naa a22 4500 510785662 CHVBK 20180411083301.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s12603-012-0082-4 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0082-4 Dietary patterns and diet quality among diverse older adults: The university of Alabama at Birmingham study of aging [Elektronische Daten] [Pao Hsiao, D. Mitchell, D. Coffman, R. Allman, J. Locher, P. Sawyer, Gordon Jensen, T. Hartman] Objectives: To characterize dietary patterns among a diverse sample of older adults (≥ 65 years). Design: Cross-sectional. Setting: Five counties in west central Alabama. Participants: Community-dwelling Medicare beneficiaries (N=416; 76.8 ±5.2 years, 56% female, 39% African American) in the University of Alabama at Birmingham (UAB) Study of Aging. Measurements: Dietary data collected via three, unannounced 24-hour dietary recalls was used to identify dietary patterns. Foods were aggregated into 13 groups. Finite mixture modeling (FMM) was used to classify individuals into three dietary patterns. Differences across dietary patterns for nutrient intakes, sociodemographic, and anthropometric measurements were examined using chi-square and general linear models. Results: Three dietary patterns were derived. A "More healthful” dietary pattern, with relatively higher intakes of fruit, vegetables, whole grains, eggs, nuts, legumes and dairy, was associated with lower energy density, higher quality diets as determined by Healthy Eating Index (HEI)-2005 scores and higher intakes of fiber, folate, vitamins C and B6, calcium, iron, magnesium, and zinc. The "Westernlike” pattern was defined by an intake of starchy vegetables, refined grains, meats, fried poultry and fish, oils and fats and was associated with lower HEI-2005 scores. The "Low produce, high sweets” pattern was characterized by high saturated fat, and low dietary fiber and vitamin C intakes. The strongest predictors of better diet quality were female gender and non-Hispanic white race. Conclusion: The dietary patterns identified may provide a useful basis on which to base dietary interventions targeted at older adults. Examination of nutrient intakes regardless of the dietary pattern suggests that older adults are not meeting nutrient recommendations and should continue to be encouraged to choose high quality diets. Serdi and Springer Verlag France, 2013 Dietary pattern nationallicence finite mixture modeling nationallicence older adults nationallicence Hsiao Pao Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut Mitchell D. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut Coffman D. The Methodology Center, The Pennsylvania State University, State College, PA, USA aut Allman R. Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, AL, USA aut Locher J. UAB Center for Aging, Birmingham, AL, USA aut Sawyer P. Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA aut Jensen Gordon Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut Hartman T. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut The journal of nutrition, health & aging Springer-Verlag 17/1(2013-01-01), 19-25 1279-7707 17:1<19 2013 17 12603 https://doi.org/10.1007/s12603-012-0082-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0082-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hsiao Pao Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 700 1- Mitchell D. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 700 1- Coffman D. The Methodology Center, The Pennsylvania State University, State College, PA, USA aut NATIONALLICENCE 700 1- Allman R. Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Locher J. UAB Center for Aging, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Sawyer P. Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Jensen Gordon Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 700 1- Hartman T. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/1(2013-01-01), 19-25 1279-7707 17:1<19 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer