Caregiver Status and Diet Quality in Community-Dwelling Adults
Objective: We investigated cross-sectional and longitudinal associations of diet quality with middle-aged caregiver status. Methods: Caregiving in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American (AA)) was measured at waves 3 (200...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/6/1803 |
| _version_ | 1797532623361277952 |
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| author | Sharmin Hossain May A. Beydoun Michele K. Evans Alan B. Zonderman Marie F. Kuczmarski |
| author_facet | Sharmin Hossain May A. Beydoun Michele K. Evans Alan B. Zonderman Marie F. Kuczmarski |
| author_sort | Sharmin Hossain |
| collection | DOAJ |
| description | Objective: We investigated cross-sectional and longitudinal associations of diet quality with middle-aged caregiver status. Methods: Caregiving in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American (AA)) was measured at waves 3 (2009–2013) and 4 (2013–2017) (mean follow-up time 4.1 years). Diet quality was assessed by the Healthy Eating Index 2010 (HEI-2010) derived from two separate 24 h diet recalls. Multivariable ordinary least square regression was performed for cross-sectional analyses of the association of wave 4 caregiving with wave 4 HEI-2010. Wave 3 caregiving was examined both cross-sectionally and with annual rate of change in HEI using mixed-effects linear regression Models. Multivariable models were adjusted for age, sex, and poverty status. Results: Cross-sectional analyses at wave 4 demonstrate an inverse association of frequent caregiving (“Daily or Weekly” vs. “Never”) for grandchildren with HEI-2010 total score (i.e., lower diet quality) among Whites (β = −2.83 ± 1.19, <i>p</i> = 0.03, Model 2) and AAs (β = −1.84 ± 0.79, <i>p</i> = 0.02,). The “cross-sectional” analysis pertaining to grandchildren caregiving frequency suggested that frequent caregiving (i.e., “Daily or Weekly” vs. “Never” (β = −2.90 ± 1.17, <i>p</i> = 0.04)) only among Whites was inversely related to HEI-2010 total score. Total HEI-2010 score was also related to caring (Model 1), for the elderly over “5 years vs. Never” among Whites (−7.31 ± 3.54, <i>p</i> = 0.04, Model 2). Longitudinally, we found slight potential improvement in diet quality over time (“Daily or Weekly” vs. Never by TIME interaction: +0.88 ± 0.38, <i>p</i> = 0.02) with frequent caregiving among Whites, but not so among AAs. Conclusions: Frequent caring for grandchildren had an inverse relationship with the diet quality of White and AA urban middle-aged caregivers, while caring for elderly was inversely linked to diet quality among Whites only. Longitudinal studies should address the paucity of research on caregivers’ nutritional quality. |
| first_indexed | 2024-03-10T11:02:53Z |
| format | Article |
| id | doaj.art-d5eec5e5a877404296359304f50ad17d |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T11:02:53Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-d5eec5e5a877404296359304f50ad17d2023-11-21T21:25:44ZengMDPI AGNutrients2072-66432021-05-01136180310.3390/nu13061803Caregiver Status and Diet Quality in Community-Dwelling AdultsSharmin Hossain0May A. Beydoun1Michele K. Evans2Alan B. Zonderman3Marie F. Kuczmarski4Laboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD 21224, USALaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD 21224, USALaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD 21224, USALaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD 21224, USADepartment of Behavioral Health and Nutrition, University of Delaware, Newark, DE 19716, USAObjective: We investigated cross-sectional and longitudinal associations of diet quality with middle-aged caregiver status. Methods: Caregiving in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American (AA)) was measured at waves 3 (2009–2013) and 4 (2013–2017) (mean follow-up time 4.1 years). Diet quality was assessed by the Healthy Eating Index 2010 (HEI-2010) derived from two separate 24 h diet recalls. Multivariable ordinary least square regression was performed for cross-sectional analyses of the association of wave 4 caregiving with wave 4 HEI-2010. Wave 3 caregiving was examined both cross-sectionally and with annual rate of change in HEI using mixed-effects linear regression Models. Multivariable models were adjusted for age, sex, and poverty status. Results: Cross-sectional analyses at wave 4 demonstrate an inverse association of frequent caregiving (“Daily or Weekly” vs. “Never”) for grandchildren with HEI-2010 total score (i.e., lower diet quality) among Whites (β = −2.83 ± 1.19, <i>p</i> = 0.03, Model 2) and AAs (β = −1.84 ± 0.79, <i>p</i> = 0.02,). The “cross-sectional” analysis pertaining to grandchildren caregiving frequency suggested that frequent caregiving (i.e., “Daily or Weekly” vs. “Never” (β = −2.90 ± 1.17, <i>p</i> = 0.04)) only among Whites was inversely related to HEI-2010 total score. Total HEI-2010 score was also related to caring (Model 1), for the elderly over “5 years vs. Never” among Whites (−7.31 ± 3.54, <i>p</i> = 0.04, Model 2). Longitudinally, we found slight potential improvement in diet quality over time (“Daily or Weekly” vs. Never by TIME interaction: +0.88 ± 0.38, <i>p</i> = 0.02) with frequent caregiving among Whites, but not so among AAs. Conclusions: Frequent caring for grandchildren had an inverse relationship with the diet quality of White and AA urban middle-aged caregivers, while caring for elderly was inversely linked to diet quality among Whites only. Longitudinal studies should address the paucity of research on caregivers’ nutritional quality.https://www.mdpi.com/2072-6643/13/6/1803caregiverdiet qualityAfrican AmericanHEI-2010health disparitieselderly |
| spellingShingle | Sharmin Hossain May A. Beydoun Michele K. Evans Alan B. Zonderman Marie F. Kuczmarski Caregiver Status and Diet Quality in Community-Dwelling Adults Nutrients caregiver diet quality African American HEI-2010 health disparities elderly |
| title | Caregiver Status and Diet Quality in Community-Dwelling Adults |
| title_full | Caregiver Status and Diet Quality in Community-Dwelling Adults |
| title_fullStr | Caregiver Status and Diet Quality in Community-Dwelling Adults |
| title_full_unstemmed | Caregiver Status and Diet Quality in Community-Dwelling Adults |
| title_short | Caregiver Status and Diet Quality in Community-Dwelling Adults |
| title_sort | caregiver status and diet quality in community dwelling adults |
| topic | caregiver diet quality African American HEI-2010 health disparities elderly |
| url | https://www.mdpi.com/2072-6643/13/6/1803 |
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