TY - JOUR
T1 - Nutrient intake in relation to central and overall obesity status among elderly people living in the Mediterranean islands
T2 - The MEDIS study
AU - Tyrovolas, S.
AU - Psaltopoulou, T.
AU - Pounis, G.
AU - Papairakleous, N.
AU - Bountziouka, V.
AU - Zeimbekis, A.
AU - Gotsis, E.
AU - Antonopoulou, M.
AU - Metallinos, G.
AU - Polychronopoulos, E.
AU - Lionis, C.
AU - Panagiotakos, D. B.
PY - 2011/6
Y1 - 2011/6
N2 - Background and Aim: The aim of the present work was to evaluate the relationship between energy-generating nutrients and the presence of central and overall obesity after correcting for socio-demographic, lifestyle and clinical characteristics, among healthy elders. Methods and Results: During 2005-2007, 553 elderly men and 637 elderly women (mean age 74 ± 7. years) from eight Mediterranean islands in Greece and Cyprus, were enrolled. The retrieved information included demographic, bio-clinical and dietary characteristics. MedDietScore assessed adherence to the Mediterranean dietary pattern.The prevalence of obesity was 27% in males and 39% in females (p< 0.001), while 73% of males and 87% of females had central obesity. The prevalence of diabetes, hypercholesterolemia and hypertension was higher in the obese than in the non-obese participants (p< 0.01). After adjusting for various confounders, a 1% increase in carbohydrate consumption was associated with a 12% (95% CI 0.78-0.99) lower likelihood of having central obesity, while a 1% increase in carbohydrate and protein consumption was associated with a 14% (95% CI 0.78-0.95) and 16% (95% CI 0.72-0.97) lower likelihood of being obese, respectively. Vegetable protein was found to be associated with a 15% (95% CI 0.77-0.93) lower likelihood of being obese while, only low glycemic index carbohydrates seem to be associated with a 6% (95% CI 0.90-0.98) lower likelihood of having central obesity. Conclusions: The presented findings suggest that a diet high in carbohydrates and vegetable protein is associated with a lower likelihood of being obese and may help elderly people to preserve normal weight.
AB - Background and Aim: The aim of the present work was to evaluate the relationship between energy-generating nutrients and the presence of central and overall obesity after correcting for socio-demographic, lifestyle and clinical characteristics, among healthy elders. Methods and Results: During 2005-2007, 553 elderly men and 637 elderly women (mean age 74 ± 7. years) from eight Mediterranean islands in Greece and Cyprus, were enrolled. The retrieved information included demographic, bio-clinical and dietary characteristics. MedDietScore assessed adherence to the Mediterranean dietary pattern.The prevalence of obesity was 27% in males and 39% in females (p< 0.001), while 73% of males and 87% of females had central obesity. The prevalence of diabetes, hypercholesterolemia and hypertension was higher in the obese than in the non-obese participants (p< 0.01). After adjusting for various confounders, a 1% increase in carbohydrate consumption was associated with a 12% (95% CI 0.78-0.99) lower likelihood of having central obesity, while a 1% increase in carbohydrate and protein consumption was associated with a 14% (95% CI 0.78-0.95) and 16% (95% CI 0.72-0.97) lower likelihood of being obese, respectively. Vegetable protein was found to be associated with a 15% (95% CI 0.77-0.93) lower likelihood of being obese while, only low glycemic index carbohydrates seem to be associated with a 6% (95% CI 0.90-0.98) lower likelihood of having central obesity. Conclusions: The presented findings suggest that a diet high in carbohydrates and vegetable protein is associated with a lower likelihood of being obese and may help elderly people to preserve normal weight.
KW - Central obesity
KW - Elderly
KW - Epidemiology
KW - Nutrient intake
KW - Obesity
UR - http://www.scopus.com/inward/record.url?scp=79955962123&partnerID=8YFLogxK
U2 - 10.1016/j.numecd.2009.10.012
DO - 10.1016/j.numecd.2009.10.012
M3 - Article
C2 - 20153615
AN - SCOPUS:79955962123
SN - 0939-4753
VL - 21
SP - 438
EP - 445
JO - Nutrition, Metabolism and Cardiovascular Diseases
JF - Nutrition, Metabolism and Cardiovascular Diseases
IS - 6
ER -