Evidence map›Paper›PMID 32466808›Full record

ArticlePublic health nutrition2020

Older adults with obesity have higher risks of some micronutrient inadequacies and lower overall dietary quality compared to peers with a healthy weight, National Health and Nutrition Examination Surveys (NHANES), 2011-2014.

Shinyoung Jun, Alexandra E Cowan, Anindya Bhadra, Kevin W Dodd, Johanna T Dwyer, Heather A Eicher-Miller, Jaime J Gahche, Patricia M Guenther, Nancy Potischman, Janet A Tooze and 1 more

Abstract read
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In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shinyoung JunDepartment of Nutrition Science, Purdue University, West Lafayette, IN47907, USA.
Alexandra E CowanDepartment of Nutrition Science, Purdue University, West Lafayette, IN47907, USA.
Anindya BhadraDepartment of Statistics, Purdue University, West Lafayette, IN, USA.
Kevin W DoddNational Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Johanna T DwyerOffice of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA.
Heather A Eicher-MillerDepartment of Nutrition Science, Purdue University, West Lafayette, IN47907, USA.
Jaime J GahcheOffice of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA.
Patricia M GuentherDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA.
Nancy PotischmanOffice of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA.
Janet A ToozeSchool of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Regan L BaileyDepartment of Nutrition Science, Purdue University, West Lafayette, IN47907, USA.ORCID https://orcid.org/0000-0003-0181-6223

Funding

Development of a Total Nutrient IndexU01CA215834 · NCI · TEXAS A&M AGRILIFE RESEARCH · PI REGAN BAILEY, JANET A. TOOZE · 2017 to 2026
$2.2M
NCI NIH HHS U01 CA215834
6 · The paper itself

Abstract

objectiveTo evaluate total usual intakes and biomarkers of micronutrients, overall dietary quality and related health characteristics of US older adults who were overweight or obese compared with a healthy weight.

designCross-sectional study.

settingTwo 24-h dietary recalls, nutritional biomarkers and objective and subjective health characteristic data were analysed from the National Health and Nutrition Examination Survey 2011-2014. We used the National Cancer Institute method to estimate distributions of total usual intakes from foods and dietary supplements for eleven micronutrients of potential concern and the Healthy Eating Index (HEI)-2015 score.

participantsOlder adults aged ≥60 years (n 2969) were categorised by sex and body weight status, using standard BMI categories. Underweight individuals (n 47) were excluded due to small sample size.

resultsA greater percentage of obese older adults compared with their healthy-weight counterparts was at risk of inadequate Mg (both sexes), Ca, vitamin B6 and vitamin D (women only) intakes. The proportion of those with serum 25-hydroxyvitamin D < 40 nmol/l was higher in obese (12 %) than in healthy-weight older women (6 %). Mean overall HEI-2015 scores were 8·6 (men) and 7·1 (women) points lower in obese than in healthy-weight older adults. In addition, compared with healthy-weight counterparts, obese older adults were more likely to self-report fair/poor health, use ≥ 5 medications and have limitations in activities of daily living and cardio-metabolic risk factors; and obese older women were more likely to be food-insecure and have depression.

conclusionsOur findings suggest that obesity may coexist with micronutrient inadequacy in older adults, especially among women.

Indexed as

Nutritional StatusAgedAged, 80 and overBody WeightCalciumCross-Sectional StudiesDietDietary SupplementsFemaleHumansMagnesiumMaleMicronutrientsMiddle AgedNutrition SurveysObesityCalciumMagnesiumMicronutrientsVitamin B 6Vitamin DVitaminsHealthy Eating IndexNational Health and Nutrition Examination SurveyNutritional biomarkerObesityTotal usual nutrient intake

Identifiers

PMID32466808
PMCPMC7429309

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.