Identification of dietary patterns associated with characteristics of successful aging

Nik Nur Izzati Nik Mohd Fakhruddin, Suzana Shahar, Roslee Rajikan, Mohd Azahadi Omar, Normah Che Din, Rosdinom Razali, Sakinah Harith, Hamid Jan Jan Mohamed, Bibi Nabihah Abdul Hakim

Research output: Contribution to journalArticle

Abstract

Introduction: This study aimed to identify dietary patterns (DPs) and their association with successful aging (SA). Methods: A comparative cross-sectional study was conducted among 579 elderly subjects recruited from four states in Malaysia through a multistage random sampling method. SA was defined as having no chronic illnesses, no functional limitation, normal global function, no depression, a good quality of life and good self-perceived health. Information on dietary intake was obtained using a diet history questionnaire. Cognitive functions were assessed using the Mini Mental State Examination (MMSE), depressive symptoms using Geriatric Depression Score-15 items (GDS-15) and a question regarding their perceived health and quality of life. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to determine functional status. DPs were obtained using the principal component analysis (PCA) approach. An ordinal logistic regression model was used to examine associations between DP scores and SA. Results: Five DPs were identified namely 'sweet foods-beverages', 'meat-vegetablesrice and noodles', 'local snacks-fish and seafood-high salt foods', 'fruits-legumes', and 'tropical fruits-oats'. A higher score for 'tropical fruits-oats' DP was associated with SA [Adjusted OR=1.59 (95% CI: 1.08-2.32)]. However, the association diminished when the model was adjusted for education level. Further analysis indicated that this DP increased the chance of SA among those with secondary education and above [Adjusted OR=2.43 (95% CI: 1.09-5.42)]. Conclusion: 'Tropical fruits-oats' DP is associated with SA among elderly with secondary education and above. There is a need to investigate DPs among those with lower education.

Original languageEnglish
Pages (from-to)47-58
Number of pages12
JournalMalaysian Journal of Nutrition
Volume25
Issue number1
Publication statusPublished - 1 Jan 2019

Fingerprint

eating habits
Fruit
Activities of Daily Living
Education
Depression
tropical and subtropical fruits
Logistic Models
Quality of Life
secondary education
oats
Food and Beverages
Seafood
Snacks
Malaysia
Health
Principal Component Analysis
quality of life
Fabaceae
Geriatrics
Meat

Keywords

  • Cognitive function
  • Dietary pattern
  • Elderly
  • Principal component analysis
  • Successful aging

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

Cite this

Identification of dietary patterns associated with characteristics of successful aging. / Fakhruddin, Nik Nur Izzati Nik Mohd; Shahar, Suzana; Rajikan, Roslee; Omar, Mohd Azahadi; Che Din, Normah; Razali, Rosdinom; Harith, Sakinah; Mohamed, Hamid Jan Jan; Hakim, Bibi Nabihah Abdul.

In: Malaysian Journal of Nutrition, Vol. 25, No. 1, 01.01.2019, p. 47-58.

Research output: Contribution to journalArticle

Fakhruddin, Nik Nur Izzati Nik Mohd ; Shahar, Suzana ; Rajikan, Roslee ; Omar, Mohd Azahadi ; Che Din, Normah ; Razali, Rosdinom ; Harith, Sakinah ; Mohamed, Hamid Jan Jan ; Hakim, Bibi Nabihah Abdul. / Identification of dietary patterns associated with characteristics of successful aging. In: Malaysian Journal of Nutrition. 2019 ; Vol. 25, No. 1. pp. 47-58.
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abstract = "Introduction: This study aimed to identify dietary patterns (DPs) and their association with successful aging (SA). Methods: A comparative cross-sectional study was conducted among 579 elderly subjects recruited from four states in Malaysia through a multistage random sampling method. SA was defined as having no chronic illnesses, no functional limitation, normal global function, no depression, a good quality of life and good self-perceived health. Information on dietary intake was obtained using a diet history questionnaire. Cognitive functions were assessed using the Mini Mental State Examination (MMSE), depressive symptoms using Geriatric Depression Score-15 items (GDS-15) and a question regarding their perceived health and quality of life. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to determine functional status. DPs were obtained using the principal component analysis (PCA) approach. An ordinal logistic regression model was used to examine associations between DP scores and SA. Results: Five DPs were identified namely 'sweet foods-beverages', 'meat-vegetablesrice and noodles', 'local snacks-fish and seafood-high salt foods', 'fruits-legumes', and 'tropical fruits-oats'. A higher score for 'tropical fruits-oats' DP was associated with SA [Adjusted OR=1.59 (95{\%} CI: 1.08-2.32)]. However, the association diminished when the model was adjusted for education level. Further analysis indicated that this DP increased the chance of SA among those with secondary education and above [Adjusted OR=2.43 (95{\%} CI: 1.09-5.42)]. Conclusion: 'Tropical fruits-oats' DP is associated with SA among elderly with secondary education and above. There is a need to investigate DPs among those with lower education.",
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AU - Che Din, Normah

AU - Razali, Rosdinom

AU - Harith, Sakinah

AU - Mohamed, Hamid Jan Jan

AU - Hakim, Bibi Nabihah Abdul

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KW - Dietary pattern

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KW - Principal component analysis

KW - Successful aging

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