Caregiver Status and Diet Quality in Community-Dwelling Adults

Overview

Journal Nutrients

Date 2021 Jun 2

PMID 34073304

Citations 1

Authors

Sharmin Hossain

May A Beydoun

Michele K Evans

Alan B Zonderman

Marie F Kuczmarski

Affiliations

Soon will be listed here.

Abstract

Objective: We investigated cross-sectional and longitudinal associations of diet quality with middle-aged caregiver status.

Methods: Caregiving in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American (AA)) was measured at waves 3 (2009-2013) and 4 (2013-2017) (mean follow-up time 4.1 years). Diet quality was assessed by the Healthy Eating Index 2010 (HEI-2010) derived from two separate 24 h diet recalls. Multivariable ordinary least square regression was performed for cross-sectional analyses of the association of wave 4 caregiving with wave 4 HEI-2010. Wave 3 caregiving was examined both cross-sectionally and with annual rate of change in HEI using mixed-effects linear regression Models. Multivariable models were adjusted for age, sex, and poverty status.

Results: Cross-sectional analyses at wave 4 demonstrate an inverse association of frequent caregiving ("Daily or Weekly" vs. "Never") for grandchildren with HEI-2010 total score (i.e., lower diet quality) among Whites (β = -2.83 ± 1.19, = 0.03, Model 2) and AAs (β = -1.84 ± 0.79, = 0.02,). The "cross-sectional" analysis pertaining to grandchildren caregiving frequency suggested that frequent caregiving (i.e., "Daily or Weekly" vs. "Never" (β = -2.90 ± 1.17, = 0.04)) only among Whites was inversely related to HEI-2010 total score. Total HEI-2010 score was also related to caring (Model 1), for the elderly over "5 years vs. Never" among Whites (-7.31 ± 3.54, = 0.04, Model 2). Longitudinally, we found slight potential improvement in diet quality over time ("Daily or Weekly" vs. Never by TIME interaction: +0.88 ± 0.38, = 0.02) with frequent caregiving among Whites, but not so among AAs.

Conclusions: Frequent caring for grandchildren had an inverse relationship with the diet quality of White and AA urban middle-aged caregivers, while caring for elderly was inversely linked to diet quality among Whites only. Longitudinal studies should address the paucity of research on caregivers' nutritional quality.

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References

Acheampong I, Haldeman L . Are nutrition knowledge, attitudes, and beliefs associated with obesity among low-income Hispanic and African American women caretakers?. J Obes. 2013; 2013:123901. PMC: 3681300. DOI: 10.1155/2013/123901. View

Dussaillant C, Echeverria G, Urquiaga I, Velasco N, Rigotti A . [Current evidence on health benefits of the mediterranean diet]. Rev Med Chil. 2016; 144(8):1044-1052. DOI: 10.4067/S0034-98872016000800012. View

Tucker C, Butler A, Loyuk I, Desmond F, Surrency S . Predictors of a health-promoting lifestyle and behaviors among low-income African American mothers and white mothers of chronically ill children. J Natl Med Assoc. 2009; 101(2):103-10. DOI: 10.1016/s0027-9684(15)30821-x. View

Petersson S, Philippou E . Mediterranean Diet, Cognitive Function, and Dementia: A Systematic Review of the Evidence. Adv Nutr. 2016; 7(5):889-904. PMC: 5015034. DOI: 10.3945/an.116.012138. View

Ross A, Sundaramurthi T, Bevans M . A labor of love: the influence of cancer caregiving on health behaviors. Cancer Nurs. 2012; 36(6):474-83. PMC: 4196265. DOI: 10.1097/NCC.0b013e3182747b75. View

Li W, Youssef G, Procter-Gray E, Olendzki B, Cornish T, Hayes R . Racial Differences in Eating Patterns and Food Purchasing Behaviors among Urban Older Women. J Nutr Health Aging. 2017; 21(10):1190-1199. PMC: 5726305. DOI: 10.1007/s12603-016-0834-7. View

Fanelli Kuczmarski M, Stave Shupe E, Pohlig R, Rawal R, Zonderman A, Evans M . A Longitudinal Assessment of Diet Quality and Risks Associated with Malnutrition in Socioeconomic and Racially Diverse Adults. Nutrients. 2019; 11(9). PMC: 6770204. DOI: 10.3390/nu11092046. View

Pankhurst M, Mehta K, Matwiejczyk L, Moores C, Prichard I, Mortimer S . Treats are a tool of the trade: an exploration of food treats among grandparents who provide informal childcare. Public Health Nutr. 2019; 22(14):2643-2652. PMC: 10260415. DOI: 10.1017/S1368980019000685. View

Suitor J, Gilligan M, Rurka M, Con G, Peng S, Pillemer K . Conflict with Mothers and Siblings During Caregiving: Differential Costs for Black and White Adult Children. J Gerontol B Psychol Sci Soc Sci. 2017; 73(7):e86-e97. PMC: 6146761. DOI: 10.1093/geronb/gbx149. View

10.

Rha S, Park Y, Song S, Lee C, Lee J . Caregiving burden and health-promoting behaviors among the family caregivers of cancer patients. Eur J Oncol Nurs. 2014; 19(2):174-81. DOI: 10.1016/j.ejon.2014.09.003. View

11.

Hardman R, Kennedy G, Macpherson H, Scholey A, Pipingas A . Adherence to a Mediterranean-Style Diet and Effects on Cognition in Adults: A Qualitative Evaluation and Systematic Review of Longitudinal and Prospective Trials. Front Nutr. 2016; 3:22. PMC: 4956662. DOI: 10.3389/fnut.2016.00022. View

12.

Ysseldyk R, Kuran N, Powell S, Villeneuve P . Self-reported health impacts of caregiving by age and income among participants of the Canadian 2012 General Social Survey. Health Promot Chronic Dis Prev Can. 2019; 39(5):169-177. PMC: 6580928. DOI: 10.24095/hpcdp.39.5.01. View

13.

Flicker L, Lautenschlager N, Almeida O . Healthy mental ageing. J Br Menopause Soc. 2006; 12(3):92-6. DOI: 10.1258/136218006778234011. View

14.

Solfrizzi V, Panza F, Frisardi V, Seripa D, Logroscino G, Imbimbo B . Diet and Alzheimer's disease risk factors or prevention: the current evidence. Expert Rev Neurother. 2011; 11(5):677-708. DOI: 10.1586/ern.11.56. View

15.

Moritani T, Akamatsu Y . Effect of Exericse and Nutrition upon Lifestyle-Related Disease and Cognitive Function. J Nutr Sci Vitaminol (Tokyo). 2015; 61 Suppl:S122-4. DOI: 10.3177/jnsv.61.S122. View

16.

Kim G, Allen R, Wang S, Park S, Perkins E, Parmelee P . The Relation Between Multiple Informal Caregiving Roles and Subjective Physical and Mental Health Status Among Older Adults: Do Racial/Ethnic Differences Exist?. Gerontologist. 2018; 59(3):499-508. PMC: 6524479. DOI: 10.1093/geront/gnx196. View

17.

Martinez-Gonzalez M, Gea A, Ruiz-Canela M . The Mediterranean Diet and Cardiovascular Health. Circ Res. 2019; 124(5):779-798. DOI: 10.1161/CIRCRESAHA.118.313348. View

18.

Evans M, Lepkowski J, Powe N, LaVeist T, Fanelli Kuczmarski M, Zonderman A . Healthy aging in neighborhoods of diversity across the life span (HANDLS): overcoming barriers to implementing a longitudinal, epidemiologic, urban study of health, race, and socioeconomic status. Ethn Dis. 2010; 20(3):267-75. PMC: 3040595. View

19.

Young H, Bell J, Whitney R, Ridberg R, Reed S, Vitaliano P . Social Determinants of Health: Underreported Heterogeneity in Systematic Reviews of Caregiver Interventions. Gerontologist. 2020; 60(Suppl 1):S14-S28. PMC: 7019663. DOI: 10.1093/geront/gnz148. View

20.

Rote S, Angel J, Moon H, Markides K . Caregiving Across Diverse Populations: New Evidence From the National Study of Caregiving and Hispanic EPESE. Innov Aging. 2019; 3(2):igz033. PMC: 6733633. DOI: 10.1093/geroni/igz033. View