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Læknablaðið - 15.10.2012, Blaðsíða 16

Læknablaðið - 15.10.2012, Blaðsíða 16
RANNSÓKN Heimildir 1. American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sport Exerc 2009; 41:1510-30. 2. Butler J, Kalogeropoulos AP, Georgiopoulou VV, Bibbins- Domingo K, Najjar SS, Sutton-Tyrrell KC, et al. Systolic blood pressure and incident heart failure in the elderly. The Cardiovascular Health Study and the Health, Ageing and Body Composition Study. Heart 2011; 97:1304-11. 3. Geleijnse JM, Giltay EJ, Grobbee DE, Donders AR, Kok FJ. Blood pressure response to fish oil supplementation: metaregression analysis of randomized trials. J Hypertens 2002; 20:1493-9. 4. Nordic Nutrition Recommendations 2004, 4th edition. Nordic Council of Ministers, Copenhagen 2004. 5. Giles TD, Materson BJ, Cohn JN, Kostis JB. Definition and classification of hypertension: an update. J Clin Hypertens 2009; 11: 611-4. 6. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr. JL, et al. Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertens 2003; 42: 1206-52. 7. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, et al. Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 1991; 45: 569-81. 8. Black AE. Critical evaluation of energy intake using the Goldberg cut-off for energy intake: basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obes Relat Metab Disord 2000; 24:1119-30. 9. Luhrmann PM, Herbert BM, Neuhauser-Berthold M. Underreporting of energy intake in an elderly German population. Nutrition 2001; 17:912-6. 10. Harris J, Benedict F. A biometric study of basal metabolism in man. Carnegie Institute of Washington, Washington DC 1919; publication no. 279. 11. Krenitsky J. Adjusted body weight, pro: evidence to support the use of adjusted body weight in calculating calorie requirements. Nutr Clin Pract 2005; 20:468-73. 12. Shah B, Sucher K, Hollenbeck CB. Comparison of ideal body weight equations and published height-weight tables with body mass index tables for healthy adults in the United States. Nutr Clin Pract 2006; 21: 312-9. 13. Cabo J, Alonso R, Mata P. Omega-3 fatty acids and blood pressure. Br J Nutr 2012; 107 (SUPPL. 2): S195-S200. 14. Olafsdottir AS, Skuladottir GV, Thorsdottir I, Hauksdottir A, Thorgeirsdottir H, Steingrimsdottir L. Relationship between high consumption of marine fatty acids in early pregnancy and hypertensive disorders in pregnancy. BJOG 2006; 113: 301-9. 15. Þorgeirsdóttir H, Valgeirsdóttir H, Gunnarsdóttir I, Gísladóttir E, Gunnarsdóttir BE, Þórsdóttir I, et al. Hvað borða íslendingar? Könnun á mataræði íslendinga 2010-2011. Helstu niðurstöður. Embætti landlæknis, Matvælastofnun, Rannsóknarstofa í næringarfræði við Háskóla íslands og Landspítala 2012. 16. O'Connor A, Benelam B. An update on UK Vitamin D intakes and status, and issues for food fortification and supplementation. Nutr Bull 2011; 36: 390-6. 17. Riediger ND, Moghadasian MH. Pattems of fruit and vegetable consumption and influence of sex, age and socio-demographic factors among Canadian elderly. J Am Coll Nutr 2008; 27:306-13. 18. Skirton H, Chamberlain W, Lawson C, Ryan H, Young E. A systematic review of variability and reliability of manual and automated blood pressure readings. J Clin Nurs 2011; 20:602-14. ENGLISH SUMMARY Dietary habits and their association with blood pressure among elderly lcelandic people Arnarson A', Geirsdottir OG2’5, Ramel A1,6, Jonsson PV2-34, Steingrimsdottir L1,5, Thorsdottir l'5 Objective: Prevalence of hypertension, which is the most common risk factor for cardiovascular disease in elderly people, increases with age. The aim of the study was to investigate the association between diet and blood pressure in elderly lcelanders, with focus on cod liver oil, and to compare their diet to dietary guidelines. Material and methods: Diet was assessed using three-day weighed food records and blood pressure was measured after a 12-hour-fast in 236, 65-91 years old, lcelanders living in the capital area of lceland. 99 men (42%) and 137 women (58%) participated in the study. Results: According to Nordic nutrition recommendations, intake of nutrients was above lower intake levels among the majority of participants. However, 19% were underthis level for vitamin-D, 13% for iodine, 17% of men for vitamin-B6, and 26% and 12% of men and women, respectively, for iron. Systolic blood pressure was inversely associated with cod liver oil intake, even when adjusted for age, body mass index, gender, and antihypertensive medications (P=0.01). Intake of long-chain omega-3 fatty acids correlated with blood pressure in a similar way. Other dietary factors were not associated with blood pressure. Conclusion: The results indicate that intake of cod liver oil is associated with lower blood pressure among elderly people and may therefore have beneficial effects on health. A notable proportion of participants was at risk of vitamin D, vitamin B6, iodine, and iron deficiency. Key words: diet, elderly, omega-3 fattyacids, omega-3, codliveroil, blood pressure, hypertension. Correspondence: Atli Arnarson, atliarnar@gmail.is 'Unit for Nutrition Research, Landspítali National University Hospital, 2The lcelandic Gerontological Research Center, 3Faculty ofmedcine University of lceland, 4Department of Geriat- rics, Landspítali National University Hospital, sFaculty of Food Science and Nutrition, University of lceland. 520 LÆKNAblaðið 2012/98
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