Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Burwood, VIC3125, Australia.
Melbourne School of Population and Global Health, University of Melbourne, Parkville, VIC3052, Australia.
Public Health Nutr. 2024 Oct 21;27(1):e244. doi: 10.1017/S1368980024001976.
This study develops successful ageing profiles across six low- and middle-income countries (LMIC) and examines associations with fruit and vegetable (F&V) intake.
A cross-sectional analysis was conducted in mid-aged and older adults from the WHO Study of Global Ageing. Participants without chronic disease, cognitive impairment, depression or disability and with good physical, cardiovascular and respiratory function were considered to have successfully aged. Associations between F&V intake (serves/d) and successful ageing were examined using log-binomial regression adjusting for key confounders.
China, Ghana, India, Mexico, Russia and South Africa.
A total of 28 785 men and women aged 50 years and over.
Successful ageing ranged from 4 % in Mexico to 15 % in China. After adjustment, only Ghana showed an association between fruit intake and successful ageing, with an inverse association identified (prevalence ratio (PR) = 0·87, 95 % CI 0·78, 0·98). An inverse association between vegetable intake and successful ageing was found in China (0·97, 0·95, 0·98) but no other country. An inverse association was shown for both China (0·98, 0·96, 0·99) and Ghana (0·92, 0·84, 1·00) when considering fruit and vegetables combined.
Associations between F&V intake and successful ageing are inconsistent. Further studies on LMIC countries are needed to meet the challenges of the ageing population.
本研究在六个中低收入国家(LMIC)中制定成功老龄化的模式,并探讨其与水果和蔬菜(F&V)摄入量的关系。
本研究采用横断面分析,对象为世卫组织全球老龄化研究中的中年及老年人群。无慢性病、认知障碍、抑郁或残疾且身体、心血管和呼吸系统功能良好的参与者被认为是成功老龄化的。采用对数二项式回归,在调整关键混杂因素后,分析 F&V 摄入量(份/天)与成功老龄化之间的关系。
中国、加纳、印度、墨西哥、俄罗斯和南非。
共有 28785 名年龄在 50 岁及以上的男性和女性。
成功老龄化的比例在中国为 15%,在墨西哥为 4%。调整后,只有加纳显示出水果摄入量与成功老龄化之间存在关联,呈负相关(比值比(PR)=0.87,95%CI 0.78,0.98)。在中国,蔬菜摄入量与成功老龄化呈负相关(0.97,0.95,0.98),但在其他国家没有这种关联。在中国(0.98,0.96,0.99)和加纳(0.92,0.84,1.00),当同时考虑水果和蔬菜的摄入量时,也显示出了这种负相关。
F&V 摄入量与成功老龄化之间的关系不一致。需要对 LMIC 国家进行进一步的研究,以应对人口老龄化的挑战。