Effect of seasonal changes on nutritional status and biochemical parameters in Turkish older adults
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BACKGROUND/OBJECTIVES: Available data suggest that seasonal changes may influence the nutritional status and overall health of elderly individuals. Therefore, this study was conducted to investigate the effects of seasonal changes and related factors on energy and nutrient intake of older adults. SUBJECTS/METHODS: Individuals aged 65 years or over were prospectively enrolled in this single-center study (male: 11, female: 20). Data were collected between May 2013 and February 2014 during winter, spring, summer and autumn. Food consumption and biochemical parameters were taken during each season to assess the seasonal nutrition status of the elderly. Upon analysis of biochemical parameters (retinol, vitamin D and vitamin C), an high-performance liquid chromatography device was utilized whereas an Immulite 2000 device was utilized during analysis of serum folic acid and parathyroid hormone. RESULTS: Fruit, fat, egg and bread consumption varied seasonally in males and females (P < 0.05). During winter, daily energy intake was found to be greater than in other seasons in males (557 kcal) and females (330 kcal) (P < 0.05). Additionally, carbohydrates, vegetable protein, n-3 fatty acid and sodium intake increased in winter, while the n-6/n-3 ratio increased in summer among males (P < 0.05). Dietary fiber and sodium intake in winter, vitamin C, iron and zinc intake in spring, and cholesterol, retinol, vitamin D and niacin intake in autumn were found to be higher in females when compared to other seasons (P < 0.05). Serum parathyroid hormone level was higher in winter, and vitamin D level was higher in autumn in both genders (P < 0.05). In males, blood folic acid level was higher in winter, while vitamin C level was higher in females, and there was no seasonal variation in retinol concentration (P < 0.05). CONCLUSION: Food consumption and biochemical parameters showed significant seasonal variations in older adults. It is not clear if nutrition plans in older adults will benefit from consideration of seasonal changes in eating habits.
Abstract
BACKGROUND/OBJECTIVES: Available data suggest that seasonal changes may influence the nutritional status and overall health of elderly individuals. Therefore, this study was conducted to investigate the effects of seasonal changes and related factors on energy and nutrient intake of older adults. SUBJECTS/METHODS: Individuals aged 65 years or over were prospectively enrolled in this single-center study (male: 11, female: 20). Data were collected between May 2013 and February 2014 during winter, spring, summer and autumn. Food consumption and biochemical parameters were taken during each season to assess the seasonal nutrition status of the elderly. Upon analysis of biochemical parameters (retinol, vitamin D and vitamin C), an high-performance liquid chromatography device was utilized whereas an Immulite 2000 device was utilized during analysis of serum folic acid and parathyroid hormone. RESULTS: Fruit, fat, egg and bread consumption varied seasonally in males and females (P < 0.05). During winter, daily energy intake was found to be greater than in other seasons in males (557 kcal) and females (330 kcal) (P < 0.05). Additionally, carbohydrates, vegetable protein, n-3 fatty acid and sodium intake increased in winter, while the n-6/n-3 ratio increased in summer among males (P < 0.05). Dietary fiber and sodium intake in winter, vitamin C, iron and zinc intake in spring, and cholesterol, retinol, vitamin D and niacin intake in autumn were found to be higher in females when compared to other seasons (P < 0.05). Serum parathyroid hormone level was higher in winter, and vitamin D level was higher in autumn in both genders (P < 0.05). In males, blood folic acid level was higher in winter, while vitamin C level was higher in females, and there was no seasonal variation in retinol concentration (P < 0.05). CONCLUSION: Food consumption and biochemical parameters showed significant seasonal variations in older adults. It is not clear if nutrition plans in older adults will benefit from consideration of seasonal changes in eating habits.
참고문헌 (27)
- "The global strategy and action plan on ageing and health"[URL]
- Woodhouse PR, "Seasonal variations of plasma fibrinogen and factor VII activity in the elderly: winter infections and death from cardiovascular disease", Lancet, 343, pp.435~439 (1994)[DOI]
- Capita R, "Differences in reported winter and summer dietary intakes in young adults in Spain", Int J Food Sci Nutr, 56, pp.431~443 (2005)[DOI]
- Xiang J, "Sex and seasonal variations of plasma retinol, alpha-tocopherol, and carotenoid concentrations in Japanese dietitians", Asian Pac J Cancer Prev, 9, pp.413~416 (2008)
- Shahar DR, "Changes in dietary intake account for seasonal changes in cardiovascular disease risk factors", Eur J Clin Nutr, 53, pp.395~400 (1999)[DOI]
- Moreira PL, "Association between oxidative stress and nutritional status in the elderly", Rev Assoc Med Bras (1992), 60, pp.75~83 (2014)[DOI]
- Hacettepe University (TR), "The Dietary Guidelines of Turkey", Hacettepe University, ~ (2015)
- Talwar D, "A routine method for the simultaneous measurement of retinol, alpha- tocopherol and five carotenoids in human plasma by reverse phase HPLC", Clin Chim Acta, 270, pp.85~100 (1998)[DOI]
- Brunetto MR, "HPLC determination of Vitamin <TEX>$D_{3}$<", TEX> and its metabolite in human plasma with on-line sample cleanup, 2004, pp.64, 1364~1370
- Wang S, "Determination of plasma ascorbic acid by HPLC: method and stability studies", Eur J Pharm Sci, 3, pp.231~239 (1995)[DOI]
- Quinlivan EP, "The analysis of folate and its metabolic precursors in biological samples", Anal Biochem, 348, pp.163~184 (2006)[DOI]
- van Ooijen AM, "Seasonal changes in metabolic and temperature responses to cold air in humans", Physiol Behav, 82, pp.545~553 (2004)[DOI]
- Penckofer S, "Vitamin D and depression: where is all the sunshine?", Issues Ment Health Nurs, 31, pp.385~393 (2010)[DOI]
- O'Connor DB, "Perceived changes in food intake in response to stress: the role of conscientiousness", Stress Health, 20, pp.279~291 (2004)[DOI]
- Michels N, "Children's psychosocial stress and emotional eating: a role for leptin?", Int J Eat Disord, 50, pp.471~480 (2017)[DOI]
- Frankenfeld CL, "Fruit and vegetable intakes in relation to plasma nutrient concentrations in women in Shanghai, China", Public Health Nutr, 15, pp.167~175 (2012)[DOI]
- Cai H, "Variation in nutrient intakes among women in Shanghai, China", Eur J Clin Nutr, 58, pp.1604~1611 (2004)[DOI]
- Smolkova B, "Seasonal changes in markers of oxidative damage to lipids and DNA; correlations with seasonal variation in diet", Mutat Res, 551, pp.135~144 (2004)[DOI]
- Volkert D, "Energy and nutrient intake of young-old, old-old and very-old elderly in Germany", Eur J Clin Nutr, 58, pp.1190~1200 (2004)[DOI]
- Gilbride JA, "Nutrition and health status assessment of community-residing elderly in New York City: a pilot study", J Am Diet Assoc, 98, pp.554~558 (1998)[DOI]
- Olmedilla B, "Seasonal and sex-related variations in six serum carotenoids, retinol, and alpha-tocopherol", Am J Clin Nutr, 60, pp.106~110 (1994)[DOI]
- Rautalahti M, "Seasonal variation of serum concentrations of beta-carotene and alpha-tocopherol", Am J Clin Nutr, 57, pp.551~556 (1993)[DOI]
- Hao L, "Variation of plasma folate levels in adults between some areas and different seasons in China", Zhonghua Yu Fang Yi Xue Za Zhi, 36, pp.308~310 (2002)
- Rosecrans R, "Seasonal vitamin D changes and the impact on health risk assessment", Clin Biochem, 47, pp.670~672 (2014)[DOI]
- Atli T, "The prevalence of vitamin D deficiency and effects of ultraviolet light on vitamin D levels in elderly Turkish population", Arch Gerontol Geriatr, 40, pp.53~60 (2005)[DOI]
- Heart Protection Study Collaborative Group, "MRC", BHF Heart Protection Study of antioxidant vitamin supplementation in 20,536 high-risk individuals: a randomised placebo-controlled trial, 2002, pp.360, 23~33
- "Increasing fruit and vegetable consu- mption to reduce the risk of noncommunicable diseases" (2014)[URL]
