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Predictors of micronutrient status in men and women over 75 years old living in the community*

Published online by Cambridge University Press:  09 March 2007

Geraldine McNeill ,
Juliet Vyvyan ,
Heather Peace ,
Linda McKie ,
Gwyn Seymour ,
Judith Hendry  and
Isobel MacPherson
Geraldine McNeill*
Affiliation:
Departments of Medicine, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
Juliet Vyvyan
Affiliation:
Departments of Medicine, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
Heather Peace
Affiliation:
Departments of Medicine, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
Linda McKie
Affiliation:
Departments of General Practice, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
Gwyn Seymour
Affiliation:
Departments of Medicine, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
Judith Hendry
Affiliation:
Community Dietetics, Grampian Primary Care NHS Trust, Aberdeen, UK
Isobel MacPherson
Affiliation:
Departments of General Practice, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK
*
†Corresponding author: Dr Geraldine McNeill, fax +44 1224 663658, email [email protected]
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Abstract

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Serum ferritin, serum vitamin B12, erythrocyte folate, plasma vitamin C and plasma 25-hydroxycholecalciferol levels were measured in 208 men and 197 women, >75 years old and living in the community, in order to assess micronutrient status. Anthropometric measurements (height, weight, demispan and mid-upper arm circumference) were made and a 114-item questionnaire covering a wide range of health and diet-related topics was administered by an interviewer. Only 4% of subjects had a BMI <20, but the prevalence of marginal deficiency of the micronutrients ranged from 7% for Fe to 47% for vitamin D. There was no association between low micronutrient status (defined as being in the lowest third of the distribution of micronutrient status) and having BMI or mid-upper arm circumference in the lowest third of the distribution for any of the nutrients. Leaving food on the plate was strongly associated with both low Fe status and low vitamin D status. Having breakfast cereal less than once per week was strongly associated with low folate status, while having fresh fruit juice less than once per week, having had less than two portions of fruits and vegetables the previous day and believing that food is not important for health were strongly associated with low vitamin C status. Low vitamin D status was strongly associated with a wide range of general health and disability measures. Having a weekly household income of less than £150 was associated with low status of Fe, folate, vitamin C and vitamin D.

Keywords

Nutritional deficiencyAnthropometric measurementsElderly
Type
Research Article
Information
British Journal of Nutrition , Volume 88 , Issue 5 , November 2002 , pp. 555 - 561
Copyright
Copyright © The Nutrition Society 2002

Footnotes

*

Copies of the full questionnaire used in the present study are available from the corresponding author on request.

References

Brown, K, Boot, D, Groom, L & Williams, EI (1997) Problems found in the over-75s by the annual health check. British Journal of General Practice 47, 31–35.Google ScholarPubMed
Carstairs, V & Morris, R (1990) Deprivation and Health in Scotland. Health Bulletin (Edinburgh) 48, 162–175.Google ScholarPubMed
Duthie, GG (1999) Determination of activity of antioxidants in human subjects. Proceedings of the Nutrition Society 58, 1015–1024.CrossRefGoogle ScholarPubMed
Eicholzer, M, Luthy, J, Gutzwiller, F & Stahelin, HB (2001) The role of folate, antioxidant vitamins and other constituents in fruit and vegetables in the prevention of cardiovascular disease: the epidemiological evidence. International Journal of Vitamin and Nutrition Research 71, 5–17.CrossRefGoogle Scholar
Finch, S, Doyle, W, Lowe, C, Bates, CJ, Prentice, A, Smithers, G & Clarke, PC (1998) National Diet and Nutrition Survey: People Aged 65 Years and Over. London: The Stationery Office.Google Scholar
Gale, CR, Martyn, CN, Winter, PD & Cooper, C (1995) Vitamin C and risk of death from stroke and coronary heart disease in cohort of elderly people. British Medical Journal 310, 1563–1566.CrossRefGoogle ScholarPubMed
Gibson, SA (1998) Computer Models to Identify Individuals at Risk of Poor Micronutrient Status in the Population Aged 65 years and Older. Ministry of Agriculture, Fisheries and Food Report no. AN0834. London: MAFF.Google Scholar
Gunter, EW, Bowman, BA, Caudill, SP, Twite, DB, Adams, MJ & Sampson, EJ (1996) Results of an international round robin for serum and whole-blood folate. Clinical Chemistry 42, 1689–1694.CrossRefGoogle ScholarPubMed
Guigoz, Y, Vellas, B & Garry, PJ (1994) Mini-Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts and Research in Gerontology Suppl. 2, 15–59.Google Scholar
Haller, J (1999) The vitamin status and its adequacy in the elderly – an international overview. International Journal of Vitamin and Nutrition Research 89, 160–168.Google Scholar
Huijbregts, P, Feskens, E, Rasanen, L, Fidanza, K, Nissinen, A, Menotti, A & Kromhout, D (1997) Dietary patterns and 20 year mortality in elderly men in Finland, Italy and the Netherlands: longitudinal cohort study. British Medical Journal 315, 13–17.CrossRefGoogle ScholarPubMed
International Nutritional Anemia Consultative Group (1985) Measurement of Iron Status. A Report of the International Nutritional Anemia Consultative Group. Washington, DC: The Nutrition Foundation.Google Scholar
Kumagai, S, Shibata, H, Watanabe, S, Suzuki, T & Haga, H (1999) Effect of food intake pattern on all-cause mortality in the community elderly: a 7-year longitudinal study. Journal of Nutrition, Health and Aging 3, 29–33.Google ScholarPubMed
Larsson, J (1993) Clinical problem of hospital malnutrition. Nutrition 9, 274–275.Google ScholarPubMed
Lehmann, A, Bassey, EJ, Morgan, K & Dallosso, HM (1991) Normal values for weight, height, skeletal size and body mass indices in 890 men and women aged over 65y. Clinical Nutrition 10, 18–22.CrossRefGoogle Scholar
Lesourd, B & Mazari, L (1999) Nutrition and immunity in the elderly. Proceedings of the Nutrition Society 58, 685–695.CrossRefGoogle ScholarPubMed
Lipschitz, DA, Ham, RJ & White, JV (1992) An approach to nutrition screening for older Americans. American Family Physician 45, 601–608.Google ScholarPubMed
McKie, L, MacInnes, A, Hendry, J, Donald, S & Peace, H (2000) The food consumption patterns and perceptions of dietary advice of older people. Journal of Human Nutrition and Dietetics 13, 173–183.CrossRefGoogle ScholarPubMed
Pattie, AH & Gilleard, CJ (1975) A brief psychogeriatric assessment schedule. Validation against psychiatric diagnosis and discharge from hospital. British Journal of Psychiatry 127, 489–493.CrossRefGoogle ScholarPubMed
Philp, I (2000) EASY-care: A systematic approach to the assessment of older people. Geriatric Medicine 30, 15–19.Google Scholar
Ross, M (1994) Determination of ascorbic acid and uric acid in plasma by high-performance liquid chromatography. Journal of Chromatography B 657, 197–200.CrossRefGoogle ScholarPubMed
Sauberlich, HE (1977) Detection of folic acid deficiency in populations. In Folic Acid: Biochemistry and Physiology in Relation to the Human Nutrition Requirement. Washington, DC: Food and Nutrition Board, National Academy of Sciences.Google Scholar
Sauberlich, HE (1999) Laboratory Tests for the Assessment of Nutritional Status 2nd ed. Boca Raton, FL: CRC Press.Google Scholar
Sauberlich, HE, Dowdy, RP & Skala, JH (1974) Laboratory Tests for the Assessment of Nutritional Status. Boca Raton, FL: CRC Press.Google Scholar
Selhub, J, Bagley, LC, Miller, J & Rosenberg, IL (2000) B vitamins, homocysteine, and neurocognitive function in the elderly. American Journal of Clinical Nutrition 71, 614S–620S.CrossRefGoogle ScholarPubMed
Stähelin, HB (1999) Introduction. In Malnutrition in the Elderly [Seiler, WO and Stähelin, HB, editors]. Darmstadt: Steinkopf.Google Scholar
Steen, B & Rothenberg, E (1998) Aspects of nutrition of the elderly at home – a review. Journal of Nutrition, Health and Aging 2, 28–33.Google ScholarPubMed
Trichopolou, A, Kouris-Blazos, A, Wahlqvist, M, Gnardellis, C, Laigon, P, Polychronopoulos, P, Vassilakou, T, Lipworth, L & Trichopoulos, D (1995) Diet and overall survival in elderly people. British Medical Journal 311, 1457–1460.CrossRefGoogle Scholar
Vellas, B, Guigoz, Y, Baumgartner, M, Garry, PJ, Lauque, S & Albarede, JL (2000) Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons. Journal of the American Geriatric Society 48, 1300–1309.CrossRefGoogle ScholarPubMed
Vyvyan, J, O'Hanrahan, BT, Franklin, MF & McNeill, G (2000) Reliability of responses to diet-related questions in people over 75y. Revista Espanola de Geriatria y Gerontologia 35, 383.Google Scholar
Weggemans, RM, de Groot, LC & Haller, J (1997) Factors related to plasma folate and vitamin B12. The SENECA study. International Journal of Food Science and Nutrition 48, 141–150.CrossRefGoogle ScholarPubMed
World Health Organization (1968) Nutritional Anaemias. World Health Organization Technical Report Series no. 401. Geneva: WHO.Google Scholar