Diet quality and multimorbidity in older adults: a prospective cohort study

The role of diet quality in the accumulation of multiple chronic conditions is mostly unknown. This study examined diet quality in association with the number of chronic conditions and the rate of multimorbidity development among community-dwelling older adults. We used data from 2784 adults aged ≥6...

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Veröffentlicht in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2024-05, Vol.79 (5)
Hauptverfasser: Vega-Cabello, Veronica, Struijk, Ellen A, Caballero, Francisco Felix, Yévenes-Briones, Humberto, Ortolá, Rosario, Calderón-Larrañaga, Amaia, Lana, Alberto, Rodríguez-Artalejo, Fernando, Lopez-Garcia, Esther
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container_title The journals of gerontology. Series A, Biological sciences and medical sciences
container_volume 79
creator Vega-Cabello, Veronica
Struijk, Ellen A
Caballero, Francisco Felix
Yévenes-Briones, Humberto
Ortolá, Rosario
Calderón-Larrañaga, Amaia
Lana, Alberto
Rodríguez-Artalejo, Fernando
Lopez-Garcia, Esther
description The role of diet quality in the accumulation of multiple chronic conditions is mostly unknown. This study examined diet quality in association with the number of chronic conditions and the rate of multimorbidity development among community-dwelling older adults. We used data from 2784 adults aged ≥65 years from the Seniors-ENRICA 2 cohort. Diet quality was assessed at baseline (2015-2017) with the Alternate Healthy Eating Index-2010 (AHEI-2010) and the Mediterranean Diet Adherence Screener (MEDAS). Information on medical diagnoses was obtained from electronic clinical records up to 2021. Higher adherence to the AHEI-2010 was associated with a lower number of total chronic conditions [β (95% CI) quartile 4 vs. 1: -0.57 (-0.86, 0.27), P trend
doi_str_mv 10.1093/gerona/glad285
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This study examined diet quality in association with the number of chronic conditions and the rate of multimorbidity development among community-dwelling older adults. We used data from 2784 adults aged ≥65 years from the Seniors-ENRICA 2 cohort. Diet quality was assessed at baseline (2015-2017) with the Alternate Healthy Eating Index-2010 (AHEI-2010) and the Mediterranean Diet Adherence Screener (MEDAS). Information on medical diagnoses was obtained from electronic clinical records up to 2021. Higher adherence to the AHEI-2010 was associated with a lower number of total chronic conditions [β (95% CI) quartile 4 vs. 1: -0.57 (-0.86, 0.27), P trend &lt;0.001] and cardiometabolic conditions [-0.30 (-0.44, -0.17), P trend &lt;0.001] at baseline, while higher adherence to the MEDAS was associated with lower number of total chronic conditions [-0.30 (-0.58, -0.02), P trend =0.01] and neuropsychiatric and neurodegenerative conditions [-0.09 (-0.17, -0.01), P trend =0.01]. After a median follow-up of 5.2 years (range: 0.1-6.1 years) higher adherence to the AHEI-2010 was associated with a lower increase in chronic conditions [β (95% confidence interval) quartile 4 vs. 1: -0.16 (-0.30, -0.01), P trend =0.04] and with lower rate of chronic disease accumulation. Higher diet quality, as measured by the AHEI-2010, was associated with a lower number of chronic health conditions and a lower rate of multimorbidity development over time.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/glad285</identifier><identifier>PMID: 38157322</identifier><language>eng</language><publisher>United States</publisher><ispartof>The journals of gerontology. Series A, Biological sciences and medical sciences, 2024-05, Vol.79 (5)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. 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Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>The role of diet quality in the accumulation of multiple chronic conditions is mostly unknown. This study examined diet quality in association with the number of chronic conditions and the rate of multimorbidity development among community-dwelling older adults. We used data from 2784 adults aged ≥65 years from the Seniors-ENRICA 2 cohort. Diet quality was assessed at baseline (2015-2017) with the Alternate Healthy Eating Index-2010 (AHEI-2010) and the Mediterranean Diet Adherence Screener (MEDAS). Information on medical diagnoses was obtained from electronic clinical records up to 2021. Higher adherence to the AHEI-2010 was associated with a lower number of total chronic conditions [β (95% CI) quartile 4 vs. 1: -0.57 (-0.86, 0.27), P trend &lt;0.001] and cardiometabolic conditions [-0.30 (-0.44, -0.17), P trend &lt;0.001] at baseline, while higher adherence to the MEDAS was associated with lower number of total chronic conditions [-0.30 (-0.58, -0.02), P trend =0.01] and neuropsychiatric and neurodegenerative conditions [-0.09 (-0.17, -0.01), P trend =0.01]. After a median follow-up of 5.2 years (range: 0.1-6.1 years) higher adherence to the AHEI-2010 was associated with a lower increase in chronic conditions [β (95% confidence interval) quartile 4 vs. 1: -0.16 (-0.30, -0.01), P trend =0.04] and with lower rate of chronic disease accumulation. 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title Diet quality and multimorbidity in older adults: a prospective cohort study
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