From the National Resource Center on Nutrition, Physical Activity, and Aging:

December 18th, 2006: Biweekly Highlights
This notice provides announcements and links to new nutrition, physical activity, and aging information.

Of Special Interest

Administration on Aging

Choices for Independence: A National Leadership Summit December 5 - 6, 2006, Washington, DC announces online availibilty of general sessions and presentations from Summit speakers. Presentations of particular interest: "Using Business Strategies for Nutrition" and "Older Americans Act Amendments of 2006" by Edwin Walker.

American Society for Nutrition

December 2006 American Journal of Clinical Nutrition includes the following editorial and several articles about obesity, cognition, metabolic syndrome, cardiovascular disease and older adults.

Editorial: Baak MA, Visscher TLS. Public health succes in recent decades may be in danger if lifestyles of the elderly are neglected. Am J Clin Nutr 2006 84: 1257-1258.

Obesity comes with an unfavorable cardiovascular disease risk profile and obesity is clearly associated with a decrease in life expectancy and with an increase in unhealthy life-years. Additionally obesity predicts disability in adults aged 65-100 years old. Losing weight is a special topic in the older generation. There are two commonly sited reasons why weight loss could be not beneficial in the obese elderly population: the obesity associated risk of mortality decreases with aging, and the body mass index (BMI) range which is associated with the lowest mortality risk increases with aging. But the insight regarding these rationales have changed: the absolute risk of mortality associated with obesity increases. Which results in a bigger gap between an obese and a normal-weight person in the older population. And as shown in the study by Villareal et al. there is an improvement in cardiovascular disease risk factors without negative effects on frailty indexes if older obese persons are participating in a diet and exercise program.

Links to the following articles are available at the editorial link above.

Villareal DT, Miller BV 3rd, Banks M, Fontana L, Sinacore DR, Klein S. Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults.
Am J Clin Nutr. 2006;84:1317-23

Demonty I, Chan YM, Pelled D, Jones PJ. Fish-oil esters of plant sterols improve the lipid profile of dyslipidemic subjects more than do fish-oil or sunflower oil esters of plant sterols. Am J Clin Nutr. 2006;84:1534-42.

Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr. 2006;84:1489-97.

Feng L, Ng TP, Chuah L, Niti M, Kua EH. Homocysteine, folate, and vitamin B-12 and cognitive performance in older Chinese adults: findings from the Singapore Longitudinal Ageing Study. Am J Clin Nutr. 2006;84:1506-12.

Griffin MD, Sanders TA, Davies IG, Morgan LM, Millward DJ, Lewis F, Slaughter S, Cooper JA, Miller GJ, Griffin BA. Effects of altering the ratio of dietary n-6 to n-3 fatty acids on insulin sensitivity, lipoprotein size, and postprandial lipemia in men and postmenopausal women aged 45-70 y: the OPTILIP Study. Am J Clin Nutr. 2006;84:1290-8.

Hallikainen M, Toppinen L, Mykkanen H, Agren JJ, Laaksonen DE, Miettinen TA, Niskanen L, Poutanen KS, Gylling H. Interaction between cholesterol and glucose metabolism during dietary carbohydrate modification in subjects with the metabolic syndrome.
Am J Clin Nutr. 2006;84:1385-92.

Kamphuis MH, Geerlings MI, Tijhuis MA, Kalmijn S, Grobbee DE, Kromhout D. Depression and cardiovascular mortality: a role for n-3 fatty acids? Am J Clin Nutr. 2006;84:1513-7.

Miller JW. Assessing the association between vitamin B-12 status and cognitive function in older adults. Am J Clin Nutr. 2006;84:1259-60.

Penniston KL, Weng N, Binkley N, Tanumihardjo SA. Serum retinyl esters are not elevated in postmenopausal women with and without osteoporosis whose preformed vitamin A intakes are high. Am J Clin Nutr. 2006;84:1350-6.

Ravaglia G, Forti P, Maioli F, Chiappelli M, Montesi F, Bianchin M, Licastro F, Patterson C. Apolipoprotein E e4 allele affects risk of hyperhomocysteinemia in the elderly.
Am J Clin Nutr. 2006;84:1473-80.

Rosell M, Hakansson NN, Wolk A. Association between dairy food consumption and weight change over 9 y in 19 352 perimenopausal women. Am J Clin Nutr. 2006;84:1481-8.

Stabler SP, Allen RH, Dolce ET, Johnson MA. Elevated serum S-adenosylhomocysteine in cobalamin-deficient elderly and response to treatment. Am J Clin Nutr. 2006;84:1422-9.

Resources and Web links

Healthy Eating Index-2005 fact sheets

Residential Care and Assisted Living: State Oversight Practices and State Information Available to Consumers, describes state monitoring and oversight practices of assisted living facilities, and information that is available on state agency Web sites to consumers and family members about assisted living.

Commonwealth Fund
Performance Snapshots synthesize valuable information about health system performance in key areas.


Gitlin LN, Reever K, Dennis MP, Mathieu E, Hauck WW. Enhancing quality of life of families who use adult day services: Short- and long-term effects of the adult day services plus program. Gerontologist. 2006:630-9.

Kang JH, Cook N, Manson J, Buring JE, Grodstein F. A randomized trial of vitamin e supplementation and cognitive function in women. Arch Intern Med. 2006;166:2462-8.

Manton KG, Gu X, Lamb VL. Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population.
Proc Natl Acad Sci U S A. 2006;18374-9.

Villareal DT, Fontana L, Weiss EP, Racette SB, Steger-May K, Schechtman KB, Klein S, Holloszy JO. Bone mineral density response to caloric restriction-induced weight loss or exercise-induced weight loss: a randomized controlled trial.
Arch Intern Med. 2006;166:2502-10.

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