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Published in: The journal of nutrition, health & aging 10/2017

01-12-2017

Alcohol energy intake is related to low body mass index in Japanese older adults: Data from the 2010–2011 National Health and Nutrition Survey

Authors: Midori Ishikawa, T. Yokoyama, N. Murayama

Published in: The journal of nutrition, health & aging | Issue 10/2017

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Abstract

Objective

The objective of this study was to identify lifestyle and nutritional factors associated with low BMI in Japanese older adults, with a focus on alcohol energy intake.

Design

Cross-sectional study. Participants: Data from 1,093 respondents (711 men and 382 women) to the National Health and Nutrition Survey aged 65 years and older were included in this study.

Measurements

Data were analyzed for associations between BMI and lifestyle, energy, and nutrient intake. Alcohol energy intake was calculated from total energy and participants were categorized into BMI quartiles. Energy-adjusted nutrient intakes were calculated as residuals from a regression model, with BMI as the independent variable and lifestyle factors and nutrient intake as dependent variables. Between-BMI quartile differences were assessed for each sex using multivariate logistic regression analysis. In addition, the nutrient intakes of men consuming more than 280 kcal and less than 280 kcal of alcohol energy per day were compared.

Results

Men and women in the lowest BMI quartile had lower total energy intake but higher alcohol energy intake than men in the other BMI quartiles. In multivariate logistic regression analysis, the lowest BMI quartile was associated with total energy (OR: 0.81, p = 0.0310) and alcohol energy intake (OR: 1.22, p = 0.0472) in men. In men, protein, carbohydrate, fat, calcium, iron, and vitamin intakes were less in those that consumed ≥ 280 kcal than in those that consumed < 280 kcal of alcohol per day.

Conclusion

Our results demonstrate an association between alcohol energy intake and low BMI in older Japanese individuals.
Literature
1.
go back to reference Cabinet office, 2012. Situation on Aging, Annual report on the aging society: 2014. [serial on Internet].[cited 2015 December 3]: Available from http://www8.cao.go.jp/ kourei/english/annualreport/2014/pdf/c1-1.pdf Cabinet office, 2012. Situation on Aging, Annual report on the aging society: 2014. [serial on Internet].[cited 2015 December 3]: Available from http://​www8.​cao.​go.​jp/​ kourei/english/annualreport/2014/pdf/c1-1.pdf
2.
go back to reference Fukuda Y, Nakamura K, Takano T. Municipal health expectancy in Japan: decreased healthy longevity of older people in socioeconomically disadvantaged areas. BMC Public Health 2005;5:65. doi:10.1186/1471-2458-5-65CrossRefPubMedPubMedCentral Fukuda Y, Nakamura K, Takano T. Municipal health expectancy in Japan: decreased healthy longevity of older people in socioeconomically disadvantaged areas. BMC Public Health 2005;5:65. doi:10.1186/1471-2458-5-65CrossRefPubMedPubMedCentral
3.
go back to reference Galanos AN, Pieper CF, Cornoni-Huntley JC, Bales CW, Fil-lenbaum GG. Nutrition and function: is there a relationship between body mass index and the functional capabilities of community-dwelling elderly? J Am Geriatr Soc. 1994;42: 368–373CrossRefPubMed Galanos AN, Pieper CF, Cornoni-Huntley JC, Bales CW, Fil-lenbaum GG. Nutrition and function: is there a relationship between body mass index and the functional capabilities of community-dwelling elderly? J Am Geriatr Soc. 1994;42: 368–373CrossRefPubMed
4.
go back to reference Ministry of Health, Labour and Welfare. Health Japan 21, 2nd ed., 2014, Tokyo. [serial on Internet].[cited 2015 December 3]: Available from http://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/kenkou/kenkounippon21/en/kenkounippon21/ Ministry of Health, Labour and Welfare. Health Japan 21, 2nd ed., 2014, Tokyo. [serial on Internet].[cited 2015 December 3]: Available from http://​www.​mhlw.​go.​jp/​seisakunitsuite/​bunya/​kenkou_​iryou/​kenkou/​kenkounippon21/​en/​kenkounippon21/​
5.
go back to reference Perissinotto E, Pisent C, Sergi G, Grigoletto F. Anthropometric measurements in the elderly: age and gender differences. Br J Nutr 2002;87:177–186CrossRefPubMed Perissinotto E, Pisent C, Sergi G, Grigoletto F. Anthropometric measurements in the elderly: age and gender differences. Br J Nutr 2002;87:177–186CrossRefPubMed
6.
go back to reference Patterson RE, Frank LL, Kristal AR, White E. A comprehensive examination of health conditions associated with obesity in older adults. Am J Prev Med 2004;27:1385–1390CrossRef Patterson RE, Frank LL, Kristal AR, White E. A comprehensive examination of health conditions associated with obesity in older adults. Am J Prev Med 2004;27:1385–1390CrossRef
7.
go back to reference Kvamme JM, Wilsgaard T, Florholmen J, Jacobsen BK. Body mass index and disease burden in elderly men and women: The Tromso Study. Eur J Epidemiology 2010;25: 183–193CrossRef Kvamme JM, Wilsgaard T, Florholmen J, Jacobsen BK. Body mass index and disease burden in elderly men and women: The Tromso Study. Eur J Epidemiology 2010;25: 183–193CrossRef
8.
go back to reference Liu Z, Huang J, Qian D, Chen F, Xu J, Li S, Jin L, Wang X. Does low body mass index matter? Relationship between body mass index and subjective well-being among long-lived women over 95 years of age. J Nutr Health Aging 2016;20:99–105. doi: 10.1007/s12603-015-0556-2CrossRefPubMed Liu Z, Huang J, Qian D, Chen F, Xu J, Li S, Jin L, Wang X. Does low body mass index matter? Relationship between body mass index and subjective well-being among long-lived women over 95 years of age. J Nutr Health Aging 2016;20:99–105. doi: 10.1007/s12603-015-0556-2CrossRefPubMed
9.
go back to reference Takmakoshi A, Yatsuya H, Lin Y, Tamakoshi, K, Kondo T, Suzuki S, Yagyu K, Kikuchi S for JACC study group. BMI and all cause mortality among Japanese older adults; finding from the Japan collaborative cohort study, Obesity. 2010;18:362–369CrossRef Takmakoshi A, Yatsuya H, Lin Y, Tamakoshi, K, Kondo T, Suzuki S, Yagyu K, Kikuchi S for JACC study group. BMI and all cause mortality among Japanese older adults; finding from the Japan collaborative cohort study, Obesity. 2010;18:362–369CrossRef
10.
go back to reference Wilkins TL, Rust GS, Sambamoorthi U. Changing BMI Categories and Healthcare expenditures among elderly medicare beneficiaries. Obesity 2012;20: 1240–1248CrossRefPubMed Wilkins TL, Rust GS, Sambamoorthi U. Changing BMI Categories and Healthcare expenditures among elderly medicare beneficiaries. Obesity 2012;20: 1240–1248CrossRefPubMed
11.
go back to reference Ibe A, Smith TC. Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections. BMC Public Health 2014;14: 954. doi: 10.1186/1471-2458-14-954CrossRefPubMedPubMedCentral Ibe A, Smith TC. Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections. BMC Public Health 2014;14: 954. doi: 10.1186/1471-2458-14-954CrossRefPubMedPubMedCentral
12.
go back to reference Yokoyama A, Kato H, Yokoyama T, Tsujinaka T, Muto M, Omori T, Haneda T, Kumagai Y, Igaki H, Yokoyama M, Watanabe H, Fukuda H, Yoshimizu H. Genetic polymorphisms of alcohol and aldehyde dehydrogenases and glutathione S-transferase M1 and drinking, smoking, and diet in Japanese men with esophageal squamous cell carcinoma, Carcinogenesis. 2002;23:1851–1589CrossRefPubMed Yokoyama A, Kato H, Yokoyama T, Tsujinaka T, Muto M, Omori T, Haneda T, Kumagai Y, Igaki H, Yokoyama M, Watanabe H, Fukuda H, Yoshimizu H. Genetic polymorphisms of alcohol and aldehyde dehydrogenases and glutathione S-transferase M1 and drinking, smoking, and diet in Japanese men with esophageal squamous cell carcinoma, Carcinogenesis. 2002;23:1851–1589CrossRefPubMed
13.
go back to reference Otani T, Iwasaki M, Inoue M, Tsugane S. Body mass index. Body height, and subsequent risk of colorectal cancer in middle-age and elderly Japanese men and women: Japan Public Health Center-based Prospective study, Cancer Causes and Control 2005;16:839–850PubMed Otani T, Iwasaki M, Inoue M, Tsugane S. Body mass index. Body height, and subsequent risk of colorectal cancer in middle-age and elderly Japanese men and women: Japan Public Health Center-based Prospective study, Cancer Causes and Control 2005;16:839–850PubMed
14.
go back to reference Nagai M, Kuriyama S, Kakizaki M, Ohmori-Matsuda K, Sugawara Y, Sone T, Horizawa A, Tsuji I. Effect of age on association between body mass index and all cause mortality: The Ohsaki cohort study. J Epidemiology 2010;20:398–407CrossRef Nagai M, Kuriyama S, Kakizaki M, Ohmori-Matsuda K, Sugawara Y, Sone T, Horizawa A, Tsuji I. Effect of age on association between body mass index and all cause mortality: The Ohsaki cohort study. J Epidemiology 2010;20:398–407CrossRef
15.
go back to reference Ministry of Health, Labour and Welfare. Report of National Health and Nutrition Survey, Japan 2010. [serial on Internet].[cited 2015 December 3]: Available from. http://www.mhlw.go.jp/bunya/kenkou/eiyou/h22-houkoku.html Ministry of Health, Labour and Welfare. Report of National Health and Nutrition Survey, Japan 2010. [serial on Internet].[cited 2015 December 3]: Available from. http://​www.​mhlw.​go.​jp/​bunya/​kenkou/​eiyou/​h22-houkoku.​html
16.
go back to reference Ministry of Health, Labour and Welfare, 2013. Report of National Health and Nutrition Survey, Japan 2011. [serial on Internet].[cited 2015 December 3]: Available from. http://www.mhlw.go.jp/bunya/kenkou/eiyou/h23-houkoku.html Ministry of Health, Labour and Welfare, 2013. Report of National Health and Nutrition Survey, Japan 2011. [serial on Internet].[cited 2015 December 3]: Available from. http://​www.​mhlw.​go.​jp/​bunya/​kenkou/​eiyou/​h23-houkoku.​html
17.
go back to reference Okuda N, Tsubota M, Nishi N. Transition of alcohol intakes used data from National Health and Nutrition Survey. Research on the state National Health and Nutrition survey as a investigation aiming at monitoring of Japanese health and nutritional status. Tokyo, 2014;pp35–40 Okuda N, Tsubota M, Nishi N. Transition of alcohol intakes used data from National Health and Nutrition Survey. Research on the state National Health and Nutrition survey as a investigation aiming at monitoring of Japanese health and nutritional status. Tokyo, 2014;pp35–40
18.
go back to reference Hosokawa Y, Yokoyama A, Yokoyama T, Wada N, el. Relationship between drinking and dietary habits and the body mass index of Japanese alcoholic men. Jpn J Alcohol &Drug Dependence. 2010;49:25–37 Hosokawa Y, Yokoyama A, Yokoyama T, Wada N, el. Relationship between drinking and dietary habits and the body mass index of Japanese alcoholic men. Jpn J Alcohol &Drug Dependence. 2010;49:25–37
19.
go back to reference Iijima K1, Iimuro S, Ohashi Y, Sakurai T, Umegaki H, Araki A, Yoshimura Y, Ouchi Y, Ito H. Japanese Elderly Diabetes Intervention Trial Study Group. Lower physical activity, but not excessive calorie intake, is associated with metabolic syndrome in elderly with type 2 diabetes mellitus: the Japanese Elderly Diabetes Intervention Trial. Geriatr Gerontol Int. 2012;12 Suppl 1:68–76CrossRefPubMed Iijima K1, Iimuro S, Ohashi Y, Sakurai T, Umegaki H, Araki A, Yoshimura Y, Ouchi Y, Ito H. Japanese Elderly Diabetes Intervention Trial Study Group. Lower physical activity, but not excessive calorie intake, is associated with metabolic syndrome in elderly with type 2 diabetes mellitus: the Japanese Elderly Diabetes Intervention Trial. Geriatr Gerontol Int. 2012;12 Suppl 1:68–76CrossRefPubMed
20.
go back to reference Tanaka H, Sasazawa Y, Suzuki S, Nakazawa M, Koyama H. Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study. BMC psychiatry. doi: 10.1186/1471-244X-11-20 Tanaka H, Sasazawa Y, Suzuki S, Nakazawa M, Koyama H. Health status and lifestyle factors as predictors of depression in middle-aged and elderly Japanese adults: a seven-year follow-up of the Komo-Ise cohort study. BMC psychiatry. doi: 10.1186/1471-244X-11-20
21.
go back to reference G Testa, F. Cacciatore, F. Mazzella, G. Galizia, D. Della-Morte, A. Langellotto, G. Pirozzi, G. Ferro, N. Ferrara, F. Rengo, P. Abete. Modetrate Alcohol Consumption predict long-term mortality in elderly subjects with chronic heart failure. J Nutr Health Aging. 2013;17: 480–485CrossRefPubMed G Testa, F. Cacciatore, F. Mazzella, G. Galizia, D. Della-Morte, A. Langellotto, G. Pirozzi, G. Ferro, N. Ferrara, F. Rengo, P. Abete. Modetrate Alcohol Consumption predict long-term mortality in elderly subjects with chronic heart failure. J Nutr Health Aging. 2013;17: 480–485CrossRefPubMed
22.
go back to reference Buja A, Scafato E, Sergi G, Maggi S, Suhad MA, Rausa G, Coin A, Baldi I, Manzato E, Galluzzo L, Enzi G, Perissinotto E. Alcohol consumption and methabolic symdrome in the elderly: results from the Italian longitudinal study on aging. Eur J Clini Nutr. 2010;64:297–307CrossRef Buja A, Scafato E, Sergi G, Maggi S, Suhad MA, Rausa G, Coin A, Baldi I, Manzato E, Galluzzo L, Enzi G, Perissinotto E. Alcohol consumption and methabolic symdrome in the elderly: results from the Italian longitudinal study on aging. Eur J Clini Nutr. 2010;64:297–307CrossRef
23.
24.
go back to reference Li CI, Lin CH, Lin WY, Liu CS, Chang CK, Meng NH, Lee YD, Li TC, Lin CC. Successful aging defined by health-related quality of life and its determinants in community-dwelling elders. BMC Public Health 2014;14:1013. doi: 10.1186/1471-2458-14-1013CrossRefPubMedPubMedCentral Li CI, Lin CH, Lin WY, Liu CS, Chang CK, Meng NH, Lee YD, Li TC, Lin CC. Successful aging defined by health-related quality of life and its determinants in community-dwelling elders. BMC Public Health 2014;14:1013. doi: 10.1186/1471-2458-14-1013CrossRefPubMedPubMedCentral
25.
go back to reference Pilleron S, Desport JC, Jésus P, Mbelesso P, Ndamba-Bandzouzi B, Dartigues JF, Clément JP, Preux PM, Guerchet M. Diet, alcohol consumption and cognitive disorders in central Africa: a study from the EPIDEMCA program. J Nutr Health Aging 2015;19:657–667. doi: 10.1007/s12603-015-0487-yCrossRefPubMed Pilleron S, Desport JC, Jésus P, Mbelesso P, Ndamba-Bandzouzi B, Dartigues JF, Clément JP, Preux PM, Guerchet M. Diet, alcohol consumption and cognitive disorders in central Africa: a study from the EPIDEMCA program. J Nutr Health Aging 2015;19:657–667. doi: 10.1007/s12603-015-0487-yCrossRefPubMed
26.
go back to reference Hilde AE G, Zijlstra W, Zhang W, Bulstra S, Stevens M. Adherence to and effectiveness of an individually tailored home-based exercise program for frail older adults, driven by mobility monitoring: design of a prospective cohort study. BMC Public Health 2014;14:570. doi: 10.1186/1471-2458-14-570CrossRef Hilde AE G, Zijlstra W, Zhang W, Bulstra S, Stevens M. Adherence to and effectiveness of an individually tailored home-based exercise program for frail older adults, driven by mobility monitoring: design of a prospective cohort study. BMC Public Health 2014;14:570. doi: 10.1186/1471-2458-14-570CrossRef
Metadata
Title
Alcohol energy intake is related to low body mass index in Japanese older adults: Data from the 2010–2011 National Health and Nutrition Survey
Authors
Midori Ishikawa
T. Yokoyama
N. Murayama
Publication date
01-12-2017
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 10/2017
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-016-0770-6

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