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Association of the Elderly Dietary Index With Cardiovascular Disease Risk Factors in Elderly Men: A Cross-Sectional Study Publisher Pubmed



Darooghegi Mofrad M1, 2 ; Namazi N3 ; Larijani B4 ; Surkan PJ5 ; Azadbakht L1, 3, 6
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Endocrinology and Metabolism Research Centre, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  6. 6. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Science, Isfahan, Iran

Source: Nutrition and Dietetics Published:2019


Abstract

Aim: There is limited evidence regarding the association between the Elderly Dietary Index (EDI) and cardiovascular disease (CVD) risk factors. The aim of the study was to examine how the EDI relates to CVD risk factors in elderly men. Methods: In this cross-sectional study, we recruited 362 elderly men aged 60 to 80 years old. Diet was measured with a validated and reliable food frequency questionnaire. The EDI assesses adherence to nutritional recommendations for older adults based on the Modified MyPyramid for Older Adults. The EDI includes meat, fish, fruits, vegetables, cereals, legumes, olive oil, bread and dairy products. Anthropometric indices, biochemical markers and blood pressure were measured using standard methods. Multivariate logistic regression assessed relationships between tertiles of EDI scores and CVD risk factors. Results: The mean age and body mass index of participants were 65.43 ± 5.63 years and 25.34 ± 3.17 kg/m2, respectively. After controlling for potential confounders, the EDI was inversely associated with the risk of obesity and overweight (Odds ratio [OR]: 0.49, 95% confidence interval [CI]: 0.27, 0.89; P =.004) and was associated with a reduced likelihood of elevated low-density lipoprotein cholesterol (LDL-C) concentrations (OR: 0.19, 95% CI: 0.09, 0.41; P <.001). Conclusions: Higher EDI was associated with lower risk of overweight and obesity and high LDL-C concentrations. However, there was no significant association between EDI and other CVD risk factors in elderly men. © 2019 Dietitians Association of Australia
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