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Articles by H Syddall
Total Records ( 2 ) for H Syddall
  S Robinson , H Syddall , K Jameson , S Batelaan , H Martin , E. M Dennison , C Cooper , A. A Sayer and The Hertfordshire Study Group
 

Background: dietary patterns analysis takes account of the combined effects of foods and may be a more meaningful way of assessing dietary exposure than considering individual nutrients. Little is known about the dietary patterns of older adults in the UK.

Objective: to describe the dietary patterns of a population of community-dwelling older men and women and to examine factors associated with compliance with these patterns.

Setting and Participants: 3,217 men and women aged 59–73 years who were participants in the Hertfordshire Cohort Study.

Methods: diet was assessed using an administered food frequency questionnaire; dietary patterns were identified using principal component analysis.

Results: two dietary patterns were identified. The first was characterised by high consumption of fruit, vegetables, oily fish and wholemeal cereals (‘prudent’ pattern); the second was characterised by high consumption of vegetables, processed and red meat, fish and puddings (‘traditional’ pattern). High ‘prudent’ diet scores were more common in women, in men and women in non-manual classes and in non-smokers (all P < 0.05), whilst high ‘traditional’ diet scores were more common in men, in men and women who had partners and were associated with higher alcohol consumption (all P < 0.05).

Conclusions: we have described large variations in food consumption and nutrient intake amongst older adults that are likely to have implications for future health. The specific socio-demographic correlates of the dietary patterns provide insights into the contexts within which good and poor diets exist, and may help in the identification of opportunities for dietary intervention.

  H Syddall , H. C Roberts , C Cooper , H Bergman and A. A. Sayer
 

Background: frailty, a multi-dimensional geriatric syndrome, confers a high risk for falls, disability, hospitalisation and mortality. The prevalence and correlates of frailty in the UK are unknown.

Methods: frailty, defined by Fried, was examined among community-dwelling young-old (64–74 years) men (n = 320) and women (n = 318) who participated in the Hertfordshire Cohort Study, UK.

Results: the prevalence of frailty was 8.5% among women and 4.1% among men (P = 0.02). Among men, older age (P = 0.009), younger age of leaving education (P = 0.05), not owning/mortgaging one's home (odds ratio [OR] for frailty 3.45 [95% confidence interval {CI} 1.01–11.81], P = 0.05, in comparison with owner/mortgage occupiers) and reduced car availability (OR for frailty 3.57 per unit decrease in number of cars available [95% CI 1.32, 10.0], P = 0.01) were associated with increased odds of frailty. Among women, not owning/mortgaging one's home (P = 0.02) was associated with frailty. With the exception of car availability among men (P = 0.03), all associations were non-significant (P > 0.05) after adjustment for co-morbidity.

Conclusions: frailty is not uncommon even among community-dwelling young-old men and women in the UK. There are social inequalities in frailty which appear to be mediated by co-morbidity.

 
 
 
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