Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis

With this analysis, we aimed to examine the associations between social factors and dietary risk behavior in older adults. Data were collected through a full-population postal survey of German adults aged 65 years or older (<i>n</i> = 1687, 33% response proportion, 52% female, mean age =...

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Main Authors: Christoph Geigl, Julika Loss, Michael Leitzmann, Christian Janssen
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/5/1057
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author Christoph Geigl
Julika Loss
Michael Leitzmann
Christian Janssen
author_facet Christoph Geigl
Julika Loss
Michael Leitzmann
Christian Janssen
author_sort Christoph Geigl
collection DOAJ
description With this analysis, we aimed to examine the associations between social factors and dietary risk behavior in older adults. Data were collected through a full-population postal survey of German adults aged 65 years or older (<i>n</i> = 1687, 33% response proportion, 52% female, mean age = 76 years). Using principal component analysis (PCA), a data-driven Dietary Risk Behavior Index (DRB) was computed. Dietary risk behavior was defined as consumption frequencies of vegetables/fruit, whole grains, and dairy products below national dietary recommendations. By performing a multiple linear regression, we analyzed associations between sociodemographic, socioeconomic, psychosocial, and behavioral factors and dietary risk behavior. Physical activity, female gender, socioeconomic status, social support, and age (in the male sample) were negatively associated with dietary risk behavior. Alcohol consumption and smoking were positively associated with dietary risk behavior. A group-specific analysis revealed a higher goodness-of-fit for the low socioeconomic status group, older adults aged 65–79 years, and women. A comprehensive understanding of the relationships between social factors and dietary risk behavior in older adults assists the group-specific targeting of dietary-related interventions. Demand-oriented dietary interventions should account for underlying social conditions to reduce inequity in dietary risk behavior among older adults. The results of this work may be transferable to municipalities in high-income European countries.
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spelling doaj.art-d054c71c0788482d840721527efd28972023-11-23T23:33:52ZengMDPI AGNutrients2072-66432022-03-01145105710.3390/nu14051057Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable AnalysisChristoph Geigl0Julika Loss1Michael Leitzmann2Christian Janssen3Department of Applied Social Sciences, Munich University of Applied Sciences, 81243 Munich, GermanyDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, 13353 Berlin, GermanyDepartment of Epidemiology and Preventive Medicine, University of Regensburg, 93053 Regensburg, GermanyDepartment of Applied Social Sciences, Munich University of Applied Sciences, 81243 Munich, GermanyWith this analysis, we aimed to examine the associations between social factors and dietary risk behavior in older adults. Data were collected through a full-population postal survey of German adults aged 65 years or older (<i>n</i> = 1687, 33% response proportion, 52% female, mean age = 76 years). Using principal component analysis (PCA), a data-driven Dietary Risk Behavior Index (DRB) was computed. Dietary risk behavior was defined as consumption frequencies of vegetables/fruit, whole grains, and dairy products below national dietary recommendations. By performing a multiple linear regression, we analyzed associations between sociodemographic, socioeconomic, psychosocial, and behavioral factors and dietary risk behavior. Physical activity, female gender, socioeconomic status, social support, and age (in the male sample) were negatively associated with dietary risk behavior. Alcohol consumption and smoking were positively associated with dietary risk behavior. A group-specific analysis revealed a higher goodness-of-fit for the low socioeconomic status group, older adults aged 65–79 years, and women. A comprehensive understanding of the relationships between social factors and dietary risk behavior in older adults assists the group-specific targeting of dietary-related interventions. Demand-oriented dietary interventions should account for underlying social conditions to reduce inequity in dietary risk behavior among older adults. The results of this work may be transferable to municipalities in high-income European countries.https://www.mdpi.com/2072-6643/14/5/1057dietary risk behaviorolder ageolder German adultssocial factorsgendersocioeconomic status
spellingShingle Christoph Geigl
Julika Loss
Michael Leitzmann
Christian Janssen
Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
Nutrients
dietary risk behavior
older age
older German adults
social factors
gender
socioeconomic status
title Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
title_full Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
title_fullStr Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
title_full_unstemmed Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
title_short Social Factors of Dietary Risk Behavior in Older German Adults: Results of a Multivariable Analysis
title_sort social factors of dietary risk behavior in older german adults results of a multivariable analysis
topic dietary risk behavior
older age
older German adults
social factors
gender
socioeconomic status
url https://www.mdpi.com/2072-6643/14/5/1057
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AT christianjanssen socialfactorsofdietaryriskbehaviorinoldergermanadultsresultsofamultivariableanalysis