Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018

BackgroundFew quantitative studies have explored the associations between nut consumption and better health outcomes among a national cohort of community-dwelling older Chinese people. Given the need for more evidence to support the health benefits of nuts among Chinese people, we investigated wheth...

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Main Authors: Dengxin He, Zheng Huangfu, Minghao Pan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.1080714/full
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author Dengxin He
Zheng Huangfu
Minghao Pan
author_facet Dengxin He
Zheng Huangfu
Minghao Pan
author_sort Dengxin He
collection DOAJ
description BackgroundFew quantitative studies have explored the associations between nut consumption and better health outcomes among a national cohort of community-dwelling older Chinese people. Given the need for more evidence to support the health benefits of nuts among Chinese people, we investigated whether nut consumption was associated with subsequent 10-year mortality.MethodsWe analyzed data from the Chinese Longitudinal Healthy Longevity Survey. The data on nut consumption at baseline were collected using a questionnaire through face-to-face interviews. The vital status and date of death were ascertained by a close family member or village doctor of the deceased participant during the follow-up survey. Cox analyses were performed to explore the association between nut consumption and mortality. Subgroup analyses by age group (<80 or ≥80 years), sex (male/female), activities of daily living (impaired or normal), and physical exercise (yes or no) were performed to assess whether the association between nut consumption and mortality differed across different populations.ResultsThe median survival time was 1,302 days for the 11,915 participants with complete information of survival time and nut consumption. The association between nut consumption and mortality was significant after the adjusting for significant factors in the univariate Cox analyses. The hazard ratios were lower in male participants, those who were <80 years old, and those who did not engage in physical exercise at baseline. The association between nut consumption and mortality was not significant among participants with normal activities of daily living.ConclusionThe association between nut consumption and mortality was not significant among participants who had normal activities of daily living but was significant among participants who had impaired activities of daily living. Including nuts in the diets cloud help to extend the lifespan in older Chinese people, especially those with impaired activities of daily living.
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spelling doaj.art-dbba48e451684301b9e196974b6667f12022-12-22T03:49:29ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-12-01910.3389/fnut.2022.10807141080714Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018Dengxin He0Zheng Huangfu1Minghao Pan2School of Nursing, Hubei University of Chinese Medicine, Wuhan, ChinaSchool of Journalism and Communication, Nanjing Xiaozhuang University, Nanjing, ChinaSchool of Public Health, Wuhan University, Wuhan, ChinaBackgroundFew quantitative studies have explored the associations between nut consumption and better health outcomes among a national cohort of community-dwelling older Chinese people. Given the need for more evidence to support the health benefits of nuts among Chinese people, we investigated whether nut consumption was associated with subsequent 10-year mortality.MethodsWe analyzed data from the Chinese Longitudinal Healthy Longevity Survey. The data on nut consumption at baseline were collected using a questionnaire through face-to-face interviews. The vital status and date of death were ascertained by a close family member or village doctor of the deceased participant during the follow-up survey. Cox analyses were performed to explore the association between nut consumption and mortality. Subgroup analyses by age group (<80 or ≥80 years), sex (male/female), activities of daily living (impaired or normal), and physical exercise (yes or no) were performed to assess whether the association between nut consumption and mortality differed across different populations.ResultsThe median survival time was 1,302 days for the 11,915 participants with complete information of survival time and nut consumption. The association between nut consumption and mortality was significant after the adjusting for significant factors in the univariate Cox analyses. The hazard ratios were lower in male participants, those who were <80 years old, and those who did not engage in physical exercise at baseline. The association between nut consumption and mortality was not significant among participants with normal activities of daily living.ConclusionThe association between nut consumption and mortality was not significant among participants who had normal activities of daily living but was significant among participants who had impaired activities of daily living. Including nuts in the diets cloud help to extend the lifespan in older Chinese people, especially those with impaired activities of daily living.https://www.frontiersin.org/articles/10.3389/fnut.2022.1080714/fullnutsdietary intakecohort studymortalityChineseCOX analysis
spellingShingle Dengxin He
Zheng Huangfu
Minghao Pan
Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
Frontiers in Nutrition
nuts
dietary intake
cohort study
mortality
Chinese
COX analysis
title Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
title_full Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
title_fullStr Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
title_full_unstemmed Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
title_short Association between nut consumption and mortality among Chinese older people: A national cohort study based on CLHLS from 2008 to 2018
title_sort association between nut consumption and mortality among chinese older people a national cohort study based on clhls from 2008 to 2018
topic nuts
dietary intake
cohort study
mortality
Chinese
COX analysis
url https://www.frontiersin.org/articles/10.3389/fnut.2022.1080714/full
work_keys_str_mv AT dengxinhe associationbetweennutconsumptionandmortalityamongchineseolderpeopleanationalcohortstudybasedonclhlsfrom2008to2018
AT zhenghuangfu associationbetweennutconsumptionandmortalityamongchineseolderpeopleanationalcohortstudybasedonclhlsfrom2008to2018
AT minghaopan associationbetweennutconsumptionandmortalityamongchineseolderpeopleanationalcohortstudybasedonclhlsfrom2008to2018