Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka
Aims: To assess the impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high-fat mass) in older Sri Lankans. Methods: In this population-based cross-sectional study, older people of 60 years or above we...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024030950 |
| _version_ | 1827316403527483392 |
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| author | Samantha Chandrika Vijewardane Aindralal Balasuriya Alexandra M. Johnstone Phyo Kyaw Myint |
| author_facet | Samantha Chandrika Vijewardane Aindralal Balasuriya Alexandra M. Johnstone Phyo Kyaw Myint |
| author_sort | Samantha Chandrika Vijewardane |
| collection | DOAJ |
| description | Aims: To assess the impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high-fat mass) in older Sri Lankans. Methods: In this population-based cross-sectional study, older people of 60 years or above were selected using a multistage cluster sampling technique probability proportionate to the size. They were classified into 3 groups; 60–64, 65–69 and > 70-years. The poor-quality dietary variety was defined based on food variety, dietary diversity and dietary serving scores assessed using 24-h dietary recall. Body composition was measured using bio-electrical impedance. The impact of age on determinants of poor-quality dietary variety and being at risk of low muscle mass and high-fat mass were assessed by using multivariable logistic regression models. Results: Eight hundred older participants with a mean (SD) 68.1(5.8) years were included. There were 28.4%(n = 227), 36.2%(n = 290) and 35.4%(n = 283) in the 60–64, 65–69 and ≥ 70-year age groups, respectively. The prevalence of poor-quality dietary variety was similar across age groups. The urban living environment, and getting nutritional advice from the GP/hospital were found to have a significant negative association only in the 60–64 age group. A poor-quality dietary variety was significantly associated with no education or up to the primary level in the 65–69 age group and having diabetes or hypertension in the ≥70-year group. Odds of low muscle mass and high-fat mass were 2.43(1.46–4.03) and 2.17(1.30–3.63) respectively among the≥70-year age group compared to the 60-64-year group, after controlling for confounders. Conclusions: The prevalence of poor-quality dietary variety was similarly high in all age groups. Increasing age was associated with higher odds of low body muscle and high body fat mass despite similar dietary variety, indicating the need for special dietary attention. |
| first_indexed | 2024-04-24T23:15:08Z |
| format | Article |
| id | doaj.art-8ea2a80742c641358ba42c6c6108ee35 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T23:15:08Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-8ea2a80742c641358ba42c6c6108ee352024-03-17T07:57:13ZengElsevierHeliyon2405-84402024-03-01105e27064Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri LankaSamantha Chandrika Vijewardane0Aindralal Balasuriya1Alexandra M. Johnstone2Phyo Kyaw Myint3Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UK and Nutrition Division, Ministry of Health, Sri Lanka; Corresponding author. C/o Ageing Clinical & Experimental Research Team Room 1.127-1.130, West Block, Level 1 Polwarth Building University of Aberdeen Foresterhill, AB25 2ZD, Scotland, Sri Lanka.Department of Public Health and Family Medicine, General Sir John Kotelawala Defense University, Sri LankaThe Rowett Institute, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UKInstitute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UKAims: To assess the impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high-fat mass) in older Sri Lankans. Methods: In this population-based cross-sectional study, older people of 60 years or above were selected using a multistage cluster sampling technique probability proportionate to the size. They were classified into 3 groups; 60–64, 65–69 and > 70-years. The poor-quality dietary variety was defined based on food variety, dietary diversity and dietary serving scores assessed using 24-h dietary recall. Body composition was measured using bio-electrical impedance. The impact of age on determinants of poor-quality dietary variety and being at risk of low muscle mass and high-fat mass were assessed by using multivariable logistic regression models. Results: Eight hundred older participants with a mean (SD) 68.1(5.8) years were included. There were 28.4%(n = 227), 36.2%(n = 290) and 35.4%(n = 283) in the 60–64, 65–69 and ≥ 70-year age groups, respectively. The prevalence of poor-quality dietary variety was similar across age groups. The urban living environment, and getting nutritional advice from the GP/hospital were found to have a significant negative association only in the 60–64 age group. A poor-quality dietary variety was significantly associated with no education or up to the primary level in the 65–69 age group and having diabetes or hypertension in the ≥70-year group. Odds of low muscle mass and high-fat mass were 2.43(1.46–4.03) and 2.17(1.30–3.63) respectively among the≥70-year age group compared to the 60-64-year group, after controlling for confounders. Conclusions: The prevalence of poor-quality dietary variety was similarly high in all age groups. Increasing age was associated with higher odds of low body muscle and high body fat mass despite similar dietary variety, indicating the need for special dietary attention.http://www.sciencedirect.com/science/article/pii/S2405844024030950AgeingBody compositionDietary varietyFat massOlder peopleNutrition |
| spellingShingle | Samantha Chandrika Vijewardane Aindralal Balasuriya Alexandra M. Johnstone Phyo Kyaw Myint Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka Heliyon Ageing Body composition Dietary variety Fat mass Older people Nutrition |
| title | Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka |
| title_full | Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka |
| title_fullStr | Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka |
| title_full_unstemmed | Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka |
| title_short | Impact of age on the prevalence of poor-quality dietary variety, associated lifestyle factors, and body composition profile (low body muscle mass and high body fat mass) in older people residing in Colombo district, Sri Lanka |
| title_sort | impact of age on the prevalence of poor quality dietary variety associated lifestyle factors and body composition profile low body muscle mass and high body fat mass in older people residing in colombo district sri lanka |
| topic | Ageing Body composition Dietary variety Fat mass Older people Nutrition |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024030950 |
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