Huffman Fatma G, Vaccaro Joan A, Zarini Gustavo G, Vieira Edgar R
Department of Dietetics and Nutrition, Florida International University, Miami, FL 33199, USA.
Department of Physical Therapy, Florida International University, Miami, FL 33199, USA.
Geriatrics (Basel). 2018 May 10;3(2):24. doi: 10.3390/geriatrics3020024.
Osteoporosis, a chronic disease that results in low bone mass with an increased risk of fragility fractures, is prevalent in older adults. Diet can prevent or lessen the severity of osteoporosis. The purpose of this cross-sectional study was to assess differences in diet, quality of life, self-rated health, and physical function between congregate meal participants with and without osteoporosis. Data were from telephone survey, 10th Annual National Survey of Older American Act Participants, a representative sample of congregate meal attendees across the United States. ( = 888). Osteoporosis was present in 20% of this population. Participants with, as compared to without, osteoporosis reported that their physical health limited moderate activities (31.5% vs. 18.9%, = 0.026), stair climbing (32.2% vs. 22.8%, = 0.032), and shopping (27.4 vs. 15.3, = 0.018). More than half of the participants consumed less than the recommended servings of dairy, meat, grains, and fruits/vegetables regardless of osteoporosis status. Participants with osteoporosis had lower self-rated health and more physical limitations than people without osteoporosis. Although congregate meals are a way to improve nutritional intake, additional methods to improve nutrition (including education) may be of benefit, since undernutrition is a concern in this population.
骨质疏松症是一种导致骨量低且脆性骨折风险增加的慢性疾病,在老年人中很普遍。饮食可以预防或减轻骨质疏松症的严重程度。这项横断面研究的目的是评估患有和未患有骨质疏松症的集体用餐参与者在饮食、生活质量、自我健康评分和身体功能方面的差异。数据来自电话调查,即第十次年度美国老年人法案参与者全国调查,这是美国集体用餐参与者的一个代表性样本(n = 888)。该人群中20%患有骨质疏松症。与未患骨质疏松症的参与者相比,患有骨质疏松症的参与者报告称,他们的身体健康限制了适度活动(31.5%对18.9%,P = 0.026)、爬楼梯(32.2%对22.8%,P = 0.032)和购物(27.4对15.3,P = 0.018)。无论骨质疏松症状况如何,超过一半的参与者摄入的乳制品、肉类、谷物和水果/蔬菜份数低于推荐量。患有骨质疏松症的参与者自我健康评分较低,身体限制比未患骨质疏松症的人更多。尽管集体用餐是改善营养摄入的一种方式,但由于营养不良是该人群的一个问题,可能需要其他改善营养的方法(包括教育)。