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Nutrition-related cardiovascular risk factors in older people: results from the Third National Health and Nutrition Examination Survey.
J Am Geriatr Soc 2000; 48(11):1486-9JA

Abstract

SETTING

In view of the recognized potential benefits of nutritional therapy in older persons, Congress is evaluating the coverage of nutritional services for Medicare beneficiaries.

OBJECTIVE

To estimate the number of older persons in the US who have one or more cardiovascular risk factors (hypertension, increased low density lipoprotein (LDL) cholesterol, and diabetes mellitus), for which nutritional therapy is recommended.

DESIGN

Cross-sectional analysis of adults, aged > or = 65, participating in the Third National Health and Nutrition Examination Survey (NHANES III).

MAIN OUTCOMES

The authors estimated the proportion of adults, aged > or = 65, with diabetes mellitus, increased LDL cholesterol, and/or hypertension. Efforts were made to assess whether obesity status, gender, race, and/or socioeconomic factors were associated with the prevalence of any or all three conditions.

RESULTS

Approximately 86% (20 million persons) in the US, aged > or = 65, have at least one of the index conditions. Whereas a higher body mass index (BMI) increased the likelihood of having any or all three conditions, 81% of persons of average body weight (BMI <25 kg/m2) had at least one condition. After adjusting for age, gender, BMI, marital status, and poverty index, blacks were more likely than whites to have any one condition (odds ratio (OR) = 3.0, P < .01) or all three conditions (OR = 2.3, P = .05).

CONCLUSIONS

Almost 90% of Americans aged > or = 65 have one or more nutrition-related cardiovascular risk factors. Improved nutritional interventions may be valuable especially for blacks, who have a higher prevalence of conditions requiring nutritional therapy.

Authors+Show Affiliations

The Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins Medical Institutions, Department of Medicine, Baltimore, Maryland 21205, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11083329

Citation

Erlinger, T P., et al. "Nutrition-related Cardiovascular Risk Factors in Older People: Results From the Third National Health and Nutrition Examination Survey." Journal of the American Geriatrics Society, vol. 48, no. 11, 2000, pp. 1486-9.
Erlinger TP, Pollack H, Appel LJ. Nutrition-related cardiovascular risk factors in older people: results from the Third National Health and Nutrition Examination Survey. J Am Geriatr Soc. 2000;48(11):1486-9.
Erlinger, T. P., Pollack, H., & Appel, L. J. (2000). Nutrition-related cardiovascular risk factors in older people: results from the Third National Health and Nutrition Examination Survey. Journal of the American Geriatrics Society, 48(11), pp. 1486-9.
Erlinger TP, Pollack H, Appel LJ. Nutrition-related Cardiovascular Risk Factors in Older People: Results From the Third National Health and Nutrition Examination Survey. J Am Geriatr Soc. 2000;48(11):1486-9. PubMed PMID: 11083329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutrition-related cardiovascular risk factors in older people: results from the Third National Health and Nutrition Examination Survey. AU - Erlinger,T P, AU - Pollack,H, AU - Appel,L J, PY - 2000/11/18/pubmed PY - 2001/2/28/medline PY - 2000/11/18/entrez SP - 1486 EP - 9 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 48 IS - 11 N2 - SETTING: In view of the recognized potential benefits of nutritional therapy in older persons, Congress is evaluating the coverage of nutritional services for Medicare beneficiaries. OBJECTIVE: To estimate the number of older persons in the US who have one or more cardiovascular risk factors (hypertension, increased low density lipoprotein (LDL) cholesterol, and diabetes mellitus), for which nutritional therapy is recommended. DESIGN: Cross-sectional analysis of adults, aged > or = 65, participating in the Third National Health and Nutrition Examination Survey (NHANES III). MAIN OUTCOMES: The authors estimated the proportion of adults, aged > or = 65, with diabetes mellitus, increased LDL cholesterol, and/or hypertension. Efforts were made to assess whether obesity status, gender, race, and/or socioeconomic factors were associated with the prevalence of any or all three conditions. RESULTS: Approximately 86% (20 million persons) in the US, aged > or = 65, have at least one of the index conditions. Whereas a higher body mass index (BMI) increased the likelihood of having any or all three conditions, 81% of persons of average body weight (BMI <25 kg/m2) had at least one condition. After adjusting for age, gender, BMI, marital status, and poverty index, blacks were more likely than whites to have any one condition (odds ratio (OR) = 3.0, P < .01) or all three conditions (OR = 2.3, P = .05). CONCLUSIONS: Almost 90% of Americans aged > or = 65 have one or more nutrition-related cardiovascular risk factors. Improved nutritional interventions may be valuable especially for blacks, who have a higher prevalence of conditions requiring nutritional therapy. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/11083329/Nutrition_related_cardiovascular_risk_factors_in_older_people:_results_from_the_Third_National_Health_and_Nutrition_Examination_Survey_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0002-8614&amp;date=2000&amp;volume=48&amp;issue=11&amp;spage=1486 DB - PRIME DP - Unbound Medicine ER -