Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
Por:
Smith L, López Sánchez GF, Veronese N, Tully MA, Pizzol D, Butler L, Rahmati M, López-Gil JF, Barnett Y, Jacob L., Soysal P, Castagna A, Shin JI and Koyanagi A
Publicada:
17 mar 2025
Ahead of Print:
17 mar 2025
Resumen:
ObjectiveInadequate fruit and vegetable consumption may increase risk for falls. However, to date, only one study has examined this association in a sample restricted to females, while the mediators of this association are largely unknown. Therefore, we aimed to examine the association between fruit and vegetable consumption and injurious falls, and to identify potential mediators in a sample including both males and females.MethodsCross-sectional, nationally representative data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) were analyzed. Fruit/vegetable consumption was divided into two groups: >= 2 servings of fruits and >= 3 servings of vegetables per day (adequate consumption) or else (inadequate consumption). Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression and mediation analysis were conducted.ResultsData on 34,129 individuals aged >= 50 years were analyzed (mean age 62.4 years; 52.1% females). Overall, inadequate fruit/vegetable intake was associated with a significant 1.41 (95%CI = 1.05-1.90) times higher odds for injurious falls. This association was only significant among females (OR = 1.96; 95%CI = 1.32-2.85). Mediation analysis showed that affect (mediated percentage 8.8%), cognition (7.2%), and sleep/energy (7.5%) were significant mediators, but vision, grip strength, and gait speed were not.ConclusionsInadequate fruit and vegetable consumption was associated with higher odds for injurious falls among adults aged >= 50 years (especially females), and this association was partly mediated by cognition, affect, and sleep/energy. Future longitudinal studies are necessary to provide more insight into the underlying mechanisms, and to assess whether increasing fruit/vegetable consumption may reduce risk for falls.
Filiaciones:
Smith L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Veronese N:
Saint Camillus International University of Health Sciences, Rome, Italy
Tully MA:
School of Medicine, Ulster University, Londonderry, UK
Pizzol D:
Italian Agency for Development Cooperation, Khartoum, Sudan
Butler L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Rahmati M:
CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran
López-Gil JF:
One Health Research Group, Universidad de Las Américas, Quito, 170124, Ecuador
Barnett Y:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain
Department of Physical Medicine and Rehabilitation, Lariboisière-Fernand Widal Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France
Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), U1153, Inserm, Université Paris Cité, Paris, France
Soysal P:
Department of geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Castagna A:
Distretto di Soverato, SOC Cure Primarie, Azienda Sanitaria Provinciale di Catanzaro, Catanzaro, Italy
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
Severance Underwood Meta-Research Center, Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain
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