TY  - JOUR
AB  - Objective: The origin of malnutrition in older age is multifactorial and risk factors may vary according to health and living situation. The present study aimed to identify setting-specific risk profiles of malnutrition in older adults and to investigate the association of the number of individual risk factors with malnutrition. Design: Data of four cross-sectional studies were harmonized and uniformly analysed. Malnutrition was defined as BMI < 20 kg/m(2) and/or weight loss of >3 kg in the previous 3-6 months. Associations between factors of six domains (demographics, health, mental function, physical function, dietary intake-related problems, dietary behaviour), the number of individual risk factors and malnutrition were analysed using logistic regression. Setting: Community (CD), geriatric day hospital (GDH), home care (HC), nursing home (NH). Participants: CD older adults (n 1073), GDH patients (n 180), HC receivers (n 335) and NH residents (n 197), all >= 65 years. Results: Malnutrition prevalence was lower in CD (11 %) than in the other settings (16-19 %). In the CD sample, poor appetite, difficulties with eating, respiratory and gastrointestinal diseases were associated with malnutrition; in GDH patients, poor appetite and respiratory diseases; in HC receivers, younger age, poor appetite and nausea; and in NH residents, older age and mobility limitations. In all settings the likelihood of malnutrition increased with the number of potential individual risk factors. Conclusions: The study indicates a varying relevance of certain risk factors of malnutrition in different settings. However, the relationship of the number of individual risk factors with malnutrition in all settings implies comprehensive approaches to identify persons at risk of malnutrition early.
AU  - Kiesswetter, E.*
AU  - Colombo, M.
AU  - Meisinger, C.
AU  - Peters, A.
AU  - Thorand, B.
AU  - Holle, R.
AU  - Ladwig, K.-H.
AU  - Schulz, H.
AU  - Grill, E.*
AU  - Diekmann, R.*
AU  - Schrader, E.*
AU  - Stehle, P.*
AU  - Sieber, C.C.*
AU  - Volkert, D.*
C1  - 56803
C2  - 47352
CY  - Edinburgh Bldg, Shaftesbury Rd, Cb2 8ru Cambridge, England
SP  - 446-456
TI  - Malnutrition and related risk factors in older adults from different health-care settings: an enable study.
JO  - Public Health Nutr.
VL  - 23
IS  - 3
PB  - Cambridge Univ Press
PY  - 2020
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To examine the interaction between waist circumference (WC) and serum 25-hydroxyvitamin D (25(OH)D) level in their associations with serum lipids. DESIGN: Cross-sectional study. The associations of serum 25(OH)D with total cholesterol, HDL cholesterol (HDL-C), LDL cholesterol (LDL-C), LDL-C:HDL-C and TAG were examined using multiple linear regression. Effect modification by WC was assessed through cross-product interaction terms between 25(OH)D and WC categories (abdominal overweight, 80-<88 cm in females/94-<102 cm in males; abdominal obesity, ≥88 cm in females/≥102 cm in males). SETTING: The US National Health and Nutrition Examination Survey waves 2001-2006. SUBJECTS: Non-pregnant fasting participants (n 4342) aged ≥20 years. RESULTS: Lower 25(OH)D levels were significantly associated with lower HDL-C levels as well as with higher LDL-C:HDL-C and TAG levels in abdominally obese participants, but not in abdominally overweight or normal-waist participants. In contrast, lower 25(OH)D levels were associated with lower levels of total cholesterol and LDL-C in abdominally overweight and normal-waist participants only, but this association was only partly significant. However, a significant difference in the association between 25(OH)D and the lipids according to WC category was found only for LDL-C:HDL-C (P for interaction=0·02). CONCLUSIONS: Our results from this large, cross-sectional sample suggest that the association between lower 25(OH)D levels and an unfavourable lipid profile is stronger in individuals with abdominal obesity than in those with abdominal overweight or a normal WC.
AU  - Vogt, S.
AU  - Baumert, J.J.
AU  - Peters, A.
AU  - Thorand, B.
AU  - Scragg, R.*
C1  - 49191
C2  - 41699
SP  - 1797-1806
TI  - Effect of waist circumference on the association between serum 25-hydroxyvitamin D and serum lipids: Results from the National Health and Nutrition Examination Survey 2001-2006.
JO  - Public Health Nutr.
VL  - 20
IS  - 10
PY  - 2017
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: As ageing is associated with changes in body composition, BMI may not be the appropriate obesity measure for older adults. To date, little is known about associations between obesity measures and health-related quality of life (HRQoL). Thus, we aimed to compare different obesity measures in their association with HRQoL and self-rated physical constitution (SRPC) in older adults. DESIGN: Seven obesity measures (BMI, waist circumference (WC), waist-to-hip ratio, waist-to-height ratio, fat mass percentage based on bioelectrical impedance analysis, hypertriglyceridaemic waist (HTGW) and sarcopenic obesity) were assessed at baseline in 2009. HRQoL, using the EQ-5D questionnaire, and SRPC, using one single question, were collected at baseline and at the 3-year follow-up in 2012. Linear and logistic regression analyses were used to examine the associations between the obesity measures and both outcomes. Model comparisons were conducted by area under the receiver-operating characteristic curve, R 2, Akaike and Schwarz Bayesian information criteria. SETTING: KORA-Age study in Southern Germany (2009-2012). SUBJECTS: Older adults (n 883; aged >65 years). RESULTS: Nearly all obesity measures were significantly inversely associated with both outcomes in cross-sectional analyses. Concerning HRQoL, the WC model explained most of the variance and had the best model adaption, followed by the BMI model. Regarding SRPC, the HTGW and BMI models were best as rated by model quality criteria, followed closely by the WC model. Longitudinal analyses showed no significant associations. CONCLUSIONS: These results suggest that, with regard to HRQoL/SRPC, simple anthropometric measures are sufficient to determine obesity in older adults in medical practice.
AU  - Riedl, A.
AU  - Vogt, S.
AU  - Holle, R.
AU  - de Las Heras Gala, T.
AU  - Laxy, M.
AU  - Peters, A.
AU  - Thorand, B.
C1  - 48878
C2  - 41485
CY  - Cambridge
SP  - 3276-3286
TI  - Comparison of different measures of obesity in their association with health-related quality of life in older adults - results from the KORA-Age study.
JO  - Public Health Nutr.
VL  - 19
IS  - 18
PB  - Cambridge Univ Press
PY  - 2016
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Non-compliance with food record submission can induce bias in nutritional epidemiological analysis and make it difficult to draw inference from study findings. We examined the impact of demographic, lifestyle and psychosocial factors on such non-compliance during the first 3 years of participation in a multidisciplinary prospective paediatric study. DESIGN: The Environmental Determinants of Diabetes in the Young (TEDDY) study collects a 3 d food record quarterly during the first year of life and semi-annually thereafter. High compliance with food record completion was defined as the participating families submitting one or more days of food record at every scheduled clinic visit. SETTING: Three centres in the USA (Colorado, Georgia/Florida and Washington) and three in Europe (Finland, Germany and Sweden). SUBJECTS: Families who finished the first 3 years of TEDDY participation (n 8096). RESULTS: High compliance was associated with having a single child, older maternal age, higher maternal education and father responding to study questionnaires. Families showing poor compliance were more likely to be living far from the study centres, from ethnic minority groups, living in a crowded household and not attending clinic visits regularly. Postpartum depression, maternal smoking behaviour and mother working outside the home were also independently associated with poor compliance. CONCLUSIONS: These findings identified specific groups for targeted strategies to encourage completion of food records, thereby reducing potential bias in multidisciplinary collaborative research.
AU  - Yang, J.*
AU  - Lynch, K.F.*
AU  - Uusitalo, U.M.*
AU  - Foterek, K.*
AU  - Hummel, S.
AU  - Silvis, K.*
AU  - Andrén Aronsson, C.*
AU  - Riikonen, A.*
AU  - Rewers, M.*
AU  - She, J.X.*
AU  - Ziegler, A.-G.
AU  - Simell, O.G.*
AU  - Toppari, J.*
AU  - Hagopian, W.A.*
AU  - Lernmark, A.*
AU  - Akolkar, B.*
AU  - Krischer, J.P.*
AU  - Norris, J.M.*
AU  - Virtanen, S.M.*
AU  - Johnson, S.B.*
AU  - TEDDY Study Group (Beyerlein, A.
AU  - Hummel, M.
AU  - Knopff, A.
AU  - Peplow, C.
AU  - Roth, R.
AU  - Stock, J.
AU  - Strauss, E.
AU  - Warncke, K.
AU  - Winkler, C.)
C1  - 45356
C2  - 37303
CY  - Cambridge
SP  - 804-813
TI  - Factors associated with longitudinal food record compliance in a paediatric cohort study.
JO  - Public Health Nutr.
VL  - 19
IS  - 5
PB  - Cambridge Univ Press
PY  - 2016
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: The development of type 1 diabetes (T1D) is potentially influenced by nutrition. The aim of our study was to assess food and nutrient intakes of children at increased risk of T1D. DESIGN: Dietary intake of the last 4 weeks was assessed using a diet history interview. The daily nutrient and food intakes were compared with the German Dietary Reference Intakes, the Optimized Mixed Diet recommendations and those of a representative sample of children from the EsKiMo study. SETTING: Children included in the analysis participated in the prospective TEENDIAB study. SUBJECTS: First-degree relatives of people with T1D (n 268), aged 8-12 years. RESULTS: The TEENDIAB children consumed 52·0 % of their total energy from carbohydrates, 32·6 % from fat and 14·3 % from protein. Compared with the reference values, their intake was lowest for folate at 61·3 % of the reference, for iodine at 58·1 % and for vitamin D at 8·9 %, and exceeded the reference for vitamin K about 5-fold, for Na about 3·5-fold and for protein about 1·5-fold. Their nutrient intakes were similar to those of a control cohort without increased T1D risk. The consumption of non-desirable food groups (meat products, sweets/snacks) was above the recommendations and the consumption of desirable food groups (fruits, vegetables, carbohydrate-rich foods) was below the recommendations. CONCLUSIONS: The TEENDIAB children had intakes considerably below the recommendations for vitamin D, iodine, folate and plant-based foods, and intakes above for vitamin K, Na, protein, meat products and sweets/snacks. They showed similar dietary patterns to non-risk children.
AU  - Weber, K.S.C.
AU  - Raab, J.
AU  - Haupt, F.
AU  - Aschemeier, B.*
AU  - Wosch, A.
AU  - Ried, C.
AU  - Kordonouri, O.*
AU  - Ziegler, A.-G.
AU  - Winkler, C.
C1  - 29325
C2  - 33739
CY  - Cambridge
SP  - 50-58
TI  - Evaluating the diet of children at increased risk for type 1 diabetes: First results from the TEENDIAB study.
JO  - Public Health Nutr.
VL  - 18
IS  - 1
PB  - Cambridge Univ Press
PY  - 2015
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To assess the association between diabetes family history and infant feeding patterns. DESIGN: Data on breast-feeding duration and age at first introduction of cow's milk and gluten-containing cereals were collected in 3-month intervals during the first 24 months of life. SETTING: Data from the multicentre TEDDY (The Environmental Determinants of Diabetes in the Young) study, including centres in the USA, Sweden, Finland and Germany. SUBJECTS: A total of 7026 children, including children with a mother with type 1 diabetes (T1D; n 292), gestational diabetes mellitus (GDM; n 404) or without diabetes but with a father and/or sibling with T1D (n 464) and children without diabetes family history (n 5866). RESULTS: While exclusive breast-feeding ended earlier and cow's milk was introduced earlier in offspring of mothers with T1D and GDM, offspring of non-diabetic mothers but a father and/or sibling with T1D were exclusively breast-fed longer and introduced to cow's milk later compared with infants without diabetes family history. The association between maternal diabetes and shorter exclusive breast-feeding duration was attenuated after adjusting for clinical variables (delivery mode, gestational age, Apgar score and birth weight). Country-specific analyses revealed differences in these associations, with Sweden showing the strongest and Finland showing no association between maternal diabetes and breast-feeding duration. CONCLUSIONS: Family history of diabetes is associated with infant feeding patterns; however, the associations clearly differ by country, indicating that cultural differences are important determinants of infant feeding behaviour. These findings need to be considered when developing strategies to improve feeding patterns in infants with a diabetes family history.
AU  - Hummel, S.
AU  - Vehik, K.*
AU  - Uusitalo, U.*
AU  - McLeod, W.*
AU  - Aronsson, C.A.*
AU  - Frank, N.*
AU  - Gesualdo, P.*
AU  - Yang, J.*
AU  - Norris, J.M.*
AU  - Virtanen, S.M.*
AU  - TEDDY Study Group (Ziegler, A.-G.
AU  - Beyerlein, A.
AU  - Bonifacio, E.
AU  - Hummel, M.
AU  - Foterek, K.
AU  - Kersting, M.
AU  - Knopff, A.
AU  - Koletzko, S.
AU  - Peplow, C.
AU  - Roth, R.
AU  - Stock, J.
AU  - Strauss, E.
AU  - Warncke, K.
AU  - Winkler, C.)
C1  - 29324
C2  - 33741
SP  - 2853-2862
TI  - Infant feeding patterns in families with a diabetes history - observations from The Environmental Determinants of Diabetes in the Young (TEDDY) birth cohort study.
JO  - Public Health Nutr.
VL  - 17
IS  - 12
PY  - 2014
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To describe regional differences between eastern and western Germany with regard to food, nutrient and supplement intake in 9-12-year-old children, and analyse its association with parental education and equivalent income. DESIGN: Data were obtained from the 10-year follow-up of the two prospective birth cohort studies - GINIplus and LISAplus. Data on food consumption and supplement intake were collected using an FFQ, which had been designed for the specific study population. Information on parental educational level and equivalent income was derived from questionnaires. Logistic regression modelling was used to analyse the effect of parental education, equivalent income and region on food intake, after adjusting for potential confounders. SETTING: Germany. SUBJECTS: A total of 3435 children aged 9-12 years. RESULTS: Substantial regional differences in food intake were observed between eastern and western Germany. Intakes of bread, butter, eggs, pasta, vegetables/salad and fruit showed a significant direct relationship with the level of parental education after adjusting for potential confounders, whereas intakes of margarine, meat products, pizza, desserts and soft drinks were inversely associated with parental education. Equivalent income had a weaker influence on the child's food intake. CONCLUSIONS: Nutritional education programmes for school-age children should therefore account for regional differences and parental education
AU  - Sausenthaler, S.
AU  - Standl, M.
AU  - Buyken, A.*
AU  - Rzehak, P.
AU  - Koletzko, S.*
AU  - Bauer, C.P.*
AU  - Schaaf, B.*
AU  - von Berg, A.*
AU  - Berdel, D.*
AU  - Borte, M.*
AU  - Herbarth, O.*
AU  - Lehmann, I.*
AU  - Krämer, U.*
AU  - Wichmann, H.-E.
AU  - Heinrich, J.
AU  - GINIplus Study Group (Heinrich, J.
AU  - Schoetzau, A.
AU  - Poescu, M.
AU  - Mosetter, M.
AU  - Schindler, J.
AU  - Franke, K.
AU  - Laubereau, B.
AU  - Thaqi, A.
AU  - Zirngibl, A.
AU  - Zutavern, A.)
AU  - LISAplus Study Group (Heinrich, J.
AU  - Bolte, G.
AU  - Belcredi, P.
AU  - Jacob, B.
AU  - Schoetzau, A.
AU  - Mosetter, M.
AU  - Schindler, J.
AU  - Höhnke, A.
AU  - Franke, K.
AU  - Laubereau, B.
AU  - Sausenthaler, S.
AU  - Thaqi, A.
AU  - Zirngibl, A.
AU  - Zutavern, A.)
C1  - 6713
C2  - 29296
SP  - 1724-1735
TI  - Regional and socio-economic differences in food, nutrient and supplement intake in school-age children in Germany: Results from the GINIplus and the LISAplus studies.
JO  - Public Health Nutr.
VL  - 14
IS  - 10
PB  - Cambridge Univ Press
PY  - 2011
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To evaluate the association between fatty acid (alpha-linolenic acid (ALA), EPA, DHA, palmitic, stearic, oleic, linoleic and arachidonic acids) intake and prospective weight change in the Heidelberg cohort of the European Prospective Investigation into Cancer and Nutrition. DESIGN: Prospective cohort study with mean follow-up time of 6.5 years. In a total of 9182 men and 10867 women aged 35 to 64 years, from body weight measurement at recruitment and calibrated body weight during follow-up, weight change was expressed as mean annual weight change relative to baseline weight (%/year) and categorised into four groups (weight loss, <-2.5%/5 years; stable weight, between -2.5 and +2.5%/5 years; small weight gain, > or =2.5 to <7.5%/5 years; large weight gain, > or =7.5%/5 years). Energy-adjusted dietary fatty acid intake data were estimated from the FFQ completed at baseline. Multivariate linear regression models as well as multinomial logistic regression analyses (carbohydrate replacement models) were conducted. RESULTS: Stearic acid intake was linearly associated with weight gain (P < 0.01) in men and women. Linear associations also existed for ALA and arachidonic acid intake, significantly so in women. In multinomial models, women in the highest tertile of ALA and stearic acid intake showed increased OR (95 % CI) for small weight gain (1.16 (0.94, 1.88) and 1.24 (1.08, 1.43), respectively), and large weight gain (1.39 (1.03, 1.88) and 1.56 (1.27, 1.90), respectively), whereas OR were non-significantly increased in men. Dietary intake of ALA was inversely associated with large (0.80 (0.65, 0.99)) weight gain in women only. CONCLUSIONS: These results suggest differential effects of single dietary fatty acids on prospective weight gain in adults.
AU  - Nimptsch, K.*
AU  - Berg-Beckhoff, G.*
AU  - Linseisen, J.
C1  - 5554
C2  - 28191
SP  - 1636-1646
TI  - Effect of dietary fatty acid intake on prospective weight change in the Heidelberg cohort of the European Prospective Investigation into Cancer and Nutrition.
JO  - Public Health Nutr.
VL  - 13
IS  - 10
PB  - Cambridge Univ. Press
PY  - 2010
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - Objective: The present paper describes the systematic development of an FFQ to assess the intake of fatty acids and antioxidants in school-aged children. In addition, a validation study applying 24 h dietary recalls was performed. Design: Using the variance-based Max_r method, a list of eighty-two foods was compiled from data obtained by 3d weighed dietary records. The foods were used to design an FFQ, the comprehensibility of which was evaluated in a feasibility study. In addition, the FFQ was validated in a subset of 101 children from the German Infant Nutritional Intervention Study (GINI PLUS) against one 24 h dietary recall. Results: The feasibility study attested a good acceptance of the FFQ. Mean intake of foods compared well between the FFQ and the 24 h dietary recall, although intake data generated from the FFQ tended to be higher. This difference became less apparent at the nutrient level, although the estimated average consumption of arachidonic acid and EPA using the FFQ still exceeded values recorded with the 24 h recall method by 45% and 29%, respectively. Conclusions: On the basis of the systematic selection process of the food list, the established practicability of the FFQ and the overall plausibility of the results, the use of this FFQ is justified in future epidemiological studies.
AU  - Stiegler, P.
AU  - Sausenthaler, S.
AU  - Buyken, A.E.*
AU  - Rzehak, P.
AU  - Czech, D.
AU  - Linseisen, J.*
AU  - Kroke, A.*
AU  - Gedrich, K.*
AU  - Robertson, C.*
AU  - Heinrich, J.
C1  - 64
C2  - 27098
SP  - 38-46
TI  - A new FFQ designed to measure the intake of fatty acids and antioxidants in children.
JO  - Public Health Nutr.
VL  - 13
IS  - 1
PB  - Cambridge Univ. Press
PY  - 2010
SN  - 1368-9800
ER  - 

TY  - JOUR
AB  - OBJECTIVE: To analyse the association between socio-economic indicators and diet among 2-year-old children, by assessing the independent contribution of parental education and equivalent income to food intake. DESIGN: The analysis was based on data from a prospective birth cohort study. Information on diet was obtained using a semi-quantitative food-frequency questionnaire. Low and high intake of food was defined according to the lowest and the highest quintile of food consumption frequency, respectively. SETTING: Four German cities (Munich, Leipzig, Wesel, Bad Honnef), 1999-2001.Subjects Subjects were 2637 children at the age of 2 years, whose parents completed questionnaires gathering information on lifestyle factors, including parental socio-economic status, household consumption frequencies and children's diet. RESULTS: Both low parental education and low equivalent income were associated with a low intake of fresh fruit, cooked vegetables and olive oil, and a high intake of canned vegetables or fruit, margarine, mayonnaise and processed salad dressing in children. Children with a low intake of milk and cream, and a high intake of hardened vegetable fat, more likely had parents with lower education. Low butter intake was associated with low equivalent income only. CONCLUSIONS: These findings may be helpful for future intervention programmes with more targeted policies aiming at an improvement of children's diets.
AU  - Sausenthaler, S.
AU  - Kompauer, I.
AU  - Mielck, A.
AU  - Borte, M.*
AU  - Herbarth, O.
AU  - Schaaf, B.*
AU  - von Berg, A.*
AU  - Heinrich, J.
AU  - LISAplus Study Group (Wichmann, H.-E.
AU  - Heinrich, J.
AU  - Bolte, G.
AU  - Belcredi, P.
AU  - Jacob, B.
AU  - Schoetzau, A.
AU  - Mosetter, M.
AU  - Schindler, J.
AU  - Höhnke, A.)
C1  - 2878
C2  - 24385
SP  - 24-33
TI  - Impact of parental education and income inequality on children's food intake.
JO  - Public Health Nutr.
VL  - 10
IS  - 1
PB  - CAB International
PY  - 2007
SN  - 1368-9800
ER  - 

TY  - JOUR
AU  - Kompauer, I.
AU  - Heinrich, J.
AU  - Wolfram, G.*
AU  - Linseisen, J.*
C1  - 2119
C2  - 23801
SP  - 472-479
TI  - Association of carotenoids, tocopherols and vitamin C in plasma with allergic rhinitis and allergic sensitisation in adults.
JO  - Public Health Nutr.
VL  - 9
PY  - 2006
SN  - 1368-9800
ER  - 

TY  - JOUR
AU  - Beitz, R.*
AU  - Mensink, G.B.M.
AU  - Henschel, Y.*
AU  - Fischer, B.
AU  - Erbersdobler, H.F.*
C1  - 5059
C2  - 22011
SP  - 45-52
TI  - Dietary behaviour of German adults differing in levels of sport activity.
JO  - Public Health Nutr.
VL  - 7
PY  - 2004
SN  - 1368-9800
ER  -