Rodríguez , Brenda Martinez-Tapia , Mario Flores-Aldana , Teresa Shamah-Levy
{"title":"墨西哥老年人的膳食模式和老年综合症:2018-19年全国健康与营养调查分析。","authors":"Vanessa De la Cruz-Góngora , Betty Manrique-Espinoza , Aarón Salinas-Rodríguez , Brenda Martinez-Tapia , Mario Flores-Aldana , Teresa Shamah-Levy","doi":"10.1016/j.arcmed.2024.103044","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The study of dietary patterns in older adults (OA) and their association with geriatric syndromes (GS) is scarce in Latin America.</p></div><div><h3>Objective</h3><p>To describe the association of dietary patterns with GS in the Mexican older adult population, using data from the 2018-19 National Health and Nutrition Survey.</p></div><div><h3>Methods</h3><p>Dietary data were collected from 3,511 adults (≥60 years of age, both sexes) using a semi-quantitative food frequency questionnaire. Dietary patterns were derived by principal component analysis based on the consumption of 162 foods from 24 food groups. The GS studied were: frailty, depressive symptoms (DS), low appendicular skeletal muscle mass (ASMM); additionally, we studied inflammation (serum CRP>5 mg/L). Logistic regression models were used.</p></div><div><h3>Results</h3><p>Four major dietary patterns were identified: a) “Western”, b) “Prudent”, c) “Soups”, and d) “Traditional”. The middle and higher tertiles of the “Prudent” pattern were associated with lower odds of DS (OR 0.71, <em>p</em> = 0.04; and OR 0.61, <em>p</em> = 0.008), respectively. The second tertile of the “Soups” pattern was associated with lower odds of low ASMM (OR 0.68, <em>p</em> = 0031) and inflammation (OR 0.58, <em>p</em> = 0.022). The highest tertile of the “Traditional” pattern was associated with low ASMM (OR 1.55, <em>p</em> = 0.008) and lower odds of inflammation (OR 0.69, <em>p</em> = 0.044). No association was found between the “Western” dietary pattern and GS.</p></div><div><h3>Conclusions</h3><p>Three of four major dietary patterns were associated with GS in older Mexican adults. Further studies are needed to address strategies to improve diet quality in this age group and its association with health and functional outcomes.</p></div>","PeriodicalId":8318,"journal":{"name":"Archives of Medical Research","volume":null,"pages":null},"PeriodicalIF":4.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dietary Patterns and Geriatric Syndromes in older Mexican adults: Analysis of the 2018-19 National Health and Nutrition Survey\",\"authors\":\"Vanessa De la Cruz-Góngora , Betty Manrique-Espinoza , Aarón Salinas-Rodríguez , Brenda Martinez-Tapia , Mario Flores-Aldana , Teresa Shamah-Levy\",\"doi\":\"10.1016/j.arcmed.2024.103044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The study of dietary patterns in older adults (OA) and their association with geriatric syndromes (GS) is scarce in Latin America.</p></div><div><h3>Objective</h3><p>To describe the association of dietary patterns with GS in the Mexican older adult population, using data from the 2018-19 National Health and Nutrition Survey.</p></div><div><h3>Methods</h3><p>Dietary data were collected from 3,511 adults (≥60 years of age, both sexes) using a semi-quantitative food frequency questionnaire. Dietary patterns were derived by principal component analysis based on the consumption of 162 foods from 24 food groups. The GS studied were: frailty, depressive symptoms (DS), low appendicular skeletal muscle mass (ASMM); additionally, we studied inflammation (serum CRP>5 mg/L). Logistic regression models were used.</p></div><div><h3>Results</h3><p>Four major dietary patterns were identified: a) “Western”, b) “Prudent”, c) “Soups”, and d) “Traditional”. The middle and higher tertiles of the “Prudent” pattern were associated with lower odds of DS (OR 0.71, <em>p</em> = 0.04; and OR 0.61, <em>p</em> = 0.008), respectively. The second tertile of the “Soups” pattern was associated with lower odds of low ASMM (OR 0.68, <em>p</em> = 0031) and inflammation (OR 0.58, <em>p</em> = 0.022). The highest tertile of the “Traditional” pattern was associated with low ASMM (OR 1.55, <em>p</em> = 0.008) and lower odds of inflammation (OR 0.69, <em>p</em> = 0.044). No association was found between the “Western” dietary pattern and GS.</p></div><div><h3>Conclusions</h3><p>Three of four major dietary patterns were associated with GS in older Mexican adults. Further studies are needed to address strategies to improve diet quality in this age group and its association with health and functional outcomes.</p></div>\",\"PeriodicalId\":8318,\"journal\":{\"name\":\"Archives of Medical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Medical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0188440924000961\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Medical Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0188440924000961","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Dietary Patterns and Geriatric Syndromes in older Mexican adults: Analysis of the 2018-19 National Health and Nutrition Survey
Background
The study of dietary patterns in older adults (OA) and their association with geriatric syndromes (GS) is scarce in Latin America.
Objective
To describe the association of dietary patterns with GS in the Mexican older adult population, using data from the 2018-19 National Health and Nutrition Survey.
Methods
Dietary data were collected from 3,511 adults (≥60 years of age, both sexes) using a semi-quantitative food frequency questionnaire. Dietary patterns were derived by principal component analysis based on the consumption of 162 foods from 24 food groups. The GS studied were: frailty, depressive symptoms (DS), low appendicular skeletal muscle mass (ASMM); additionally, we studied inflammation (serum CRP>5 mg/L). Logistic regression models were used.
Results
Four major dietary patterns were identified: a) “Western”, b) “Prudent”, c) “Soups”, and d) “Traditional”. The middle and higher tertiles of the “Prudent” pattern were associated with lower odds of DS (OR 0.71, p = 0.04; and OR 0.61, p = 0.008), respectively. The second tertile of the “Soups” pattern was associated with lower odds of low ASMM (OR 0.68, p = 0031) and inflammation (OR 0.58, p = 0.022). The highest tertile of the “Traditional” pattern was associated with low ASMM (OR 1.55, p = 0.008) and lower odds of inflammation (OR 0.69, p = 0.044). No association was found between the “Western” dietary pattern and GS.
Conclusions
Three of four major dietary patterns were associated with GS in older Mexican adults. Further studies are needed to address strategies to improve diet quality in this age group and its association with health and functional outcomes.
期刊介绍:
Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.