Hausman Dorothy B, Johnson Mary Ann, Davey Adam, Poon Leonard W
Department of Foods and Nutrition, University of Georgia, 280 Dawson Hall, Athens, GA 30602, USA.
J Aging Res. 2011;2011:138015. doi: 10.4061/2011/138015. Epub 2011 May 30.
Associations between body mass index (BMI) and dietary patterns and health conditions were explored in a population-based multiethnic sample of centenarians from northern Georgia. BMI ≤20 and ≥25 was prevalent in 30.9% and 25.3% of study participants, respectively. In a series of logistic regression analyses controlled for gender and place of residence, the probability of having BMI ≥25 was increased by being black versus white and having a low citrus fruit, noncitrus fruit, orange/yellow vegetable or total fruit and vegetable intake. The probability of having BMI ≤20 was not associated with dietary intake. When controlled for race, gender, residence, and total fruit and vegetable intake, BMI ≥25 was an independent risk factor for diabetes or having a systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, whereas BMI ≤20 was a risk factor for anemia. Given the many potential adverse consequences of under- and overweight, efforts are needed to maintain a healthy weight, even in the oldest old.
在来自佐治亚州北部的百岁老人这一基于人群的多民族样本中,探讨了体重指数(BMI)与饮食模式及健康状况之间的关联。BMI≤20和≥25分别在30.9%和25.3%的研究参与者中较为普遍。在一系列对性别和居住地点进行控制的逻辑回归分析中,与白人相比,黑人以及柑橘类水果、非柑橘类水果、橙色/黄色蔬菜或水果和蔬菜总摄入量较低会增加BMI≥25的可能性。BMI≤20的可能性与饮食摄入量无关。在对种族、性别、居住地点以及水果和蔬菜总摄入量进行控制后,BMI≥25是糖尿病或收缩压≥140 mmHg或舒张压≥90 mmHg的独立危险因素,而BMI≤20是贫血的危险因素。鉴于体重过轻和超重存在许多潜在的不良后果,即使是在高龄老人中,也需要努力保持健康体重。