TY - JOUR
T1 - Correlates of low dietary energy reporting in free-living elderly
T2 - The MEDIS study
AU - Yannakoulia, Mary
AU - Tyrovolas, Stefanos
AU - Pounis, George
AU - Zeimbekis, Akis
AU - Anastasiou, Foteini
AU - Bountziouka, Vassiliki
AU - Voutsa, Katia
AU - Gotsis, Efthimios
AU - Metallinos, George
AU - Lionis, Christos
AU - Polychronopoulos, Evangelos
AU - Panagiotakos, Demosthenes
PY - 2011/5
Y1 - 2011/5
N2 - Objectives: To evaluate the prevalence of low energy reporting (LER) and associations between LER and lifestyle, psychological and clinical parameters, in elderly people living in eastern Mediterranean islands. Methods: 1190 men and women, aged 65-100 years, participated in this cross-sectional study. Socio-demographic, clinical and lifestyle characteristics were recorded for the study participants. Among others, the ratio of energy intake to estimated basal metabolic rate (EI/BMR) was calculated and was used for the assessment of LER. Results: Prevalence of LER was 47.7%. Lower EI/BMR (i.e., higher risk for LER) was associated with older age (p = 0.001), male sex (p < 0.001), higher body mass index (BMI; p = 0.04), lower adherence to the Mediterranean diet (p < 0.001) and non-current smoking (p = 0.007). The sex-specific analysis revealed that, lower EI/BMR values were associated with lower adherence to the Mediterranean diet and being non-current smoker in both men and women (p ≤ 0.05), as well as with older age (p = 0.01), higher BMI (p = 0.02) and hypercholesterolemia (p = 0.02), only in women. Conclusion: In elderly, several clinical and lifestyle factors seem to be related to LER, and they should be taken into account in their nutritional assessment.
AB - Objectives: To evaluate the prevalence of low energy reporting (LER) and associations between LER and lifestyle, psychological and clinical parameters, in elderly people living in eastern Mediterranean islands. Methods: 1190 men and women, aged 65-100 years, participated in this cross-sectional study. Socio-demographic, clinical and lifestyle characteristics were recorded for the study participants. Among others, the ratio of energy intake to estimated basal metabolic rate (EI/BMR) was calculated and was used for the assessment of LER. Results: Prevalence of LER was 47.7%. Lower EI/BMR (i.e., higher risk for LER) was associated with older age (p = 0.001), male sex (p < 0.001), higher body mass index (BMI; p = 0.04), lower adherence to the Mediterranean diet (p < 0.001) and non-current smoking (p = 0.007). The sex-specific analysis revealed that, lower EI/BMR values were associated with lower adherence to the Mediterranean diet and being non-current smoker in both men and women (p ≤ 0.05), as well as with older age (p = 0.01), higher BMI (p = 0.02) and hypercholesterolemia (p = 0.02), only in women. Conclusion: In elderly, several clinical and lifestyle factors seem to be related to LER, and they should be taken into account in their nutritional assessment.
KW - Dietary assessment
KW - Elderly
KW - Low energy reporting
KW - Mediterranean diet
KW - Misreporting
UR - http://www.scopus.com/inward/record.url?scp=79954628375&partnerID=8YFLogxK
U2 - 10.1016/j.maturitas.2011.01.016
DO - 10.1016/j.maturitas.2011.01.016
M3 - Article
C2 - 21354724
AN - SCOPUS:79954628375
SN - 0378-5122
VL - 69
SP - 63
EP - 68
JO - Maturitas
JF - Maturitas
IS - 1
ER -