naa a22 4500 510785921 CHVBK 20180411083302.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12603-013-0014-y doi (NATIONALLICENCE)springer-10.1007/s12603-013-0014-y Dietary patterns and relationship to obesity-related health outcomes and mortality in adults 75 years of age or greater [Elektronische Daten] [Pao Hsiao, D. Mitchell, D. Coffman, G. Craig Wood, T. Hartman, C. Still, Gordon Jensen] Background: The prevalence of obesity-related adverse health outcomes is increasing among older adults. Because it is thought that nutrition plays an important role in successful aging, there has been considerable interest in the association between dietary patterns of older adults and obesity-related health outcomes. Objective: This study examined the association between dietary patterns and mortality and prevalence of obesity-related health outcomes, namely cardiovascular disease (CVD), type 2 diabetes mellitus, hypertension, and metabolic syndrome (MetSyn), over a 5-year follow-up period in adults aged 75 years or greater. Design: A longitudinal observational study with cross-sectional dietary assessment. Setting: Rural Central Pennsylvania. Participants: Community-dwelling older adults (N = 449; 76.5 years old; 57% female). Measurements: Multiple, unannounced, 24-hour dietary recalls were used to collect dietary intake. Cluster analysis was used to derive dietary patterns. Prevalence of CVD, diabetes mellitus, hypertension, and MetSyn was extracted from outpatient electronic medical records. Logistic regression was used to examine the associations between dietary patterns and health outcomes and mortality. Results: ‘Sweets and Dairy', ‘Health-Conscious' and ‘Western' dietary patterns were identified. Compared to the ‘Health-Conscious' pattern, those in the ‘Sweets and Dairy' pattern had increased odds of hypertension over the follow-up period; adjusted odds ratio (95% CI) was 2.18 (1.11-4.30). No significant associations were found for CVD, diabetes mellitus, MetSyn or mortality with dietary patterns. Conclusions: These findings support the potential value of healthy dietary patterns in the management of hypertension in older adults. We did not observe any other strong associations between dietary patterns and health outcomes or mortality in persons ≥ 75 years of age; thus failing to support the use of overly restrictive diet prescriptions for older persons, especially where food intake may be inadequate. Serdi and Springer-Verlag France, 2013 Dietary pattern nationallicence cluster analysis nationallicence older adults nationallicence health outcomes nationallicence mortality 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 Craig Wood G. Geisinger Medical Center, Danville, PA, USA aut Hartman T. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut Still C. Geisinger Medical Center, Danville, PA, USA aut Jensen Gordon Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 566-572 1279-7707 17:6<566 2013 17 12603 https://doi.org/10.1007/s12603-013-0014-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0014-y 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- Craig Wood G. Geisinger Medical Center, Danville, PA, USA aut NATIONALLICENCE 700 1- Hartman T. Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 700 1- Still C. Geisinger Medical Center, Danville, PA, USA aut NATIONALLICENCE 700 1- Jensen Gordon Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 566-572 1279-7707 17:6<566 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer