title: Eating behaviors, mental health, and food intake are associated with obesity in older congregate meal participants.
abstract: The relationship between eating behaviors, food intake, and mental health and the occurrence of obesity in older adults has rarely been investigated. Therefore, the objective of this study was to establish the associative links of these factors with two measures of obesity: class I obesity as indicated by body mass index (OB-BMI; BMI ≥ 30 kg/m²) and class I obesity as indicated by waist circumference (OB-WC; WC ≥ 43 inches for men and ≥ 42 inches for women). Older adults participating in the Older American's Act congregate meal program (N = 113, mean age = 74 years, 74% female, 45% African American) were assessed. Eating behaviors (cognitive restraint, uncontrolled eating, and emotional eating), food group choices (sweets, salty snacks, and fruits), and mental health indices (depression, anxiety, and stress) were recorded by questionnaire and related to measured occurrence of OB-BMI and OB-WC. In a series of multivariate logistical regression models, we found cognitive restraint to be consistently and robustly associated with both measures of obesity. In the fully adjusted model, cognitive restraint, consumption of sweets, anxiety, and lack of depression were associated with OB-WC. In summary, we found an association of obesity with abnormal eating behaviors, certain food group intakes, and mental health symptoms in this population. These findings may guide the development of future weight management interventions in a congregate meal setting.
authors.affiliation: a Department of Medicine, Duke University Medical Center , Durham , North Carolina , USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Porter Starr
authors.forename: Joan G
authors.initials: JG
authors.lastname: Fischer
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Johnson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001007:Anxiety / Q000453:epidemiology*; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005522:Food Services; D005845:Georgia / Q000453:epidemiology; D006801:Humans; D008297:Male; D062407:Meals; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology* / Q000523:psychology; D064407:Senior Centers; D013315:Stress, Psychological / Q000453:epidemiology*; D055105:Waist Circumference
keywords: Older Americans Act Nutrition Program; eating behaviors; food intake; mental health; obesity; older adults