ArticleBMJ open2017
Gender differences in longevity in free-living older adults who eat-with-others: a prospective study in Taiwan.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Factors Associated With Metabolic Syndrome in Korean Older Adults: A Cross-Sectional Analysis of KNHANES VIII (2019-2021).Health science reports · 2026Article
- Social Factors, Dietary Intake and the Nutritional Status of Community-Dwelling Chinese Older Adults: A Scoping Review.Nutrients · 2025Article
- Association between diet quality and type of meal companion: the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHANES).Nutrition research and practice · 2023Article
- How Does the Frequency of Eating-Alone among Older People in Korea Affect Their Health and Dietary Behavior?Nutrients · 2023Article
- Eating Alone or Together among Community-Living Older People-A Scoping Review.International journal of environmental research and public health · 2021Article
- Older Men Living with Spouse and Older Women Living with Spouse and Children Have Lower Frailty Prevalence: The Korean Frailty and Aging Cohort Study (KFACS).Annals of geriatric medicine and research · 2020Article
- A gendered analysis of living with HIV/AIDS in the Eastern Region of Ghana.BMC public health · 2020Article
- Influence of Living Arrangements and Eating Behavior on the Risk of Metabolic Syndrome: A National Cross-Sectional Study in South Korea.International journal of environmental research and public health · 2019Article
- A non-invasive modifiable Healthy Ageing Nutrition Index (HANI) predicts longevity in free-living older Taiwanese.Scientific reports · 2018Article
- Living Arrangement of Older Adults and its Effect on Five-Year Survival.Current health sciences journalArticle
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSocial activities such as 'eating-with-others' can positively affect the ageing process. We investigated the gender-specific association between eating arrangements and risk of all-cause mortality among free-living older adults.
settingA representative sample from the Elderly Nutrition and Health Survey in Taiwan during 1999-2000.
participantsSome 1894 participants (955 men and 939 women) who aged ≥65 and completed eating arrangement question as well as confirmed survivorship information. PRIMARY AND SECONDARY OUTCOME MEASURES: Eating arrangements, health condition and 24-hour dietary recall information were collected at baseline. We classified eating arrangements as the daily frequency of eating-with-others (0-3). Survivorship was determined by the National Death Registry until the end of 2008. Cox proportional-hazards regression was used to assess the association between eating-with-others and mortality risk.
resultsOverall, 63.1% of men and 56.4% of women ate with others three times a day. Both men and women who ate with others were more likely to have higher meat and vegetable intakes and greater dietary quality than those who ate alone. The HRs (95% CI) for all-cause mortality when eating-with-others two and three times per day were 0.42 (0.28 to 0.61), 0.67 (0.52 to 0.88) in men and 0.68 (0.42 to 1.11), 0.86 (0.64 to 1.16) in women, compared with those who ate alone. Multivariable HRs (95% CI) adjusted for sociodemographic, nutritional and 'activities of daily living' covariates were 0.43 (0.25 to 0.73), 0.63 (0.41 to 0.98) in men and 0.68 (0.35 to 1.30), 0.69 (0.39 to 1.21) in women. With further adjustment for financial status, HR was reduced by 54% in men who ate with others two times a day. Pathway analysis shows this to be dependent on improved dietary quality by eating-with-others.
conclusionsEating-with-others is an independent survival factor in older men. Providing a social environment which encourages eating-with-others may benefit survival of older people, especially for men.
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