Dietary Quality and Perceived Barriers toWeight Loss among Older Overweight Veterans with Dysmobility
AuthorParker, Elizabeth A., Ph.D., R.D.
Perez, William J.
Ryan, Alice S.
Prior, Steven J.
Katzel, Leslie I.
JournalInternational Journal of Environmental Research and Public Health
MetadataShow full item record
AbstractHealthier diets are associated with higher muscle mass and physical performance which may reduce the risk of developing frailty and disability later in life. This study examined the dietary quality and self-reported weight loss barriers among older (>60 years), overweight (BMI 25 kg/m2) Veterans with dysmobility (low gait speed, impaired mobility diagnosis, or a comorbidity that results in impaired mobility). Habitual dietary intake and healthy eating index (HEI-2015) were assessed using 24-h recalls and compared to US nationally representative dietary intake data and national recommendations. The “MOVE!11” Patient Questionnaire assessed weight loss barriers. The sample (n = 28) was primarily male (93%), black (54%) and obese (BMI = 35.5 5.4 kg/m2) adults aged 69.5 7.0 years with two or more comorbidities (82%); 82% were prescribed four or more medications. Daily intakes (mean SD) were calculated for total energy (2184 645 kcals), protein (0.89 0.3 g/kg), fruits (0.84 0.94 cup eq.), vegetables (1.30 0.87 cup eq.), and HEI-2015 (52.8 13.4). Veterans consumed an average of 11% less protein than the recommendation for older adults (1.0 g/kg/d) and consumed fewer fruits and vegetables than comparisons to national averages (18% and 21%, respectively). Mean HEI-2015 was 17% below the national average for adults >65 years, suggesting poor dietary quality among our sample. Top weight loss barriers were not getting enough physical activity, eating too much and poor food choices. This data suggests that dietary quality is suboptimal in older, overweight Veterans with disability and highlights the need to identify strategies that improve the dietary
DescriptionThe article processing charges (APC) for this open access article were partially funded by the Health Sciences and Human Services Library's Open Access Publishing Fund for Early-Career Researchers.
Rights/TermsAttribution-NonCommercial-NoDerivatives 4.0 International
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/20998
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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International