A simple food quality index predicts mortality in elderly Taiwanese

Meei-Shyuan Lee, Y. C. Huang, H. H. Su, M. Z. Lee, Mark L. Wahlqvist

Research output: Contribution to journalArticleResearchpeer-review

55 Citations (Scopus)

Abstract

Objectives: To assess the relative predictive ability for mortality of the Overall Dietary Index-Revised (ODI-R) and the Dietary Diversity Score (DDS) among representative Taiwanese aged 65 and older. Design: Prospective cohort. Setting: The Elderly Nutrition and Health Survey in Taiwan during 1999-2000. Participants: One thousand seven hundred forty three (860 men and 883 women). Measurements: Dietary quality measures, the ODI-R (0-100) and DDS (0-6) were based on 24-hour dietary recall and a food frequency questionnaire at baseline. Death by National Death Registry up to 2008 was the outcome measure. Results: During follow-up, 624 subjects died. The survivors had both significantly higher (P <0.001) ODI-R (66.9 vs. 63.6) and DDS (4.69 vs. 4.30) than the deceased. The two indices were correlated (r=0.46). After adjustment for potential covariates, the hazard ratios (HR) (95% CI) were 0.63 (0.42-0.97), 0.71 (0.49-1.04) and 0.53 (0.37-0.76) for those whose ODI-R scores were 60-65, 65-70, >70, respectively, compared to those whose ODI-R scores were £ 50 (P for trend <0.001). For DDS, the multi-variable HRs (95% CI) were 0.74 (0.55-1.00), 0.52 (0.38-0.72) and 0.50 (0.31-0.81) for those whose DDS were 4, 5, 6, respectively, compared to those whose DDS were <3 (P for trend<0.001). Total cancer, diabetes mortalities and pneumonia were similarly benefited according to trends. Conclusion: ODIR ≥ 60, and DDS ≥ 4 are predictors of all-cause and cause-specific mortalities. Of the two, DDS is the more predictive. Nutrition policy could be informed and clinical practice enhanced by these population relevant foodhealth relationships.

Original languageEnglish
Pages (from-to)815-821
Number of pages7
JournalJournal of Nutrition, Health and Aging
Volume15
Issue number10
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Dietary Diversity Score (DDS)
  • elderly
  • food quality indices (FQI)
  • mortality
  • Overall Dietary-Revised (ODI-R)

Cite this

Lee, Meei-Shyuan ; Huang, Y. C. ; Su, H. H. ; Lee, M. Z. ; Wahlqvist, Mark L. / A simple food quality index predicts mortality in elderly Taiwanese. In: Journal of Nutrition, Health and Aging. 2011 ; Vol. 15, No. 10. pp. 815-821.
@article{90857502960247d28ba851303183bb6f,
title = "A simple food quality index predicts mortality in elderly Taiwanese",
abstract = "Objectives: To assess the relative predictive ability for mortality of the Overall Dietary Index-Revised (ODI-R) and the Dietary Diversity Score (DDS) among representative Taiwanese aged 65 and older. Design: Prospective cohort. Setting: The Elderly Nutrition and Health Survey in Taiwan during 1999-2000. Participants: One thousand seven hundred forty three (860 men and 883 women). Measurements: Dietary quality measures, the ODI-R (0-100) and DDS (0-6) were based on 24-hour dietary recall and a food frequency questionnaire at baseline. Death by National Death Registry up to 2008 was the outcome measure. Results: During follow-up, 624 subjects died. The survivors had both significantly higher (P <0.001) ODI-R (66.9 vs. 63.6) and DDS (4.69 vs. 4.30) than the deceased. The two indices were correlated (r=0.46). After adjustment for potential covariates, the hazard ratios (HR) (95{\%} CI) were 0.63 (0.42-0.97), 0.71 (0.49-1.04) and 0.53 (0.37-0.76) for those whose ODI-R scores were 60-65, 65-70, >70, respectively, compared to those whose ODI-R scores were £ 50 (P for trend <0.001). For DDS, the multi-variable HRs (95{\%} CI) were 0.74 (0.55-1.00), 0.52 (0.38-0.72) and 0.50 (0.31-0.81) for those whose DDS were 4, 5, 6, respectively, compared to those whose DDS were <3 (P for trend<0.001). Total cancer, diabetes mortalities and pneumonia were similarly benefited according to trends. Conclusion: ODIR ≥ 60, and DDS ≥ 4 are predictors of all-cause and cause-specific mortalities. Of the two, DDS is the more predictive. Nutrition policy could be informed and clinical practice enhanced by these population relevant foodhealth relationships.",
keywords = "Dietary Diversity Score (DDS), elderly, food quality indices (FQI), mortality, Overall Dietary-Revised (ODI-R)",
author = "Meei-Shyuan Lee and Huang, {Y. C.} and Su, {H. H.} and Lee, {M. Z.} and Wahlqvist, {Mark L.}",
year = "2011",
month = "12",
doi = "10.1007/s12603-011-0081-x",
language = "English",
volume = "15",
pages = "815--821",
journal = "Journal of Nutrition, Health and Aging",
issn = "1279-7707",
publisher = "Springer-Verlag London Ltd.",
number = "10",

}

A simple food quality index predicts mortality in elderly Taiwanese. / Lee, Meei-Shyuan; Huang, Y. C.; Su, H. H.; Lee, M. Z.; Wahlqvist, Mark L.

In: Journal of Nutrition, Health and Aging, Vol. 15, No. 10, 12.2011, p. 815-821.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - A simple food quality index predicts mortality in elderly Taiwanese

AU - Lee, Meei-Shyuan

AU - Huang, Y. C.

AU - Su, H. H.

AU - Lee, M. Z.

AU - Wahlqvist, Mark L.

PY - 2011/12

Y1 - 2011/12

N2 - Objectives: To assess the relative predictive ability for mortality of the Overall Dietary Index-Revised (ODI-R) and the Dietary Diversity Score (DDS) among representative Taiwanese aged 65 and older. Design: Prospective cohort. Setting: The Elderly Nutrition and Health Survey in Taiwan during 1999-2000. Participants: One thousand seven hundred forty three (860 men and 883 women). Measurements: Dietary quality measures, the ODI-R (0-100) and DDS (0-6) were based on 24-hour dietary recall and a food frequency questionnaire at baseline. Death by National Death Registry up to 2008 was the outcome measure. Results: During follow-up, 624 subjects died. The survivors had both significantly higher (P <0.001) ODI-R (66.9 vs. 63.6) and DDS (4.69 vs. 4.30) than the deceased. The two indices were correlated (r=0.46). After adjustment for potential covariates, the hazard ratios (HR) (95% CI) were 0.63 (0.42-0.97), 0.71 (0.49-1.04) and 0.53 (0.37-0.76) for those whose ODI-R scores were 60-65, 65-70, >70, respectively, compared to those whose ODI-R scores were £ 50 (P for trend <0.001). For DDS, the multi-variable HRs (95% CI) were 0.74 (0.55-1.00), 0.52 (0.38-0.72) and 0.50 (0.31-0.81) for those whose DDS were 4, 5, 6, respectively, compared to those whose DDS were <3 (P for trend<0.001). Total cancer, diabetes mortalities and pneumonia were similarly benefited according to trends. Conclusion: ODIR ≥ 60, and DDS ≥ 4 are predictors of all-cause and cause-specific mortalities. Of the two, DDS is the more predictive. Nutrition policy could be informed and clinical practice enhanced by these population relevant foodhealth relationships.

AB - Objectives: To assess the relative predictive ability for mortality of the Overall Dietary Index-Revised (ODI-R) and the Dietary Diversity Score (DDS) among representative Taiwanese aged 65 and older. Design: Prospective cohort. Setting: The Elderly Nutrition and Health Survey in Taiwan during 1999-2000. Participants: One thousand seven hundred forty three (860 men and 883 women). Measurements: Dietary quality measures, the ODI-R (0-100) and DDS (0-6) were based on 24-hour dietary recall and a food frequency questionnaire at baseline. Death by National Death Registry up to 2008 was the outcome measure. Results: During follow-up, 624 subjects died. The survivors had both significantly higher (P <0.001) ODI-R (66.9 vs. 63.6) and DDS (4.69 vs. 4.30) than the deceased. The two indices were correlated (r=0.46). After adjustment for potential covariates, the hazard ratios (HR) (95% CI) were 0.63 (0.42-0.97), 0.71 (0.49-1.04) and 0.53 (0.37-0.76) for those whose ODI-R scores were 60-65, 65-70, >70, respectively, compared to those whose ODI-R scores were £ 50 (P for trend <0.001). For DDS, the multi-variable HRs (95% CI) were 0.74 (0.55-1.00), 0.52 (0.38-0.72) and 0.50 (0.31-0.81) for those whose DDS were 4, 5, 6, respectively, compared to those whose DDS were <3 (P for trend<0.001). Total cancer, diabetes mortalities and pneumonia were similarly benefited according to trends. Conclusion: ODIR ≥ 60, and DDS ≥ 4 are predictors of all-cause and cause-specific mortalities. Of the two, DDS is the more predictive. Nutrition policy could be informed and clinical practice enhanced by these population relevant foodhealth relationships.

KW - Dietary Diversity Score (DDS)

KW - elderly

KW - food quality indices (FQI)

KW - mortality

KW - Overall Dietary-Revised (ODI-R)

UR - http://www.scopus.com/inward/record.url?scp=84856267301&partnerID=8YFLogxK

U2 - 10.1007/s12603-011-0081-x

DO - 10.1007/s12603-011-0081-x

M3 - Article

C2 - 22159767

AN - SCOPUS:84856267301

VL - 15

SP - 815

EP - 821

JO - Journal of Nutrition, Health and Aging

JF - Journal of Nutrition, Health and Aging

SN - 1279-7707

IS - 10

ER -