Nutrient intake among US adults with disabilities. 2015

R An, and C Y Chiu, and Z Zhang, and N A Burd
Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.

BACKGROUND Physical, mental and financial barriers among persons with disabilities limit their access to healthier diet. The present study investigated the relationship between disabilities and nutrient intake among US adults. METHODS Data originated from National Health and Nutrition Examination Survey 2007-2008 and 2009-2010 waves (n = 11,811). Five disability categories include activities of daily living (ADLs), instrumental activities of daily living (IADLs), leisure and social activities (LSAs), lower extremity mobility (LEM) and general physical activities (GPAs). Nutrient intakes from food and dietary supplements were calculated from 24-h dietary recalls. Adherence to dietary reference intakes and dietary guideline recommendations was compared between people with and without disabilities and across disability categories in the statistical analysis. RESULTS GPAs, IADLs, LSAs, LEM and ADLs occupied 24.5%, 13.3%, 9.9%, 9.2% and 9.2% of US adults, respectively (not mutually exclusive). Only 42.3%, 11.3%, 63.8%, 47.7%, 48.7%, 9.7%, 48.7%, 90.7%, 21.7% and 4.7% of adults had saturated fat, fibre, cholesterol, vitamin A, vitamin C, vitamin D, calcium, iron, sodium and potassium intakes from food within recommended levels, respectively. Dietary supplement use moderately improved vitamin C, vitamin D and calcium intakes. People with disabilities were less likely to meet recommended levels on saturated fat, fibre (except GPAs), vitamin A (except GPAs), vitamin C (except GPAs), calcium and potassium intakes than persons without disability. Nutrient intake differed across disability categories, with ADLs least likely to meet recommended intakes. CONCLUSIONS Interventions targeting persons with disabilities through nutrition education and financial assistance are warranted to promote healthy diet and reduce disparities.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009749 Nutrition Surveys A systematic collection of factual data pertaining to the nutritional status of a human population within a given geographic area. Data from these surveys are used in preparing NUTRITION ASSESSMENTS. NHANES,National Health and Nutrition Examination Survey,Nutritional Surveys,Nutrition Survey,Nutritional Survey,Survey, Nutrition,Survey, Nutritional,Surveys, Nutrition,Surveys, Nutritional
D002149 Energy Intake Total number of calories taken in daily whether ingested or by parenteral routes. Caloric Intake,Calorie Intake,Intake, Calorie,Intake, Energy
D004032 Diet Regular course of eating and drinking adopted by a person or animal. Diets
D005260 Female Females
D006233 Disabled Persons Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations. Handicapped,People with Disabilities,Persons with Disabilities,Physically Challenged,Physically Handicapped,Physically Disabled,Disabilities, People with,Disabilities, Persons with,Disability, Persons with,Disabled Person,Disabled, Physically,Handicapped, Physically,People with Disability,Person, Disabled,Persons with Disability,Persons, Disabled
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015596 Nutrition Assessment Evaluation and measurement of nutritional variables in order to assess the level of nutrition or the NUTRITIONAL STATUS of the individual. NUTRITION SURVEYS may be used in making the assessment. Prognostic Nutritional Index (PNI),Assessment, Nutrition,Mini Nutrition Assessment,Mini Nutritional Assessment,Nutrition Assessments,Nutrition Index,Nutrition Indexes,Nutrition Indices,Nutritional Assessment,Nutritional Index,Prognostic Nutritional Index,Assessment, Mini Nutrition,Assessment, Mini Nutritional,Assessment, Nutritional,Assessments, Mini Nutrition,Assessments, Mini Nutritional,Assessments, Nutrition,Assessments, Nutritional,Index, Nutrition,Index, Nutritional,Index, Prognostic Nutritional,Index, Prognostic Nutritional (PNI),Indexes, Nutrition,Indices, Nutrition,Indices, Nutritional,Indices, Prognostic Nutritional,Indices, Prognostic Nutritional (PNI),Mini Nutrition Assessments,Mini Nutritional Assessments,Nutrition Assessment, Mini,Nutrition Assessments, Mini,Nutritional Assessment, Mini,Nutritional Assessments,Nutritional Assessments, Mini,Nutritional Index, Prognostic,Nutritional Index, Prognostic (PNI),Nutritional Indices,Nutritional Indices, Prognostic,Nutritional Indices, Prognostic (PNI),Prognostic Nutritional Indices,Prognostic Nutritional Indices (PNI)

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