Dietary factors in relation to daily activity energy expenditure and mortality among older adults

D. R. Shahar, B. Yu, D. K. Houston, S. B. Kritchevsky, J. S. Lee, S. M. Rubin, D. E. Sellmeyer, Frances Tylavsky, T. B. Harris

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

To examine the association between dietary factors to daily activity energy expenditure (DAEE) and mortality among older adults. Design and setting: A sub-study of Health, Aging, and Body Composition study. Participants: 298 older participants (aged 70-82 years) in the Health, Aging, and Body Composition Energy Expenditure sub-study. Measurements: Dietary factors, DAEE, and all-cause mortality were measured in 298 older participants. Dietary factors include dietary intake assessed by the Block Food Frequency Questionnaire (FFQ), Healthy Eating Index (HEI), and self-reported appetite and enjoyment of eating. DAEE was assessed using doubly labeled water. All-cause mortality was evaluated over a 9 year period. Results: Participants in the highest tertile of DAEE were more likely to be men and to report having a 'good' appetite; BMI among men, proportion married, IL-6 and CRP levels and energy intake were also higher. Fewer black participants were in the 'good' HEI category. Participants in the 'good' HEI category had higher cognitive scores and a higher education level. Participants who reported improvement in their appetite as well as participants who reported a 'good' appetite were at lower risk for mortality (HR (95% CI): 0.42 (0.24-0.74) and 0.50 (0.26-0.88), respectively) even after adjusting for DAEE, demographic, nutritional and health indices. Conclusions: We showed an association between DAEE and appetite and mortality among well-functioning, community-dwelling older adults. These findings may have some practical use for the health providers. Inclusion of a question regarding appetite of an elderly patient may provide important information regarding risk for health deterioration and mortality.

Original languageEnglish (US)
Pages (from-to)414-420
Number of pages7
JournalJournal of Nutrition, Health and Aging
Volume13
Issue number5
DOIs
StatePublished - May 1 2009

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Energy Metabolism
Appetite
Mortality
Health
Body Composition
Independent Living
Nutrition Assessment
Energy Intake
Interleukin-6
Eating
Demography
Education
Food
Water
Healthy Diet

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Geriatrics and Gerontology

Cite this

Shahar, D. R., Yu, B., Houston, D. K., Kritchevsky, S. B., Lee, J. S., Rubin, S. M., ... Harris, T. B. (2009). Dietary factors in relation to daily activity energy expenditure and mortality among older adults. Journal of Nutrition, Health and Aging, 13(5), 414-420. https://doi.org/10.1007/s12603-009-0077-y

Dietary factors in relation to daily activity energy expenditure and mortality among older adults. / Shahar, D. R.; Yu, B.; Houston, D. K.; Kritchevsky, S. B.; Lee, J. S.; Rubin, S. M.; Sellmeyer, D. E.; Tylavsky, Frances; Harris, T. B.

In: Journal of Nutrition, Health and Aging, Vol. 13, No. 5, 01.05.2009, p. 414-420.

Research output: Contribution to journalArticle

Shahar, DR, Yu, B, Houston, DK, Kritchevsky, SB, Lee, JS, Rubin, SM, Sellmeyer, DE, Tylavsky, F & Harris, TB 2009, 'Dietary factors in relation to daily activity energy expenditure and mortality among older adults', Journal of Nutrition, Health and Aging, vol. 13, no. 5, pp. 414-420. https://doi.org/10.1007/s12603-009-0077-y
Shahar, D. R. ; Yu, B. ; Houston, D. K. ; Kritchevsky, S. B. ; Lee, J. S. ; Rubin, S. M. ; Sellmeyer, D. E. ; Tylavsky, Frances ; Harris, T. B. / Dietary factors in relation to daily activity energy expenditure and mortality among older adults. In: Journal of Nutrition, Health and Aging. 2009 ; Vol. 13, No. 5. pp. 414-420.
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