High Intake of Nonmilk Extrinsic Sugars Is Associated With Protein and Micronutrient Dilution in Home-Dwelling and Institutionalized Older People

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Jyväkorpi , S K , Pitkala , K H , Puranen , T M , Björkman , M P , Kautiainen , H , Strandberg , T E , Helena , S & Suominen , M H 2017 , ' High Intake of Nonmilk Extrinsic Sugars Is Associated With Protein and Micronutrient Dilution in Home-Dwelling and Institutionalized Older People ' , Journal of the American Medical Directors Association , vol. 18 , no. 4 , pp. 301-305 . https://doi.org/10.1016/j.jamda.2016.09.023

Title: High Intake of Nonmilk Extrinsic Sugars Is Associated With Protein and Micronutrient Dilution in Home-Dwelling and Institutionalized Older People
Author: Jyväkorpi, Satu K.; Pitkala, Kaisu H.; Puranen, Taija M.; Björkman, Mikko P.; Kautiainen, Hannu; Strandberg, Timo E.; Helena, Soini; Suominen, Merja H.
Contributor: University of Helsinki, Clinicum
University of Helsinki, University of Helsinki
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, University of Helsinki
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2017-04-01
Language: eng
Number of pages: 5
Belongs to series: Journal of the American Medical Directors Association
ISSN: 1525-8610
URI: http://hdl.handle.net/10138/217910
Abstract: Background: High dietary sugar intake may compromise protein and micronutrient intakes in people with low energy intakes. The results of micronutrient dilution studies in older people have been few and conflicting. We examined the nutritional status and nutrient intakes associated with nonmilk extrinsic sugars (NMES) intakes in older people representing a broad spectrum of both healthy and vulnerable older populations. Design and participants: This cross-sectional study combined five Finnish data sets covering homedwelling (n = 526) and institutionalized (n = 374) older people. Their nutritional status was assessed using Mini Nutritional Assessment (MNA) and nutrient intakes retrieved from 1- to 3-day food records. The participants were divided into quartiles corresponding to the proportions of energy received from NMES. Energy, nutrient, and fiber intakes were classified according to the NMES quartiles, and the participants were divided according to their places of residence (home, institution). Results: High NMES intakes were associated with older age, female sex, poor cognition, low MNA scores, immobility, and institutionalization. In all, 90% of the participants in the highest NMES quartile (Q4) were institutionalized. In the institutionalized individuals, low protein and micronutrient intakes were observed in both those with low energy intake (Q1) and in those with very high NMES intakes (Q4). In home-dwelling individuals, the nutrient intakes tended to decline linearly with increasing NMES intakes in protein and most micronutrients. Conclusions: Institutionalized older people consumed diets high in NMES, compared with those living at home, and their low energy and high NMES intakes were associated with low protein and micronutrient intakes. (C) 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Subject: Older people
nonmilk extrinsic sugar (NMES)
protein intake
micronutrient intake
micronutrient dilution
RANDOMIZED CONTROLLED-TRIAL
DIETARY
RECOMMENDATIONS
DEMENTIA
PROTOCOL
3141 Health care science
3121 General medicine, internal medicine and other clinical medicine
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