Low Nutrient Intake and Frailty Among Overweight and Obese Migrant Women From Ethnically Diverse Backgrounds Ages 60 Years and Older: A Mixed-Methods Study

Diana Castaneda-Gameros, Sabi Redwood, Janice Thompson

Research output: Contribution to journalArticle (Academic Journal)peer-review

10 Citations (Scopus)
296 Downloads (Pure)

Abstract

Objective:
To examine associations between energy/nutrient intakes and frailty in older migrant women, and to explore perceptions of body weight, dietary intake, and physical function.

Design:
Cross-sectional, mixed-methods study.

Setting:
Birmingham, United Kingdom.ParticipantsSeventy-six first-generation migrant women ≥ 60 years of age.

Main Outcome Measures
Energy/nutrient intakes (assessed by 24-hour dietary recall), frailty (using the frailty phenotype), and links between perceptions of body weight, dietary intake, and physical function (via semi-structured interviews).AnalysisBivariate and logistic regression analyses examined associations between frailty and low energy/nutrient intakes. Interviews were analyzed using inductive thematic analysis.

Results:
Seventy-six women completed a 24-hour dietary recall; 46 participated in a semi-structured interview. Low energy intake was associated with frailty (odds ratio [OR], 11.71; 95% confidence interval [CI], 2.36–57.97). After adjusting for energy and other confounders, a low intake of > 3 nutrients was associated with frailty (OR, 6.58; 95% CI, 1.01–43.08). Qualitative data suggest that dietary intake was influenced by concerns about body weight and perceptions that unhealthy foods reduce mobility.

Conclusions and Implications:
Among older migrant women with high prevalence of overweight/obesity, an inadequate dietary intake may be a stronger predictor of frailty than weight loss. Dietary interventions should focus on healthy weight maintenance and optimization of nutritional adequacy and physical function.
Original languageEnglish
Pages (from-to)3-10.e1
Number of pages9
JournalJournal of Nutrition Education and Behavior
Volume49
Issue number1
Early online date6 Oct 2016
DOIs
Publication statusPublished - Jan 2017

Keywords

  • frailty
  • nutrient inadequacy
  • overweight/obesity
  • older women
  • ethnically diverse
  • physical function
  • body image

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