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Body Mass Index, Poor Diet Quality, and Health-Related Quality of Life Are Associated With Mortality in Rural Older Adults

2014; Taylor & Francis; Volume: 33; Issue: 1 Linguagem: Inglês

10.1080/21551197.2014.875819

2155-1197

Dara W. Ford, Terryl J. Hartman, Christopher D. Still, Craig Wood, Diane C. Mitchell, Pennifer Erickson, Regan L Bailey, Helen Smiciklas‐Wright, Donna L. Coffman, Gordon L. Jensen,

Liver Disease Diagnosis and Treatment

Abstract In an aging population, potentially modifiable factors impacting mortality such as diet quality, body mass index (BMI), and health-related quality of life (HRQOL) are of interest. Surviving members of the Geisinger Rural Aging Study (GRAS) (n = 5,993; aged ≥74 years) were contacted in the fall of 2009. Participants in the present study were the 2,995 (1,267 male, 1,728 female; mean age 81.4 ± 4.4 years) who completed dietary and demographic questionnaires and were enrolled in the Geisinger Health Plan over follow-up (mean = 3.1 years). Cox proportional hazards multivariate regression models were used to examine the associations between all-cause mortality and BMI, diet quality, and HRQOL. Compared to GRAS participants with BMIs in the normal range, a BMI < 18.5 was associated with increased mortality (HR 1.85 95% CI 1.09, 3.14, P = 0.02), while a BMI of 25–29.9 was associated with decreased risk of mortality (HR 0.71 95% CI 0.55, 0.91, P = 0.007). Poor diet quality increased risk for mortality (HR 1.53 95% CI 1.06, 2.22, P = 0.02). Finally, favorable health-related quality of life was inversely associated with mortality (HR 0.09 95% CI 0.06, 0.13, P < 0.0001). Higher diet quality and HALex scores, and overweight status, were associated with reduced all-cause mortality in a cohort of advanced age. While underweight (BMI < 18.5) increased risk of all-cause mortality, no association was found between obesity and all-cause mortality in this aged cohort. KEYWORDS: agingbody mass index (BMI)diet qualityhealth-related quality of lifemortality Notes Note. DST = Dietary Screening Tool; HALex = Health and Activity Limitation Index. Note. BMI = body mass index; DST = Dietary Screening Tool; HALex = Health and Activity Limitation Index. *Each predictor was analyzed in a separate model, controlling for age, sex, smoking status, weight gain, and weight loss. Note. BMI = body mass index; DST = Dietary Screening Tool; HALex = Health and Activity Limitation Index. *Controlling for age, sex, smoking status, weight gain, weight loss, DST score (categorical), and HALex. +Controlling for age, sex, smoking status, weight gain, weight loss, BMI (categorical), and HALex. −controlling for age, sex, smoking status, weight gain, weight loss, BMI (categorical), and DST (categorical).