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Open Access 01-09-2019 | Original Contribution

Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men

Authors: Tessa J. Parsons, Efstathios Papachristou, Janice L. Atkins, Olia Papacosta, Sarah Ash, Lucy T. Lennon, Peter H. Whincup, Sheena E. Ramsay, S. Goya Wannamethee

Published in: European Journal of Nutrition | Issue 6/2019

Abstract

Purpose

To investigate associations between diet quality, dietary patterns and mobility limitation 15 years later in a population-based sample of older British men.

Methods

We used longitudinal data from 1234 men from the British Regional Heart Study, mean age 66 years at baseline. Mobility limitation was defined as difficulty going up- or downstairs or walking 400 yards as a result of a long-term health problem. Dietary intake was measured using a food frequency questionnaire data from which the Healthy Diet Indicator (HDI), the Elderly Dietary Index (EDI), and three a posteriori dietary patterns were derived. The a posteriori dietary patterns were identified using principal components analysis: (1) high fat/low fibre, (2) prudent and (3) high sugar.

Results

Men with greater adherence to the EDI or HDI were less likely to have mobility limitation at follow-up, top vs bottom category odds ratio for the EDI OR 0.50, 95% CI 0.34, 0.75, and for the HDI OR 0.55, 95% CI 0.35, 0.85, after adjusting for age, social class, region of residence, smoking, alcohol consumption and energy intake. Men with a higher score for the high-fat/low-fibre pattern at baseline were more likely to have mobility limitation at follow-up, top vs bottom quartile odds ratio OR 3.28 95% CI 2.05, 5.24. These associations were little changed by adjusting for BMI and physical activity.

Conclusion

Our study provides evidence that healthier eating patterns could contribute to prevention or delay of mobility limitation in older British men.

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Title: Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men
Authors: Tessa J. Parsons
Efstathios Papachristou
Janice L. Atkins
Olia Papacosta
Sarah Ash
Lucy T. Lennon
Peter H. Whincup
Sheena E. Ramsay
S. Goya Wannamethee
Publication date: 01-09-2019
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Nutrition / Issue 6/2019
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-018-1786-y

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