Abstract
Little is known about the dietary patterns of Asian populations aged =85 years and their associated factors. Thus, we aimed to (1) identify these dietary patterns and (2) clarify the relationships between the dietary pattern and health outcomes in a community-dwelling very old population. The Tokyo Oldest Old Survey on Total Health study is an observational cohort study comprising 512 Japanese subjects (women, n=288; men, n=224; age, 87.8±2.2 years). Dietary patterns were assessed by principal component analysis using a brief self-administered diet history questionnaire. Barthel index, Mini-Mental State Examination, and oral health status [maximum occlusal force (MOF), denture use, and dentulous / edentulous state] were also measured. Two dietary patterns were identified. The first factor component "traditional Japanese" was characterized by a high consumption of vegetables, seaweed, legumes, and fish. The second factor component "noodles and confectioneries" was characterized by a high consumption of noodles, confectioneries, and non-alcoholic beverages. Multivariable analysis showed that the "traditional Japanese" dietary pattern was inversely associated with dentulous state (OR: 0.53; 95% CI: 0.34-0.82), the lowest tertile of MOF (OR: 0.64; 95% CI: 0.42-0.99), and denture use (OR: 2.42; 95% CI: 1.26- 4.63) even after adjustment for potential confounders. Furthermore, the "noodles and confectioneries" dietary pattern was inversely associated with the lowest tertile of MOF (OR: 0.62; 95% CI: 0.40-0.94). However, there were no significant associations between these dietary patterns and disability or cognitive function. We identified two dietary patterns in the very old population, which were associated with oral health status.
| Original language | English |
|---|---|
| Pages (from-to) | 262-270 |
| Number of pages | 9 |
| Journal | Asia Pacific Journal of Clinical Nutrition |
| Volume | 26 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2017 |
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Keywords
- Food choice
- Japan
- Oral function
- Principal component analysis
- Very old
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Medicine(all)
- Nutrition and Dietetics
Cite this
Identification of dietary patterns and their relationships with general and oral health in the very old. / Osawa, Yusuke; Arai, Yasumichi; Takayama, Michiyo; Hirata, Takumi; Kawasaki, Midori; Abe, Yukiko; Iinuma, Toshimitsu; Sasaki, Satoshi; Hirose, Nobuyoshi.
In: Asia Pacific Journal of Clinical Nutrition, Vol. 26, No. 2, 2017, p. 262-270.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Identification of dietary patterns and their relationships with general and oral health in the very old
AU - Osawa, Yusuke
AU - Arai, Yasumichi
AU - Takayama, Michiyo
AU - Hirata, Takumi
AU - Kawasaki, Midori
AU - Abe, Yukiko
AU - Iinuma, Toshimitsu
AU - Sasaki, Satoshi
AU - Hirose, Nobuyoshi
PY - 2017
Y1 - 2017
N2 - Little is known about the dietary patterns of Asian populations aged =85 years and their associated factors. Thus, we aimed to (1) identify these dietary patterns and (2) clarify the relationships between the dietary pattern and health outcomes in a community-dwelling very old population. The Tokyo Oldest Old Survey on Total Health study is an observational cohort study comprising 512 Japanese subjects (women, n=288; men, n=224; age, 87.8±2.2 years). Dietary patterns were assessed by principal component analysis using a brief self-administered diet history questionnaire. Barthel index, Mini-Mental State Examination, and oral health status [maximum occlusal force (MOF), denture use, and dentulous / edentulous state] were also measured. Two dietary patterns were identified. The first factor component "traditional Japanese" was characterized by a high consumption of vegetables, seaweed, legumes, and fish. The second factor component "noodles and confectioneries" was characterized by a high consumption of noodles, confectioneries, and non-alcoholic beverages. Multivariable analysis showed that the "traditional Japanese" dietary pattern was inversely associated with dentulous state (OR: 0.53; 95% CI: 0.34-0.82), the lowest tertile of MOF (OR: 0.64; 95% CI: 0.42-0.99), and denture use (OR: 2.42; 95% CI: 1.26- 4.63) even after adjustment for potential confounders. Furthermore, the "noodles and confectioneries" dietary pattern was inversely associated with the lowest tertile of MOF (OR: 0.62; 95% CI: 0.40-0.94). However, there were no significant associations between these dietary patterns and disability or cognitive function. We identified two dietary patterns in the very old population, which were associated with oral health status.
AB - Little is known about the dietary patterns of Asian populations aged =85 years and their associated factors. Thus, we aimed to (1) identify these dietary patterns and (2) clarify the relationships between the dietary pattern and health outcomes in a community-dwelling very old population. The Tokyo Oldest Old Survey on Total Health study is an observational cohort study comprising 512 Japanese subjects (women, n=288; men, n=224; age, 87.8±2.2 years). Dietary patterns were assessed by principal component analysis using a brief self-administered diet history questionnaire. Barthel index, Mini-Mental State Examination, and oral health status [maximum occlusal force (MOF), denture use, and dentulous / edentulous state] were also measured. Two dietary patterns were identified. The first factor component "traditional Japanese" was characterized by a high consumption of vegetables, seaweed, legumes, and fish. The second factor component "noodles and confectioneries" was characterized by a high consumption of noodles, confectioneries, and non-alcoholic beverages. Multivariable analysis showed that the "traditional Japanese" dietary pattern was inversely associated with dentulous state (OR: 0.53; 95% CI: 0.34-0.82), the lowest tertile of MOF (OR: 0.64; 95% CI: 0.42-0.99), and denture use (OR: 2.42; 95% CI: 1.26- 4.63) even after adjustment for potential confounders. Furthermore, the "noodles and confectioneries" dietary pattern was inversely associated with the lowest tertile of MOF (OR: 0.62; 95% CI: 0.40-0.94). However, there were no significant associations between these dietary patterns and disability or cognitive function. We identified two dietary patterns in the very old population, which were associated with oral health status.
KW - Food choice
KW - Japan
KW - Oral function
KW - Principal component analysis
KW - Very old
UR - http://www.scopus.com/inward/record.url?scp=85015226765&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85015226765&partnerID=8YFLogxK
U2 - 10.6133/apjcn.022016.02
DO - 10.6133/apjcn.022016.02
M3 - Article
C2 - 28244704
AN - SCOPUS:85015226765
VL - 26
SP - 262
EP - 270
JO - Asia Pacific Journal of Clinical Nutrition
JF - Asia Pacific Journal of Clinical Nutrition
SN - 0964-7058
IS - 2
ER -