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The association between dietary patterns and nutritional status in community-dwelling older adults-the PEN-3S study

2020-09-19Artigo científico Acesso restrito
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dc.contributor.authorMadeira, Teresa
dc.contributor.authorSevero, Milton
dc.contributor.authorOliveira, Andreia
dc.contributor.authorGorjão Clara, João Pedro Pereira
dc.contributor.authorLopes, Carla
dc.date.accessioned2020-09-24T15:27:08Z
dc.date.available2020-09-24T15:27:08Z
dc.date.issued2020-09-19
dc.description© The Author(s), under exclusive licence to Springer Nature Limited 2020.pt_PT
dc.description.abstractBackground: Diet plays a key role in the ageing process. Despite this, little is known about the effect of dietary patterns on older adults' nutritional status. The main aim of this study was to analyse the association between a posteriori derived dietary patterns (DPs) and nutritional status among community dwellers aged ≥65. Methods: Cross-sectional study including a representative sample of the community-dwelling Portuguese population aged ≥65 (n = 849, mean age 74.1 years old). Data were collected through computer-assisted, face-to-face interviews. Dietary patterns were derived a posteriori based on two 24-h recalls by a latent class transition model. Nutritional status was assessed by the Mini Nutritional Assessment (MNA®) and measured body mass index (BMI). Associations were estimated by regression models. MNA score was reversed and log-transformed considering its skewed distribution. Results: Two DPs were identified: 22.0% of the studied population followed a 'Protein-based foods' DP (highest consumption of legumes, meats and sweets), and 59.1% followed a 'Mediterranean' DP (highest consumption of vegetables, fruits, dairy, cereals/tubers, bread, fishery and olive oil). Moreover, 18.9% switched between those patterns ('In-between' DP). After adjustment, the 'Protein-based foods' DP was associated with better MNA score (EXP(β) = 0.716, 95% CI 0.533, 0.962), compared to the 'Mediterranean' DP, particularly for total energy intake up to 2200 kcal/day. No significant associations were found between DPs and BMI. Conclusions: A protein-based pattern is associated with lower malnutrition risk in older adults, when considering an adequate energy intake. This should be taken into account when designing and disseminating food-based guidelines for healthy ageing.pt_PT
dc.description.sponsorshipThe project PEN-3S (136SI5) was granted by the Public Health Initiatives Programme (PT06), financed by EEA Grants Financial Mechanism 2009–2014. TM is supported by a PhD Scholarship (SFRH/BD/117884/2016) from Fundação para a Ciência e a Tecnologia (FCT) through national funds (MCTES). AO is supported by a FCT Investigator Grant (IF/01350/2015).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Clin Nutr, 19 September 2020pt_PT
dc.identifier.doi10.1038/s41430-020-00745-wpt_PT
dc.identifier.eissn1476-5640
dc.identifier.issn0954-3007
dc.identifier.urihttp://hdl.handle.net/10451/44423
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relationIF/01350/2015pt_PT
dc.relationEstado nutricional dos idosos portugueses: prevalência e fatores psicossociais associados a malnutrição
dc.relation.publisherversionhttps://www.nature.com/ejcn/pt_PT
dc.titleThe association between dietary patterns and nutritional status in community-dwelling older adults-the PEN-3S studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberSFRH/BD/117884/2016
oaire.awardTitleEstado nutricional dos idosos portugueses: prevalência e fatores psicossociais associados a malnutrição
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F117884%2F2016/PT
oaire.citation.titleEuropean Journal of Clinical Nutritionpt_PT
oaire.fundingStreamOE
person.familyNamePinto Santos Nunes Madeira Sarmento
person.familyNameSevero
person.familyNameOliveira
person.familyNameGorjão Clara
person.familyNamede Moura Lopes
person.givenNameAna Teresa
person.givenNameMilton
person.givenNameAndreia
person.givenNameJoão Pedro Pereira
person.givenNameCarla Maria
person.identifier744178
person.identifier.ciencia-id9D19-73E6-F1C8
person.identifier.ciencia-id5C1C-C73C-55CC
person.identifier.ciencia-id2213-A04D-9811
person.identifier.ciencia-id7516-365B-3D1F
person.identifier.orcid0000-0002-1775-7195
person.identifier.orcid0000-0002-5787-4871
person.identifier.orcid0000-0002-7898-5503
person.identifier.orcid0000-0003-4553-6928
person.identifier.orcid0000-0003-1524-852X
person.identifier.ridI-3497-2012
person.identifier.ridD-4795-2013
person.identifier.scopus-author-id6508324341
person.identifier.scopus-author-id55971691500
person.identifier.scopus-author-id6602465756
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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