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dc.contributor.authorBakre, Aishat
dc.contributor.authorSong, Yiqing
dc.contributor.authorClifford, Angela
dc.contributor.authorChen, Anthony
dc.contributor.authorSmith, Tina
dc.contributor.authorWan, Yuhui
dc.contributor.authorDevlin, Linda
dc.contributor.authorTang, James
dc.contributor.authorZhou, Weiju
dc.contributor.authorDanat, Isaac M
dc.contributor.authorHu, Zhi
dc.contributor.authorChen, Ruoling
dc.date.accessioned2019-10-08T11:28:36Z
dc.date.available2019-10-08T11:28:36Z
dc.date.issued2018-11-19
dc.identifier.citationA.T. Bakre ; Y. Song ; A. Clifford ; A. Chen ; T. Smith ; Y. Wan ; L. Devlin ; J. Jie Tang ; W. Zhou ; I.M. Danat ; Z. Hu ; R. Chen (2018) Determinants of fish consumption in older people: a community-based cohort study, The Journal of Aging Research and Clinical Practice, 7, pp. 163-175. http://dx.doi.org/10.14283/jarcp.2018.27en
dc.identifier.issn2273-421Xen
dc.identifier.doi10.14283/jarcp.2018.27en
dc.identifier.urihttp://hdl.handle.net/2436/622801
dc.description.abstractObjectives: Habitual fish consumption and its determinants in older people have not been well investigated. We addressed these issues through a population-based cohort study. Methods: In 2001-2003 we interviewed a random sample of 3336 residents aged ≥60 years in China, documenting socioeconomic status (SES) and disease risk factors. In 2007-2009 we re-interviewed 1757 survivors, additionally surveying average self-reported intake of fish over the past two years. Results: Of 1757 participants, 1697 responded to the fish consumption questionnaire; 23.0% of whom had “never eat” fish, 43.4% “once a week”, 26.9% “more than twice a week”, and 6.7% “≥once a day”. There was an inverse association of fish consumption with older age (multivariate adjusted odds ratio 0.64 [95% CI 0.45-0.92] and 0.35 [0.24-0.52] at ages of 75-79, and ≥80 years), female gender (0.63, 0.47-0.84), smoking (0.65, 0.48-0.88), living in a rural area (0.10, 0.07-0.15), having educational level of ≤primary school (0.10, 0.05-0.19), occupation of peasant (0.08, 0.05-0.14), low income (0.11, 0.07-0.18), financial difficulties (0.25, 0.18-0.34), being never married/divorced (0.48, 0.28-0.81), having undetected hypertension (0.71, 0.55-0.91), depression (0.50, 0.29-0.84) and dementia (0.64, 0.41-0.98). However, participants with central obesity and heart disease at baseline had increased odds of fish consumption. Separate data analysis for different levels of fish consumption showed a dose-response trend for these associations. Conclusion: In older Chinese, there are large socioeconomic inequalities, and certain lifestyle, psychosocial factors and health-related conditions are strong determinants of fish consumption. Such information is important for future development or refinement of effective dietary interventions targeting older adults.en
dc.formatapplication/PDFen
dc.language.isoenen
dc.publisherJournal of Aging Research & Clinical Practiceen
dc.relation.urlhttp://www.jarcp.com/all-issues.html?article=548en
dc.subjectFish consumptionen
dc.subjectRisk factorsen
dc.subjectOlder Adultsen
dc.titleDeterminants of fish consumption in older people: a community-based cohort studyen
dc.typeJournal articleen
dc.identifier.journalJournal of Aging Research and Clinical Practiceen
dc.date.updated2019-09-19T12:56:32Z
dc.date.accepted2018-04-24
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW08102019JTen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2019-10-08en
refterms.dateFCD2019-10-08T11:28:06Z
refterms.versionFCDAM
refterms.dateFOA2019-10-08T11:28:37Z


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