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首页> 外文期刊>Public Health Nutrition >Older adults with obesity have higher risks of some micronutrient inadequacies and lower overall dietary quality compared to peers with a healthy weight, National Health and Nutrition Examination Surveys (NHANES), 2011-2014
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Older adults with obesity have higher risks of some micronutrient inadequacies and lower overall dietary quality compared to peers with a healthy weight, National Health and Nutrition Examination Surveys (NHANES), 2011-2014

机译：与具有健康体重，国家健康和营养考试调查（NHANES）的同伴相比，具有肥胖的老年人具有更高的微量营养素不足和较低的整体膳食质量的风险。2011-2014

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Objective: To evaluate total usual intakes and biomarkers of micronutrients, overall dietary quality and related health characteristics of US older adults who were overweight or obese compared with a healthy weight. Design: Cross-sectional study. Setting: Two 24-h dietary recalls, nutritional biomarkers and objective and subjective health characteristic data were analysed from the National Health and Nutrition Examination Survey 2011-2014. We used the National Cancer Institute method to estimate distributions of total usual intakes from foods and dietary supplements for eleven micronutrients of potential concern and the Healthy Eating Index (HEI)-2015 score. Participants: Older adults aged >= 60 years (n2969) were categorised by sex and body weight status, using standard BMI categories. Underweight individuals (n47) were excluded due to small sample size. Results: A greater percentage of obese older adults compared with their healthy-weight counterparts was at risk of inadequate Mg (both sexes), Ca, vitamin B(6)and vitamin D (women only) intakes. The proportion of those with serum 25-hydroxyvitamin D < 40 nmol/l was higher in obese (12 %) than in healthy-weight older women (6 %). Mean overall HEI-2015 scores were 8 center dot 6 (men) and 7 center dot 1 (women) points lower in obese than in healthy-weight older adults. In addition, compared with healthy-weight counterparts, obese older adults were more likely to self-report fair/poor health, use >= 5 medications and have limitations in activities of daily living and cardio-metabolic risk factors; and obese older women were more likely to be food-insecure and have depression. Conclusions: Our findings suggest that obesity may coexist with micronutrient inadequacy in older adults, especially among women.
机译：目的：评价微量营养素的常规摄入量，整体膳食品质和美国老年人的膳食质量和相关健康特征，与健康的重量相比。设计：横截面研究。环境：2011 - 2014年国家卫生和营养考试调查分析了两次24小时饮食召回，营养生物标志物和客观和主观健康特征数据。我们利用国家癌症研究所的方法来估计来自食品和膳食补充剂的总常规摄入量的分布，为11种微量营养的潜在关注和健康饮食指数（Hei）-2015得分。参与者：使用标准BMI类别，由性别和体重状况进行分类，年龄> = 60岁（N2969）。由于小样本大小，排除了重量级的个体（N47）。结果：与健康体重相比，更大百分比的肥胖老年人面临镁（两性），Ca，维生素B（6）和维生素D（仅限女性）摄入量的风险。肥胖25-羟基维生素D <40苯酚/室的比例高于肥胖（12％）高于健康体重（6％）。意思是整体Hei-2015分数是8个中心点6（男性）和7个中心点1（女性）肥胖的较低点低于健康体重老年人。此外，与健康重量的同行相比，肥胖老年人更有可能自我报告公平/差，使用> = 5药物，并在日常生活和心脏代谢风险因素方面有局限性;肥胖的老年女性更有可能是食物不安全和抑郁症。结论：我们的研究结果表明，肥胖可能与老年人的微量营养素不足，特别是在女性中共存。

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