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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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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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 <0.001] and cardiometabolic conditions [-0.30 (-0.44, -0.17), P trend <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. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-86251e779622bfe3db2ee5aebbf7d7b18ed1f6a76a325e334c3f64276c7b79263</citedby><orcidid>0000-0002-9302-9616 ; 0000-0001-6202-4970 ; 0000-0001-8944-756X ; 0000-0002-3431-7247 ; 0000-0003-0500-8805 ; 0000-0001-9609-3579</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38157322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:158539843$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Vega-Cabello, Veronica</creatorcontrib><creatorcontrib>Struijk, Ellen A</creatorcontrib><creatorcontrib>Caballero, Francisco Felix</creatorcontrib><creatorcontrib>Yévenes-Briones, Humberto</creatorcontrib><creatorcontrib>Ortolá, Rosario</creatorcontrib><creatorcontrib>Calderón-Larrañaga, Amaia</creatorcontrib><creatorcontrib>Lana, Alberto</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando</creatorcontrib><creatorcontrib>Lopez-Garcia, Esther</creatorcontrib><title>Diet quality and multimorbidity in older adults: a prospective cohort study</title><title>The journals of gerontology. 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 <0.001] and cardiometabolic conditions [-0.30 (-0.44, -0.17), P trend <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><issn>1079-5006</issn><issn>1758-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kE1PwzAMhiMEYmNw5Yhy5NItiZem5YbGp5jEBSRuUdK4I9CvNS1o_55OG_PFlv34lf0ScsnZlLMUZits68rMVoVxIpFHZMyVTCIJ8uN4qJlKI8lYPCJnIXyxbUhxSkaQcKlAiDF5ufPY0XVvCt9tqKkcLfui82XdWu-2LV_RunDYUuOGQbihhjZtHRrMOv-DNKs_67ajoevd5pyc5KYIeLHPE_L-cP-2eIqWr4_Pi9tllAFAFyWxkByVSmMhbI7grECUBq3NlVOWJ-h4HhsVGxASAeYZ5PFcqDhTVqUihgmJdrrhF5ve6qb1pWk3ujZe71vfQ4U6gXTO-MBf7_jh8HWPodOlDxkWhamw7oMWKUtZAomCAZ3u0Gz4MbSYH8Q501vD9c5wvTd8WLjaa_e2RHfA_x2GP1ORf98</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Vega-Cabello, Veronica</creator><creator>Struijk, Ellen A</creator><creator>Caballero, Francisco Felix</creator><creator>Yévenes-Briones, Humberto</creator><creator>Ortolá, Rosario</creator><creator>Calderón-Larrañaga, Amaia</creator><creator>Lana, Alberto</creator><creator>Rodríguez-Artalejo, Fernando</creator><creator>Lopez-Garcia, Esther</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><orcidid>https://orcid.org/0000-0002-9302-9616</orcidid><orcidid>https://orcid.org/0000-0001-6202-4970</orcidid><orcidid>https://orcid.org/0000-0001-8944-756X</orcidid><orcidid>https://orcid.org/0000-0002-3431-7247</orcidid><orcidid>https://orcid.org/0000-0003-0500-8805</orcidid><orcidid>https://orcid.org/0000-0001-9609-3579</orcidid></search><sort><creationdate>20240501</creationdate><title>Diet quality and multimorbidity in older adults: a prospective cohort study</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-86251e779622bfe3db2ee5aebbf7d7b18ed1f6a76a325e334c3f64276c7b79263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vega-Cabello, Veronica</creatorcontrib><creatorcontrib>Struijk, Ellen A</creatorcontrib><creatorcontrib>Caballero, Francisco Felix</creatorcontrib><creatorcontrib>Yévenes-Briones, Humberto</creatorcontrib><creatorcontrib>Ortolá, Rosario</creatorcontrib><creatorcontrib>Calderón-Larrañaga, Amaia</creatorcontrib><creatorcontrib>Lana, Alberto</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando</creatorcontrib><creatorcontrib>Lopez-Garcia, Esther</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vega-Cabello, Veronica</au><au>Struijk, Ellen A</au><au>Caballero, Francisco Felix</au><au>Yévenes-Briones, Humberto</au><au>Ortolá, Rosario</au><au>Calderón-Larrañaga, Amaia</au><au>Lana, Alberto</au><au>Rodríguez-Artalejo, Fernando</au><au>Lopez-Garcia, Esther</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diet quality and multimorbidity in older adults: a prospective cohort study</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>79</volume><issue>5</issue><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>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 <0.001] and cardiometabolic conditions [-0.30 (-0.44, -0.17), P trend <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.</abstract><cop>United States</cop><pmid>38157322</pmid><doi>10.1093/gerona/glad285</doi><orcidid>https://orcid.org/0000-0002-9302-9616</orcidid><orcidid>https://orcid.org/0000-0001-6202-4970</orcidid><orcidid>https://orcid.org/0000-0001-8944-756X</orcidid><orcidid>https://orcid.org/0000-0002-3431-7247</orcidid><orcidid>https://orcid.org/0000-0003-0500-8805</orcidid><orcidid>https://orcid.org/0000-0001-9609-3579</orcidid></addata></record> |
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title | Diet quality and multimorbidity in older adults: a prospective cohort study |
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