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Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility

Healthier diets are associated with higher muscle mass and physical performance which may reduce the risk of developing frailty and disability later in life. This study examined the dietary quality and self-reported weight loss barriers among older (>60 years), overweight (BMI ≥ 25 kg/m(2)) Veter...

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Autores principales: Parker, Elizabeth A., Perez, William J., Phipps, Brian, Ryan, Alice S., Prior, Steven J., Katzel, Leslie, Serra, Monica C., Addison, Odessa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367786/
https://www.ncbi.nlm.nih.gov/pubmed/35954511
http://dx.doi.org/10.3390/ijerph19159153
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author Parker, Elizabeth A.
Perez, William J.
Phipps, Brian
Ryan, Alice S.
Prior, Steven J.
Katzel, Leslie
Serra, Monica C.
Addison, Odessa
author_facet Parker, Elizabeth A.
Perez, William J.
Phipps, Brian
Ryan, Alice S.
Prior, Steven J.
Katzel, Leslie
Serra, Monica C.
Addison, Odessa
author_sort Parker, Elizabeth A.
collection PubMed
description Healthier diets are associated with higher muscle mass and physical performance which may reduce the risk of developing frailty and disability later in life. This study examined the dietary quality and self-reported weight loss barriers among older (>60 years), overweight (BMI ≥ 25 kg/m(2)) Veterans with dysmobility (low gait speed, impaired mobility diagnosis, or a comorbidity that results in impaired mobility). Habitual dietary intake and healthy eating index (HEI-2015) were assessed using 24-h recalls and compared to US nationally representative dietary intake data and national recommendations. The “MOVE!11” Patient Questionnaire assessed weight loss barriers. The sample (n = 28) was primarily male (93%), black (54%) and obese (BMI = 35.5 ± 5.4 kg/m(2)) adults aged 69.5 ± 7.0 years with two or more comorbidities (82%); 82% were prescribed four or more medications. Daily intakes (mean ± SD) were calculated for total energy (2184 ± 645 kcals), protein (0.89 ± 0.3 g/kg), fruits (0.84 ± 0.94 cup·eq.), vegetables (1.30 ± 0.87 cup·eq.), and HEI-2015 (52.8 ± 13.4). Veterans consumed an average of 11% less protein than the recommendation for older adults (1.0 g/kg/d) and consumed fewer fruits and vegetables than comparisons to national averages (18% and 21%, respectively). Mean HEI-2015 was 17% below the national average for adults >65 years, suggesting poor dietary quality among our sample. Top weight loss barriers were not getting enough physical activity, eating too much and poor food choices. This data suggests that dietary quality is suboptimal in older, overweight Veterans with disability and highlights the need to identify strategies that improve the dietary intake quality of older Veterans who may benefit from obesity and disability management.
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spelling pubmed-93677862022-08-12 Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility Parker, Elizabeth A. Perez, William J. Phipps, Brian Ryan, Alice S. Prior, Steven J. Katzel, Leslie Serra, Monica C. Addison, Odessa Int J Environ Res Public Health Article Healthier diets are associated with higher muscle mass and physical performance which may reduce the risk of developing frailty and disability later in life. This study examined the dietary quality and self-reported weight loss barriers among older (>60 years), overweight (BMI ≥ 25 kg/m(2)) Veterans with dysmobility (low gait speed, impaired mobility diagnosis, or a comorbidity that results in impaired mobility). Habitual dietary intake and healthy eating index (HEI-2015) were assessed using 24-h recalls and compared to US nationally representative dietary intake data and national recommendations. The “MOVE!11” Patient Questionnaire assessed weight loss barriers. The sample (n = 28) was primarily male (93%), black (54%) and obese (BMI = 35.5 ± 5.4 kg/m(2)) adults aged 69.5 ± 7.0 years with two or more comorbidities (82%); 82% were prescribed four or more medications. Daily intakes (mean ± SD) were calculated for total energy (2184 ± 645 kcals), protein (0.89 ± 0.3 g/kg), fruits (0.84 ± 0.94 cup·eq.), vegetables (1.30 ± 0.87 cup·eq.), and HEI-2015 (52.8 ± 13.4). Veterans consumed an average of 11% less protein than the recommendation for older adults (1.0 g/kg/d) and consumed fewer fruits and vegetables than comparisons to national averages (18% and 21%, respectively). Mean HEI-2015 was 17% below the national average for adults >65 years, suggesting poor dietary quality among our sample. Top weight loss barriers were not getting enough physical activity, eating too much and poor food choices. This data suggests that dietary quality is suboptimal in older, overweight Veterans with disability and highlights the need to identify strategies that improve the dietary intake quality of older Veterans who may benefit from obesity and disability management. MDPI 2022-07-27 /pmc/articles/PMC9367786/ /pubmed/35954511 http://dx.doi.org/10.3390/ijerph19159153 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Parker, Elizabeth A.
Perez, William J.
Phipps, Brian
Ryan, Alice S.
Prior, Steven J.
Katzel, Leslie
Serra, Monica C.
Addison, Odessa
Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title_full Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title_fullStr Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title_full_unstemmed Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title_short Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility
title_sort dietary quality and perceived barriers to weight loss among older overweight veterans with dysmobility
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367786/
https://www.ncbi.nlm.nih.gov/pubmed/35954511
http://dx.doi.org/10.3390/ijerph19159153
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