The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer

Bibliographic Details
Main Author: Dorman, Jamie
Language:English
Published: The Ohio State University / OhioLINK 2018
Subjects:
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-osu15240597292676082021-08-03T07:06:16Z The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer Dorman, Jamie Nutrition diet nutrition physical functioning healthy eating index NHANES Background: Meeting nutritional needs is essential for optimal aging. Dietary intake among older cancer survivors is an important and modifiable health behavior that can positively influence health status and quality of life. Objective/Hypothesis: To identify dietary patterns in older (>50 years) adults with and without a cancer diagnosis, and the associations of these patterns with physical functioning. Methods: Data from the National Health and Nutrition Examination Survey (NHANES) was used for these analyses. Demographic variables examined were age, race, gender, education, marital status, and household income. Health variables included BMI (kg/m2), general health perceptions, physical functioning, food security and the presence of chronic medical conditions. Dietary patterns were calculated using NHANES’ Automated Multiple Pass Method (AMPM) and the USDA’s Health Eating Index (HEI-2015), which is a validated measure of diet quality. Higher scores indicate healthier eating. Results: Participants (n=46,322) were older (63 years), primarily female (53.5%), white (76.6%), married (65.1%), fully food secure (85.2%), and overweight (BMI=29). Sixteen percent of the sample had a history of cancer. The top three cancers diagnosed were skin (non-melanoma) (45.7%), prostate (37.8%) and breast (26.9%). The mean HEI score for all participants was 53.9. Participants with a history of cancer scored significantly higher on the HEI (54.9) than those without a cancer history (53.7, p=0.041). Regardless of cancer history, a positive association was found between HEI and physical functioning (p= 0.007), indicating that physical functioning was higher among those with healthier dietary patterns. After controlling for demographic and health variables, however, no significant association was present. Conclusions: Cancer survivors over age 50 had better dietary patterns compared to same age adults without a history of cancer. Results may be used to promote adherence to the 2015-2020 Dietary Guidelines for Americans and develop interventions utilizing multiple aspects of a healthy lifestyle, such as nutrition and physical activity, in order to fully assess physical functioning and manage chronic conditions to promote successful aging in this high-risk population. 2018-09-04 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608 http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Nutrition
diet
nutrition
physical functioning
healthy eating index
NHANES
spellingShingle Nutrition
diet
nutrition
physical functioning
healthy eating index
NHANES
Dorman, Jamie
The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
author Dorman, Jamie
author_facet Dorman, Jamie
author_sort Dorman, Jamie
title The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
title_short The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
title_full The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
title_fullStr The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
title_full_unstemmed The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer
title_sort association between dietary patterns and physical functioning in older adults with and without a history of cancer
publisher The Ohio State University / OhioLINK
publishDate 2018
url http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608
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