Correlates of low dietary energy reporting in free-living elderly: The MEDIS study

Mary Yannakoulia, Stefanos Tyrovolas, George Pounis, Akis Zeimbekis, Foteini Anastasiou, Vassiliki Bountziouka, Katia Voutsa, Efthimios Gotsis, George Metallinos, Christos Lionis, Evangelos Polychronopoulos, Demosthenes Panagiotakos

Research output: Journal article publicationJournal articleAcademic researchpeer-review

10 Citations (Scopus)


Objectives: To evaluate the prevalence of low energy reporting (LER) and associations between LER and lifestyle, psychological and clinical parameters, in elderly people living in eastern Mediterranean islands. Methods: 1190 men and women, aged 65-100 years, participated in this cross-sectional study. Socio-demographic, clinical and lifestyle characteristics were recorded for the study participants. Among others, the ratio of energy intake to estimated basal metabolic rate (EI/BMR) was calculated and was used for the assessment of LER. Results: Prevalence of LER was 47.7%. Lower EI/BMR (i.e., higher risk for LER) was associated with older age (p = 0.001), male sex (p < 0.001), higher body mass index (BMI; p = 0.04), lower adherence to the Mediterranean diet (p < 0.001) and non-current smoking (p = 0.007). The sex-specific analysis revealed that, lower EI/BMR values were associated with lower adherence to the Mediterranean diet and being non-current smoker in both men and women (p ≤ 0.05), as well as with older age (p = 0.01), higher BMI (p = 0.02) and hypercholesterolemia (p = 0.02), only in women. Conclusion: In elderly, several clinical and lifestyle factors seem to be related to LER, and they should be taken into account in their nutritional assessment.

Original languageEnglish
Pages (from-to)63-68
Number of pages6
Issue number1
Publication statusPublished - May 2011
Externally publishedYes


  • Dietary assessment
  • Elderly
  • Low energy reporting
  • Mediterranean diet
  • Misreporting

ASJC Scopus subject areas

  • General Biochemistry,Genetics and Molecular Biology
  • Obstetrics and Gynaecology


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