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Archives of Industrial Hygiene and Toxicology

The Journal of Institute for Medical Research and Occupational Health

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Ageing, Arterial Blood Pressure, Body Mass Index, and Diet

Mladen Pavlović / Sanja Milković-Kraus / Veljko Jovanović / Mira Hercigonja-Szekeres
Published Online: 2012-05-01 | DOI: https://doi.org/10.2478/10004-1254-63-2012-2164

Ageing, Arterial Blood Pressure, Body Mass Index, and Diet

For three decades we followed up for longevity indicators, including diet, arterial blood pressure, and body mass index 379 mobile, long-living persons from Croatia, now aged 70 to 92 years, of whom 167 men aged (78.6±4.0) years and 212 women aged (77.9±4.1) years. One hundred and ninety-five were from the continental and 184 from the coastal Croatia. The participants were examined in 1972, 1982, and again in 2006/7. Changes in body mass index (BMI), arterial blood pressure (ABP), and in answers to our Food Frequency Questionnaire about dietary habits were analysed using log-linear models. Over the last 24 years of aging (age 55 to 78 years) the subjects showed a statistically significant decrease in body mass and height and a significant increase in the systolic blood pressure. Diastolic blood pressure and BMI showed no significant changes over this period. Consumption of preserved and fresh meat, bread, and starch (potato, pastry and rice) dropped significantly with age, while the consumption of fish, fresh and cooked vegetables, fruit, and dairy products significantly increased. These dietary changes were not associated with changes in the systolic and diastolic ABP. About 80 % were overweight (BMI >25 kg m-2) throughout the follow-up, even though their body mass dropped significantly after the age of 55. However, their survival suggests that BMI may not be the best indicator of longevity or healthy aging.

Starenje, arterijski krvni tlak, indeks tjelesne mase i prehrana

U radu se opisuje odnos promjena prehrambenih navika, indeksa tjelesne mase (ITM, engl. body mass index, krat. BMI) i arterijskoga krvnog tlaka tijekom praćenja starenja istih samostalnih, pokretnih ispitanika iz kontinentalne i priobalne regije Hrvatske u tridesetogodišnjem razdoblju. U 2006./2007. godini pregledan je uzorak od 379 osoba dobi 70 do 92 godine: 167 muškaraca dobi (78,6±4,0) godine i 212 žena dobi (77,9±4,1) godina, 195 rezidenata kontinentalne regije i 184 rezidenata iz priobalne regije. Ispitanici su pregledani po treći put u 2006. Bili su prethodno pregledani 1972. te ponovo 1982. godine, a s ciljem praćenja dugovječnosti u odnosu na način života, prehranu i spol. Pomoću log-linearne analize analizirali smo promjene ITM-a, arterijskoga krvnog tlaka i 10 kategorija prehrambenih namirnica. Pri tom smo koristili vlastiti Upitnik o prehrani: FFQIMI.

Kroz zadnje 24 godine praćenja starenja (dob 55 do 78 godina) nađeno je statistički značajno sniženje tjelesne mase i visine, te značajan porast sistoličkoga krvnog tlaka. Dijastolički krvni tlak i ITM nisu se značajnije mijenjali kroz ovo razdoblje. Rezultati pokazuju značajno smanjenje konzumiranja konzerviranoga i svježega mesa, kruha i škrobnih namirnica (krumpir, tjestenina, riža) sa starenjem, dok se konzumacija ribe, svježega i kuhanoga povrća, voća i mliječnih proizvoda povećala. Ove prehrambene promjene nisu bile povezane s promjenama arterijskoga krvnog tlaka. Iako je smanjenje tjelesne mase u naših ispitanika u dobi iznad 55 godina bilo značajno, oko 80 % naših ispitanika, koje možemo smatrati reprezentativnim uzorkom pokretne, dugovječne populacije Hrvatske, pripadaju kategoriji osoba s prekomjernom tjelesnom masom (ITM >25 kg m-2). Iz toga se može zaključiti da ITM nije dobar pokazatelj zdravog starenja i dugovječnosti.

Keywords: follow-up; food frequency questionnaire; healthy ageing; longevity; mobile elderly

Keywords: dugovječnost; prehrana; starije pokretne osobe

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About the article


Published Online: 2012-05-01

Published in Print: 2012-04-01


Citation Information: Archives of Industrial Hygiene and Toxicology, ISSN (Print) 0004-1254, DOI: https://doi.org/10.2478/10004-1254-63-2012-2164.

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