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Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men

Lookup NU author(s): Professor Sheena Ramsay



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 2018, The Author(s). Purpose: To investigate associations between diet quality, dietary patterns and mobility limitation 15 years later in a population-based sample of older British men. Methods: We used longitudinal data from 1234 men from the British Regional Heart Study, mean age 66 years at baseline. Mobility limitation was defined as difficulty going up- or downstairs or walking 400 yards as a result of a long-term health problem. Dietary intake was measured using a food frequency questionnaire data from which the Healthy Diet Indicator (HDI), the Elderly Dietary Index (EDI), and three a posteriori dietary patterns were derived. The a posteriori dietary patterns were identified using principal components analysis: (1) high fat/low fibre, (2) prudent and (3) high sugar. Results: Men with greater adherence to the EDI or HDI were less likely to have mobility limitation at follow-up, top vs bottom category odds ratio for the EDI OR 0.50, 95% CI 0.34, 0.75, and for the HDI OR 0.55, 95% CI 0.35, 0.85, after adjusting for age, social class, region of residence, smoking, alcohol consumption and energy intake. Men with a higher score for the high-fat/low-fibre pattern at baseline were more likely to have mobility limitation at follow-up, top vs bottom quartile odds ratio OR 3.28 95% CI 2.05, 5.24. These associations were little changed by adjusting for BMI and physical activity. Conclusion: Our study provides evidence that healthier eating patterns could contribute to prevention or delay of mobility limitation in older British men.

Publication metadata

Author(s): Parsons TJ, Papachristou E, Atkins JL, Papacosta O, Ash S, Lennon LT, Whincup PH, Ramsay SE, Wannamethee SG

Publication type: Article

Publication status: Published

Journal: European Journal of Nutrition

Year: 2019

Volume: 58

Issue: 6

Pages: 2335-2343

Print publication date: 01/09/2019

Online publication date: 23/07/2018

Acceptance date: 17/07/2018

Date deposited: 07/08/2018

ISSN (print): 1436-6207

ISSN (electronic): 1436-6215

Publisher: Springer Medizin


DOI: 10.1007/s00394-018-1786-y


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