Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study
Abstract Background Stroke is a common and frequently-occurring disease in older people. It has the characteristics of high morbidity, high mortality, high recurrence rate and high disability rate. Most stroke risk studies are based on pathophysiology, however psychosocial factors such as diet quali...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-023-04211-7 |
| _version_ | 1797451551121342464 |
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| author | Yumeng Gu Decheng Gao Xiaoshuang Xia Juanjuan Xue Dongliang Wang Zhiqiang Wei Xiaolin Tian Xin Li |
| author_facet | Yumeng Gu Decheng Gao Xiaoshuang Xia Juanjuan Xue Dongliang Wang Zhiqiang Wei Xiaolin Tian Xin Li |
| author_sort | Yumeng Gu |
| collection | DOAJ |
| description | Abstract Background Stroke is a common and frequently-occurring disease in older people. It has the characteristics of high morbidity, high mortality, high recurrence rate and high disability rate. Most stroke risk studies are based on pathophysiology, however psychosocial factors such as diet quality are often understudied. The aim of this study was to assess stroke risk in urban community residents in Tianjin and investigate the factors that affect the dietary quality of older stroke high-risk populations. Methods Using a cross-sectional, multicenter study, recruit people aged 60 to 80 in Tianjin. Dietary intake data were obtained through a validated food frequency questionnaire, which were used to calculate Alternate Healthy Eating Index-2010 (AHEI-2010) and to analyze its association with sociodemographic characteristics, stroke risk factors and health marker variables. Results A total of 1068 participants from 4 community health service centers in Tianjin were recruited, including 300 low-risk individuals and 768 high-risk individuals. Compared with the low-risk group (62.75 ± 3.59), the AHEI-2010 mean score of the high-risk group (56.83 ± 6.54) was significantly lower. The top three most common risk factors among participants were dyslipidemia (80.3%), hypertension (60.6%), and physical inactivity (58.2%). Multiple logistic regression showed that diet quality was independently and significantly associated with stroke risk (OR = 0.765; 95%CI: 0.690–0.848, p < 0.001). Conclusion The diet quality of high-risk stroke population in Tianjin is far from ideal. At the same time, public health knowledge needs to be disseminated and educated, especially among those at high risk of cerebrovascular disease, with a focus on improving psychosocial factors such as diet quality. |
| first_indexed | 2024-03-09T14:56:16Z |
| format | Article |
| id | doaj.art-87c0637990814cbf8d7269f2f0a5fb6f |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-09T14:56:16Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-87c0637990814cbf8d7269f2f0a5fb6f2023-11-26T14:11:28ZengBMCBMC Geriatrics1471-23182023-08-0123111310.1186/s12877-023-04211-7Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter studyYumeng Gu0Decheng Gao1Xiaoshuang Xia2Juanjuan Xue3Dongliang Wang4Zhiqiang Wei5Xiaolin Tian6Xin Li7Department of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityDepartment of Rehabilitation, Second Hospital of Tianjin Medical UniversityDepartment of Neurology, Second Hospital of Tianjin Medical UniversityAbstract Background Stroke is a common and frequently-occurring disease in older people. It has the characteristics of high morbidity, high mortality, high recurrence rate and high disability rate. Most stroke risk studies are based on pathophysiology, however psychosocial factors such as diet quality are often understudied. The aim of this study was to assess stroke risk in urban community residents in Tianjin and investigate the factors that affect the dietary quality of older stroke high-risk populations. Methods Using a cross-sectional, multicenter study, recruit people aged 60 to 80 in Tianjin. Dietary intake data were obtained through a validated food frequency questionnaire, which were used to calculate Alternate Healthy Eating Index-2010 (AHEI-2010) and to analyze its association with sociodemographic characteristics, stroke risk factors and health marker variables. Results A total of 1068 participants from 4 community health service centers in Tianjin were recruited, including 300 low-risk individuals and 768 high-risk individuals. Compared with the low-risk group (62.75 ± 3.59), the AHEI-2010 mean score of the high-risk group (56.83 ± 6.54) was significantly lower. The top three most common risk factors among participants were dyslipidemia (80.3%), hypertension (60.6%), and physical inactivity (58.2%). Multiple logistic regression showed that diet quality was independently and significantly associated with stroke risk (OR = 0.765; 95%CI: 0.690–0.848, p < 0.001). Conclusion The diet quality of high-risk stroke population in Tianjin is far from ideal. At the same time, public health knowledge needs to be disseminated and educated, especially among those at high risk of cerebrovascular disease, with a focus on improving psychosocial factors such as diet quality.https://doi.org/10.1186/s12877-023-04211-7Stroke risksDiet QualityAHEI-2010Tianjin Community |
| spellingShingle | Yumeng Gu Decheng Gao Xiaoshuang Xia Juanjuan Xue Dongliang Wang Zhiqiang Wei Xiaolin Tian Xin Li Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study BMC Geriatrics Stroke risks Diet Quality AHEI-2010 Tianjin Community |
| title | Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study |
| title_full | Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study |
| title_fullStr | Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study |
| title_full_unstemmed | Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study |
| title_short | Factors related to dietary quality among older stroke high-risk population in Tianjin community, China: a multicenter study |
| title_sort | factors related to dietary quality among older stroke high risk population in tianjin community china a multicenter study |
| topic | Stroke risks Diet Quality AHEI-2010 Tianjin Community |
| url | https://doi.org/10.1186/s12877-023-04211-7 |
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