Dairy, fruit, and vegetable intakes and functional limitations and disability in a biracial cohort: the Atherosclerosis Risk in Communities Study
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Background Dairy, fruit, and vegetable intakes may be associated with functional limitations and disability through their role in muscle function, osteoporosis, and prevention of the oxidative damage associated with aging and chronic disease.Objective The associations between dairy, fruit, and vegetable intakes and functional limitations and disability were examined in African Americans and whites (baseline age: 45-64 y; n=9404) in the Atherosclerosis Risk in Communities (ARIC) Study.Design Logistic regression analyses were used to ascertain the associations between usual dairy, fruit, and vegetable intakes obtained at baseline by using a food-frequency questionnaire and lower-extremity function, activities of daily living (ADLs), and instrumental ADLs (IADLs) self-reported approximately 9 y later in models stratified by race and sex.Results Baseline dairy, fruit, and vegetable intakes tended to be inversely associated with impaired lower-extremity function, ADLs, and IADLs approximately 9 y later, particularly in African American women. For example, in African American women, baseline dairy intakes were inversely associated with impaired ADLs and IADLs [odds ratio (95% CI): 0.60 (0.40, 0.90) and 0.69 (0.48, 0.98), respectively [corrected] in the 3rd versus the [corrected] 1st tertile of intake (P [corrected] for trend<0.05]. Combined baseline intakes of fruit and vegetables were also inversely associated with impaired lower-extremity function, ADLs, and IADLs [odds ratio (95% CI): 0.67 (0.47, 0.95), 0.52 (0.36, 0.76), and 0.64 (0.45, 0.90), respectively; P for trend<0.05].Conclusions Dairy, fruit, and vegetable intakes may be inversely associated with functional limitations and disability. Further research is needed to ascertain the effect of diet on subsequent functional limitations and disability.
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The rate of incident CHD in this population (2.86 events/1000 person-years) was almost half of the age-standardized rate seen in the ARIC study population (5.53 events/1000 person-years).
“The rate of incident CHD in this population (2.86 events/1000 personyears) was almost half of the age-standardized rate seen in the Atherosclerosis Risk in Communities (ARIC) study population (5.53 events/1000 person-years 39 ), the participants of which were selected to be representative of adults in 4 communities across the United States.40”
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- Authors
- Houston, D. K., Stevens, J., Cai, J., & Haines, P. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Stevens, June
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 81
- Issue
- 2
- Pages
- 515-522
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1949670894
- Cited by
- 135
- References
- 44
- Citations by year
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- FWCI
- 7.34
- Type
- journal article
- Language
- en
- Update notices
- erratum (2005-06-01)
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r03ag022062-02)
- National Institute on Aging (1 R03 AG022062-01)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Keywords
- dairy consumption, fruit consumption, vegetable consumption, functional limitations, disability, activities of daily living, instrumental activities of daily living, lower limb function, African American women, racial differences, diet and aging, Atherosclerosis Risk in Communities Study
- MeSH terms
- Activities of Daily Living, Adult, Aged, Aging, Arteriosclerosis, Black or African American, Dairy Products, Female, Fruit, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Risk Factors, Sex Factors, Vegetables, Cohort Studies, Confidence Intervals, Logistic Models, Odds Ratio, Black People, White People
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