A high energy intake from dietary fat among middle-aged and older adults is associated with increased risk of malnutrition 10 years later.
A higher fat content in the diet could be an advantage for preventing malnutrition among older adults. However, there is sparse scientific evidence to determine the optimal fat intake among older adults. This prospective cohort study examined whether a high energy intake of dietary fat among middle-aged and older adults is associated with the risk of malnutrition 10 years later. The study population comprised 725 Swedish men and women aged 53-80 years who had completed a questionnaire about dietary intake and lifestyle factors in 1997 (baseline) and whose nutritional status was assessed when admitted to the hospital in 2008-2009 (follow-up). At the follow-up, 383 (52.8%) participants were identified as being at risk of malnutrition and fifty-two (7.2%) were identified as malnourished. Multinomial logistic regression models were used to analyse the association between previous dietary fat intake and nutritional status later in life. Contrary to what was expected, a high energy intake from total fat, saturated fat and monounsaturated fat among middle-aged and older adults increased the risk of exhibiting malnutrition 10 years later. However, this applied only to individuals with a BMI<25 kg/m² at the baseline. In conclusion, these findings suggest that preventive actions to counteract malnutrition in older adults should focus on limiting the intake of total fat in the diet by reducing consumption of food with a high content of saturated and monounsaturated fat.
1Centre for Clinical Research,Uppsala University,County Council of Västmanland,Västmanland County Hospital,721 89 Västerås,Sweden.
Lisa
L
Söderström
1Centre for Clinical Research,Uppsala University,County Council of Västmanland,Västmanland County Hospital,721 89 Västerås,Sweden.
Andreas
A
Rosenblad
1Centre for Clinical Research,Uppsala University,County Council of Västmanland,Västmanland County Hospital,721 89 Västerås,Sweden.
Eva T
ET
Adolfsson
3Division of Nutritional Epidemiology,Institute of Environmental Medicine,Karolinska Institutet,171 77 Stockholm,Sweden.
Alicja
A
Wolk
3Division of Nutritional Epidemiology,Institute of Environmental Medicine,Karolinska Institutet,171 77 Stockholm,Sweden.
Niclas
N
Håkansson
1Centre for Clinical Research,Uppsala University,County Council of Västmanland,Västmanland County Hospital,721 89 Västerås,Sweden.
Leif
L
Bergkvist
D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004041:Dietary Fats / Q000009:adverse effects*; D058620:Elder Nutritional Physiological Phenomena; D002149:Energy Intake; D005227:Fatty Acids / Q000009:adverse effects*; D005229:Fatty Acids, Monounsaturated / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008297:Male; D044342:Malnutrition / Q000453:epidemiology / Q000209:etiology*; D008875:Middle Aged; D015596:Nutrition Assessment; D009749:Nutrition Surveys; D011446:Prospective Studies; D012307:Risk Factors; D057566:Self Report; D013548:Sweden / Q000453:epidemiology
D004041:Dietary Fats; D005227:Fatty Acids; D005229:Fatty Acids, Monounsaturated
COSM Cohort of Swedish Men; Cohort studies; Dietary fat; E% energy percentage; Epidemiology; MNA Mini Nutritional Assessment; Malnutrition; Mini Nutritional Assessment; SMC Swedish Mammography Cohort; VNAS Västerås Nutritional Assessment Study