Diet quality and exercise in older veterans with PTSD: a pilot study.

Autor:	Browne J; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA., Morey MC; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Department of Medicine, Division of Geriatrics, Duke University, Durham, NC, USA.; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA., Beckham JC; Mental Illness Research, Education, and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA., Bosworth HB; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA.; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.; Health Services Research and Development Service, Center of Innovation to Accelerate Discovery and Practice Transformation, VA Durham Healthcare System, Durham, NC, USA., Porter Starr KN; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Department of Medicine, Division of Geriatrics, Duke University, Durham, NC, USA.; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA., Bales CW; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Department of Medicine, Division of Geriatrics, Duke University, Durham, NC, USA.; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA., McDermott J; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA., Sloane R; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA., Gregg JJ; Department of Medicine, Division of Geriatrics, Duke University, Durham, NC, USA.; Mental and Behavioral Health Service, Durham VA Health Care System, Durham, NC, USA., Hall KS; Geriatric Research, Education and Clinical Center, VA Durham Healthcare System, Durham, NC, USA.; Department of Medicine, Division of Geriatrics, Duke University, Durham, NC, USA.; Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA.
Jazyk:	angličtina
Zdroj:	Translational behavioral medicine [Transl Behav Med] 2021 Dec 14; Vol. 11 (12), pp. 2116-2122.
DOI:	10.1093/tbm/ibab116
Abstrakt:	Older veterans with posttraumatic stress disorder (PTSD) are at increased risk of obesity and cardiometabolic disease. Physical activity and healthy eating are two behaviors that impact health, functional independence, and disease risk in later life, yet few studies have examined the relationship between PTSD and diet quality. This secondary analysis aimed to: (a) characterize the diet quality of older veterans with PTSD in comparison to U.S. dietary guidelines and (b) explore if participation in a supervised exercise intervention spurred simultaneous changes in dietary behavior. Diet quality was assessed with the Dietary Screener Questionnaire (DSQ), which measures daily intake of fiber, calcium, added sugar, whole grain, dairy, and fruits/vegetables/legumes. The sample included 54 military veterans ≥ 60 years old with PTSD who participated in a randomized controlled pilot trial comparing 12 weeks of supervised exercise (n = 36) to wait-list usual care (n = 18). The DSQ was administered at baseline and 12 weeks. Consumption of added sugar exceeded U.S. dietary guideline recommendations and consumption of whole grains, fruits/vegetables/legumes, fiber, calcium, and dairy fell short. Participation in the supervised exercise intervention was not associated with changes in diet quality. Results revealed that the diet quality of older veterans with PTSD is poor, and while the exercise intervention improved health through exercise, it did not make veterans any more likely to adopt a more healthful diet. Interventions targeting diet, or diet + exercise, are needed to manage the increased risk of obesity and cardiometabolic disease present in older veterans with PTSD. (Published by Oxford University Press on behalf of the Society of Behavioral Medicine 2021.)
Databáze:	MEDLINE
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