Poor appetite and dietary Intake in community-dwelling older adults

Barbara S. van der Meij, Hanneke A.H. Wijnhoven, Jung S. Lee, Denise K. Houston, Trisha Hue, Tamara B. Harris, Stephen B. Kritchevsky, Anne B. Newman, Marjolein Visser

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

Abstract

Background/objectives: Poor appetite in older adults leads to sub-optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community-dwelling adults with different reported appetite levels. Design: Cross-sectional analysis of data from a longitudinal prospective study. Setting: Health, aging, and body composition study performed in the USA. Participants: 2,597 community-dwelling adults aged 70–79. Measurements: A semi-quantitative, interviewer-administered, 108-item food frequency questionnaire designed to estimate dietary intake. Poor appetite was defined as the report of a moderate, poor, or very poor appetite in the past month and was compared with good or very good appetite. Results: The mean age of the study sample was 74.5 ± 2.8 years; 48.2% were men, 37.7% were black, and 21.8% reported a poor appetite. After adjustment for total energy intake and potential confounders (including biting/chewing problems), participants with a poor appetite had a significantly lower consumption of protein and dietary fiber, solid foods, protein rich foods, whole grains, fruits, and vegetables, but a higher consumption of dairy foods, fats, oils, sweets, and sodas compared to participants with very good appetite. In addition, they were less likely to report consumption of significant larger portion sizes. Conclusion: Older adults reporting a poor appetite showed a different dietary intake pattern compared to those with (very) good appetite. Better understanding of the specific dietary intake pattern related to a poor appetite in older adults can be used for nutrition interventions to enhance food intake, diet variety, and diet quality.

Original languageEnglish
Pages (from-to)2190-2197
Number of pages8
JournalJournal of the American Geriatrics Society
Volume65
Issue number10
DOIs
Publication statusPublished - 1 Oct 2017

Fingerprint

Independent Living
Appetite
Eating
Food
Portion Size
Diet
Mastication
Dietary Fiber
Body Composition
Energy Intake
Malnutrition
Vegetables
Longitudinal Studies
Fruit
Oils
Proteins

Cite this

van der Meij, B. S., Wijnhoven, H. A. H., Lee, J. S., Houston, D. K., Hue, T., Harris, T. B., ... Visser, M. (2017). Poor appetite and dietary Intake in community-dwelling older adults. Journal of the American Geriatrics Society, 65(10), 2190-2197. https://doi.org/10.1111/jgs.15017
van der Meij, Barbara S. ; Wijnhoven, Hanneke A.H. ; Lee, Jung S. ; Houston, Denise K. ; Hue, Trisha ; Harris, Tamara B. ; Kritchevsky, Stephen B. ; Newman, Anne B. ; Visser, Marjolein. / Poor appetite and dietary Intake in community-dwelling older adults. In: Journal of the American Geriatrics Society. 2017 ; Vol. 65, No. 10. pp. 2190-2197.
@article{2f998f01e92349a5acb29077f33e83d4,
title = "Poor appetite and dietary Intake in community-dwelling older adults",
abstract = "Background/objectives: Poor appetite in older adults leads to sub-optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community-dwelling adults with different reported appetite levels. Design: Cross-sectional analysis of data from a longitudinal prospective study. Setting: Health, aging, and body composition study performed in the USA. Participants: 2,597 community-dwelling adults aged 70–79. Measurements: A semi-quantitative, interviewer-administered, 108-item food frequency questionnaire designed to estimate dietary intake. Poor appetite was defined as the report of a moderate, poor, or very poor appetite in the past month and was compared with good or very good appetite. Results: The mean age of the study sample was 74.5 ± 2.8 years; 48.2{\%} were men, 37.7{\%} were black, and 21.8{\%} reported a poor appetite. After adjustment for total energy intake and potential confounders (including biting/chewing problems), participants with a poor appetite had a significantly lower consumption of protein and dietary fiber, solid foods, protein rich foods, whole grains, fruits, and vegetables, but a higher consumption of dairy foods, fats, oils, sweets, and sodas compared to participants with very good appetite. In addition, they were less likely to report consumption of significant larger portion sizes. Conclusion: Older adults reporting a poor appetite showed a different dietary intake pattern compared to those with (very) good appetite. Better understanding of the specific dietary intake pattern related to a poor appetite in older adults can be used for nutrition interventions to enhance food intake, diet variety, and diet quality.",
author = "{van der Meij}, {Barbara S.} and Wijnhoven, {Hanneke A.H.} and Lee, {Jung S.} and Houston, {Denise K.} and Trisha Hue and Harris, {Tamara B.} and Kritchevsky, {Stephen B.} and Newman, {Anne B.} and Marjolein Visser",
year = "2017",
month = "10",
day = "1",
doi = "10.1111/jgs.15017",
language = "English",
volume = "65",
pages = "2190--2197",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "10",

}

van der Meij, BS, Wijnhoven, HAH, Lee, JS, Houston, DK, Hue, T, Harris, TB, Kritchevsky, SB, Newman, AB & Visser, M 2017, 'Poor appetite and dietary Intake in community-dwelling older adults' Journal of the American Geriatrics Society, vol. 65, no. 10, pp. 2190-2197. https://doi.org/10.1111/jgs.15017

Poor appetite and dietary Intake in community-dwelling older adults. / van der Meij, Barbara S.; Wijnhoven, Hanneke A.H.; Lee, Jung S.; Houston, Denise K.; Hue, Trisha; Harris, Tamara B.; Kritchevsky, Stephen B.; Newman, Anne B.; Visser, Marjolein.

In: Journal of the American Geriatrics Society, Vol. 65, No. 10, 01.10.2017, p. 2190-2197.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Poor appetite and dietary Intake in community-dwelling older adults

AU - van der Meij, Barbara S.

AU - Wijnhoven, Hanneke A.H.

AU - Lee, Jung S.

AU - Houston, Denise K.

AU - Hue, Trisha

AU - Harris, Tamara B.

AU - Kritchevsky, Stephen B.

AU - Newman, Anne B.

AU - Visser, Marjolein

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background/objectives: Poor appetite in older adults leads to sub-optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community-dwelling adults with different reported appetite levels. Design: Cross-sectional analysis of data from a longitudinal prospective study. Setting: Health, aging, and body composition study performed in the USA. Participants: 2,597 community-dwelling adults aged 70–79. Measurements: A semi-quantitative, interviewer-administered, 108-item food frequency questionnaire designed to estimate dietary intake. Poor appetite was defined as the report of a moderate, poor, or very poor appetite in the past month and was compared with good or very good appetite. Results: The mean age of the study sample was 74.5 ± 2.8 years; 48.2% were men, 37.7% were black, and 21.8% reported a poor appetite. After adjustment for total energy intake and potential confounders (including biting/chewing problems), participants with a poor appetite had a significantly lower consumption of protein and dietary fiber, solid foods, protein rich foods, whole grains, fruits, and vegetables, but a higher consumption of dairy foods, fats, oils, sweets, and sodas compared to participants with very good appetite. In addition, they were less likely to report consumption of significant larger portion sizes. Conclusion: Older adults reporting a poor appetite showed a different dietary intake pattern compared to those with (very) good appetite. Better understanding of the specific dietary intake pattern related to a poor appetite in older adults can be used for nutrition interventions to enhance food intake, diet variety, and diet quality.

AB - Background/objectives: Poor appetite in older adults leads to sub-optimal food intake and increases the risk of undernutrition. The impact of poor appetite on food intake in older adults is unknown. The aim of this study was to examine the differences in food intake among older community-dwelling adults with different reported appetite levels. Design: Cross-sectional analysis of data from a longitudinal prospective study. Setting: Health, aging, and body composition study performed in the USA. Participants: 2,597 community-dwelling adults aged 70–79. Measurements: A semi-quantitative, interviewer-administered, 108-item food frequency questionnaire designed to estimate dietary intake. Poor appetite was defined as the report of a moderate, poor, or very poor appetite in the past month and was compared with good or very good appetite. Results: The mean age of the study sample was 74.5 ± 2.8 years; 48.2% were men, 37.7% were black, and 21.8% reported a poor appetite. After adjustment for total energy intake and potential confounders (including biting/chewing problems), participants with a poor appetite had a significantly lower consumption of protein and dietary fiber, solid foods, protein rich foods, whole grains, fruits, and vegetables, but a higher consumption of dairy foods, fats, oils, sweets, and sodas compared to participants with very good appetite. In addition, they were less likely to report consumption of significant larger portion sizes. Conclusion: Older adults reporting a poor appetite showed a different dietary intake pattern compared to those with (very) good appetite. Better understanding of the specific dietary intake pattern related to a poor appetite in older adults can be used for nutrition interventions to enhance food intake, diet variety, and diet quality.

UR - http://www.scopus.com/inward/record.url?scp=85031502749&partnerID=8YFLogxK

U2 - 10.1111/jgs.15017

DO - 10.1111/jgs.15017

M3 - Article

VL - 65

SP - 2190

EP - 2197

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 10

ER -