The Impact of Marital Transitions on Vegetable Intake in Middle-aged and Older Japanese Adults: A 5-year Longitudinal Study
| Autor: | Hiroyuki Kamishima, Tamaki Yamada, Nahomi Imaeda, Akihiro Hosono, Kenji Nagaya, Fumi Kondo, Takahiro Otani, Sadao Suzuki, Akane Nogimura, Kiyoshi Shibata, Miki Watanabe, Hiroko Nakagawa-Senda, Taiji Noguchi, Chiho Goto, Takeshi Nishiyama |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Adult
Male Medicine (General) Longitudinal study Epidemiology middle-aged and older adults 030209 endocrinology & metabolism 03 medical and health sciences R5-920 0302 clinical medicine Japan Dietary counseling Vegetables vegetable intake Medicine Humans 030212 general & internal medicine marital transition Longitudinal Studies Marriage Aged Multivariable linear regression Marital Status business.industry Life events longitudinal study Food frequency questionnaire Mean age General Medicine Middle Aged Social Epidemiology Original Article Female business Demography |
| Zdroj: | Journal of Epidemiology Journal of Epidemiology, Vol 32, Iss 2, Pp 89-95 (2022) |
| ISSN: | 1349-9092 0917-5040 |
| Popis: | Background Marital transitions are associated with adverse health events, such as mortality and cardiovascular disease. Since marital transitions (e.g., becoming widowed) are unavoidable life events, it is necessary to identify modifiable intermediate outcomes. Thus, we examined the association between marital transitions and vegetable intake among middle-aged and older Japanese adults. Methods This longitudinal study included Japanese adults aged 40-79 years who received an annual health checkup between 2007 and 2011 (baseline) and five years later (follow-up). Marital transitions were classified as whether and what type of transition occurred during the five-year period and comprised five groups: consistently married, married to widowed, married to divorced, not married to married, and remained not married. Changes in total vegetable, green and yellow vegetable, and light-colored vegetable intake from baseline to follow-up were calculated using the Food Frequency Questionnaire. Results Data from 4813 participants were analyzed (mean age: 59.4 years; 44.1% women). Regarding marital transitions, 3,960 participants were classified as "consistently married," 135 as "married to widowed," 40 as "married to divorced," 60 as "not married to married," and 529 as "remained not married." Multivariable linear regression analysis revealed that compared to consistently married, married to widowed was inversely associated with the change in total vegetable intake (β = -16.64, SE = 7.68, p = 0.030) and light-colored vegetable intake (β = -11.46, SE = 4.33, p = 0.008). Conclusion Our findings suggest that being widowed could result in a reduced intake of vegetables. Hence, dietary counseling according to marital situation is necessary. |
| Databáze: | OpenAIRE |
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