Diet-related practices and BMI are associated with diet quality in older adults.
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OBJECTIVE: To assess the association of diet-related practices and BMI with diet quality in rural adults aged 74 years. DESIGN: Cross-sectional. Dietary quality was assessed by the twenty-five-item Dietary Screening Tool (DST). Diet-related practices were self-reported. Multivariate linear regression models were used to analyse associations of DST scores with BMI and diet-related practices after controlling for gender, age, education, smoking and self- v. proxy reporting. SETTING: Geisinger Rural Aging Study (GRAS) in Pennsylvania, USA. SUBJECTS: A total of 4009 (1722 males, 2287 females; mean age 815 years) participants aged 74 years. RESULTS: Individuals with BMI < 185 kg/m2 had a significantly lower DST score (mean 558, 95 % CI 529, 587) than those individuals with BMI = 185-249 kg/m2 (mean 607, 95 % CI 601, 615; P = 0001). Older adults with higher, more favourable DST scores were significantly more likely to be food sufficient, report eating breakfast, have no chewing difficulties and report no decline in intake in the previous 6 months. CONCLUSIONS: The DST may identify potential targets for improving diet quality in older adults including promotion of healthy BMI, breakfast consumption, improving dentition and identifying strategies to decrease concern about food sufficiency.
Ford, D. W., Hartman, T. J., Still, C., Wood, C., Mitchell, D., Hsiao, P. Y., ... Jensen, G. L.
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Ford, Dara W||Hartman, Terryl J||Still, Christopher||Wood, Craig||Mitchell, Diane||Hsiao, Pao Ying||Bailey, Regan||Smiciklas-Wright, Helen||Coffman, Donna L||Jensen, Gordon L
