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Diet quality from mid-life and body composition in older age: findings from a British birth cohort

Diet quality from mid-life and body composition in older age: findings from a British birth cohort
Diet quality from mid-life and body composition in older age: findings from a British birth cohort

We investigated associations between 'healthy dietary pattern' scores, at ages 36, 43, 53 and 60-64 years, and body composition at age 60-64 among participants from the MRC National Survey of Health and Development (NSHD). Principal component analyses of dietary data (food diaries) at age 60-64 were used to calculate diet scores (healthy dietary pattern scores) at each age. Higher scores indicated healthier diets (higher consumption of fruit, vegetables and wholegrain bread). Linear regression was used to investigate associations between diet scores at each age and height-adjusted dual-energy x-ray absorptiometry-measured fat and lean mass measures at age 60-64. Analyses, adjusting for sex and other potential confounders (age, smoking history, physical activity and occupational class), were implemented among 692 men and women. At age 43, 53 and 60-64, higher diet scores were associated with lower fat mass index (FMI) and android: gynoid fat mass ratio; for example, in fully-adjusted analyses, a standard deviation (SD) increase in diet score at age 60-64 was associated with a difference in mean FMI of -0.18 SD (95% CI: -0.25, -0.10). In conditional analyses, higher diet scores at ages 43, 53 and 60-64 (than expected from diet scores at younger ages) were associated with lower FMI and android: gynoid fat mass ratio in fully-adjusted analyses. Diet scores at age 36 had weaker associations with the outcomes considered. No associations regarding appendicular lean mass index were robust after full adjustment. This suggests that improvements in diet through adulthood are linked to beneficial effects on adiposity in older age.

0007-1145
Westbury, Leo
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Durdin, Ruth
8dbf3463-a245-4df8-a40f-df7265660c32
Robinson, Sian M.
ba591c98-4380-456a-be8a-c452f992b69b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Cooper, Rachel
24a4a55a-ccc1-4961-9b76-b89aa4eb2fdf
Ward, Kate A.
39bd4db1-c948-4e32-930e-7bec8deb54c7
Westbury, Leo
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Durdin, Ruth
8dbf3463-a245-4df8-a40f-df7265660c32
Robinson, Sian M.
ba591c98-4380-456a-be8a-c452f992b69b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Cooper, Rachel
24a4a55a-ccc1-4961-9b76-b89aa4eb2fdf
Ward, Kate A.
39bd4db1-c948-4e32-930e-7bec8deb54c7

Westbury, Leo, Durdin, Ruth, Robinson, Sian M., Cooper, Cyrus, Cooper, Rachel and Ward, Kate A. (2024) Diet quality from mid-life and body composition in older age: findings from a British birth cohort. British Journal of Nutrition. (doi:10.1017/S0007114524002988).

Record type: Article

Abstract

We investigated associations between 'healthy dietary pattern' scores, at ages 36, 43, 53 and 60-64 years, and body composition at age 60-64 among participants from the MRC National Survey of Health and Development (NSHD). Principal component analyses of dietary data (food diaries) at age 60-64 were used to calculate diet scores (healthy dietary pattern scores) at each age. Higher scores indicated healthier diets (higher consumption of fruit, vegetables and wholegrain bread). Linear regression was used to investigate associations between diet scores at each age and height-adjusted dual-energy x-ray absorptiometry-measured fat and lean mass measures at age 60-64. Analyses, adjusting for sex and other potential confounders (age, smoking history, physical activity and occupational class), were implemented among 692 men and women. At age 43, 53 and 60-64, higher diet scores were associated with lower fat mass index (FMI) and android: gynoid fat mass ratio; for example, in fully-adjusted analyses, a standard deviation (SD) increase in diet score at age 60-64 was associated with a difference in mean FMI of -0.18 SD (95% CI: -0.25, -0.10). In conditional analyses, higher diet scores at ages 43, 53 and 60-64 (than expected from diet scores at younger ages) were associated with lower FMI and android: gynoid fat mass ratio in fully-adjusted analyses. Diet scores at age 36 had weaker associations with the outcomes considered. No associations regarding appendicular lean mass index were robust after full adjustment. This suggests that improvements in diet through adulthood are linked to beneficial effects on adiposity in older age.

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Accepted/In Press date: 19 November 2024
e-pub ahead of print date: 4 December 2024

Identifiers

Local EPrints ID: 497146
URI: http://eprints.soton.ac.uk/id/eprint/497146
ISSN: 0007-1145
PURE UUID: cbfafd22-d7c9-4b14-8baf-8331900631f9
ORCID for Leo Westbury: ORCID iD orcid.org/0009-0008-5853-8096
ORCID for Sian M. Robinson: ORCID iD orcid.org/0000-0003-1766-7269
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Kate A. Ward: ORCID iD orcid.org/0000-0001-7034-6750

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Date deposited: 14 Jan 2025 18:14
Last modified: 21 Feb 2025 02:50

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Contributors

Author: Leo Westbury ORCID iD
Author: Ruth Durdin
Author: Sian M. Robinson ORCID iD
Author: Cyrus Cooper ORCID iD
Author: Rachel Cooper
Author: Kate A. Ward ORCID iD

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