{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T22:12:43Z","timestamp":1791065563519,"version":"4.1.0"},"reference-count":46,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"United States Department of Veterans Affairs Rehabilitation Research &amp; Development","award":["I01RX001813"],"award-info":[{"award-number":["I01RX001813"]}]},{"name":"United States Department of Veterans Affairs Rehabilitation Research &amp; Development","award":["IK6 RX003977"],"award-info":[{"award-number":["IK6 RX003977"]}]},{"name":"United States Department of Veterans Affairs Rehabilitation Research &amp; Development","award":["IK2RX001788"],"award-info":[{"award-number":["IK2RX001788"]}]},{"name":"VA RR&amp;D Senior Research Career Scientist Award","award":["I01RX001813"],"award-info":[{"award-number":["I01RX001813"]}]},{"name":"VA RR&amp;D Senior Research Career Scientist Award","award":["IK6 RX003977"],"award-info":[{"award-number":["IK6 RX003977"]}]},{"name":"VA RR&amp;D Senior Research Career Scientist Award","award":["IK2RX001788"],"award-info":[{"award-number":["IK2RX001788"]}]},{"name":"Veterans Affairs Career Development Award","award":["I01RX001813"],"award-info":[{"award-number":["I01RX001813"]}]},{"name":"Veterans Affairs Career Development Award","award":["IK6 RX003977"],"award-info":[{"award-number":["IK6 RX003977"]}]},{"name":"Veterans Affairs Career Development Award","award":["IK2RX001788"],"award-info":[{"award-number":["IK2RX001788"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Healthier diets are associated with higher muscle mass and physical performance which may reduce the risk of developing frailty and disability later in life. This study examined the dietary quality and self-reported weight loss barriers among older (&gt;60 years), overweight (BMI \u2265 25 kg\/m2) Veterans with dysmobility (low gait speed, impaired mobility diagnosis, or a comorbidity that results in impaired mobility). Habitual dietary intake and healthy eating index (HEI-2015) were assessed using 24-h recalls and compared to US nationally representative dietary intake data and national recommendations. The \u201cMOVE!11\u201d Patient Questionnaire assessed weight loss barriers. The sample (n = 28) was primarily male (93%), black (54%) and obese (BMI = 35.5 \u00b1 5.4 kg\/m2) adults aged 69.5 \u00b1 7.0 years with two or more comorbidities (82%); 82% were prescribed four or more medications. Daily intakes (mean \u00b1 SD) were calculated for total energy (2184 \u00b1 645 kcals), protein (0.89 \u00b1 0.3 g\/kg), fruits (0.84 \u00b1 0.94 cup\u00b7eq.), vegetables (1.30 \u00b1 0.87 cup\u00b7eq.), and HEI-2015 (52.8 \u00b1 13.4). Veterans consumed an average of 11% less protein than the recommendation for older adults (1.0 g\/kg\/d) and consumed fewer fruits and vegetables than comparisons to national averages (18% and 21%, respectively). Mean HEI-2015 was 17% below the national average for adults &gt;65 years, suggesting poor dietary quality among our sample. Top weight loss barriers were not getting enough physical activity, eating too much and poor food choices. This data suggests that dietary quality is suboptimal in older, overweight Veterans with disability and highlights the need to identify strategies that improve the dietary intake quality of older Veterans who may benefit from obesity and disability management.<\/jats:p>","DOI":"10.3390\/ijerph19159153","type":"journal-article","created":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T21:11:05Z","timestamp":1658956265000},"page":"9153","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Dietary Quality and Perceived Barriers to Weight Loss among Older Overweight Veterans with Dysmobility"],"prefix":"10.3390","volume":"19","author":[{"given":"Elizabeth A.","family":"Parker","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Perez","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Phipps","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice S.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"},{"name":"Division of Gerontology, Geriatrics and Palliative Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Prior","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"},{"name":"Division of Gerontology, Geriatrics and Palliative Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA"},{"name":"Department of Kinesiology, University of Maryland School of Public Health, College Park, MD 20742, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Katzel","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"},{"name":"Division of Gerontology, Geriatrics and Palliative Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2466-4675","authenticated-orcid":false,"given":"Monica C.","family":"Serra","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Gerontology & Palliative Medicine and the Sam & Ann Barshop Institute for Longevity & Aging Studies, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"San Antonio GRECC, South Texas VA Health Care System, San Antonio, TX 78229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8801-7231","authenticated-orcid":false,"given":"Odessa","family":"Addison","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USA"},{"name":"Baltimore VA Medical Center GRECC, VA Maryland Health Care System, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.amepre.2004.12.007","article-title":"Obesity prevalence among veterans at Veterans Affairs medical facilities","volume":"28","author":"Das","year":"2005","journal-title":"Am. J. Prev. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1007\/BF02743137","article-title":"The burden of obesity among a national probability sample of veterans","volume":"21","author":"Nelson","year":"2006","journal-title":"J. Gen. Intern. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ypmed.2009.01.008","article-title":"Obesity, overweight, and weight control practices in U.S. veterans","volume":"48","author":"Koepsell","year":"2009","journal-title":"Prev. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3252","DOI":"10.1001\/archinte.160.21.3252","article-title":"Are patients at Veterans Affairs medical centers sicker? A comparative analysis of health status and medical resource use","volume":"160","author":"Agha","year":"2000","journal-title":"Arch. Intern. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S1471-0153(01)00041-1","article-title":"Changes in eating behavior during the aging process","volume":"3","author":"Elsner","year":"2002","journal-title":"Eat. Behav."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.7205\/MILMED-D-11-00021","article-title":"An Examination of Sociodemographic, Health, Psychological Factors, and Fruit and Vegetable Consumption among Overweight and Obese U.S. Veterans","volume":"176","author":"Ko","year":"2011","journal-title":"Mil. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.jand.2013.09.002","article-title":"Diet Quality of Urban Older Adults Age 60 to 99 Years: The Cardiovascular Health of Seniors and Built Environment Study","volume":"114","author":"Deierlein","year":"2014","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/jhn.12415","article-title":"Adherence to the Healthy Eating Index and Alternative Healthy Eating Index dietary patterns and mortality from all causes, cardiovascular disease and cancer: A meta-analysis of observational studies","volume":"30","author":"Onvani","year":"2017","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jand.2017.08.024","article-title":"Diet Quality as Assessed by the Healthy Eating Index, Alternate Healthy Eating Index, Dietary Approaches to Stop Hypertension Score, and Health Outcomes: An Updated Systematic Review and Meta-Analysis of Cohort Studies","volume":"118","author":"Schwingshackl","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.exger.2010.11.030","article-title":"Mediterranean diet and mobility decline in older persons","volume":"46","author":"Milaneschi","year":"2011","journal-title":"Exp. Gerontol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1093\/gerona\/glx179","article-title":"Adult Lifetime Diet Quality and Physical Performance in Older Age: Findings From a British Birth Cohort","volume":"73","author":"Robinson","year":"2018","journal-title":"J. Gerontol. Ser. A"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1017\/S0029665113003923","article-title":"A life-course approach to healthy ageing: Maintaining physical capability","volume":"73","author":"Kuh","year":"2014","journal-title":"Proc. Nutr. Soc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2335","DOI":"10.1007\/s00394-018-1786-y","article-title":"Healthier diet quality and dietary patterns are associated with lower risk of mobility limitation in older men","volume":"58","author":"Parsons","year":"2018","journal-title":"Eur. J. Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3122","DOI":"10.1038\/oby.2007.372","article-title":"Lifestyle factors and incident mobility limitation in obese and non-obese older adults","volume":"15","author":"Koster","year":"2007","journal-title":"Obesity"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1146\/annurev.pu.17.050196.000325","article-title":"Disability as a public health outcome in the aging population","volume":"17","author":"Guralnik","year":"1996","journal-title":"Annu. Rev. Public Health"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Callahan, E.A. (2018). Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop in Brief, The National Academies Press.","DOI":"10.17226\/25128"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2569","DOI":"10.1017\/S1368980016002147","article-title":"Food insecurity is associated with unhealthy dietary practices among US veterans in California","volume":"20","author":"Becerra","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.eatbeh.2016.10.003","article-title":"Diet quality is associated with mental health, social support, and neighborhood factors among Veterans","volume":"23","author":"Hoerster","year":"2016","journal-title":"Eat. Behav."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1080\/00325481.2014.996112","article-title":"Polypharmacy and falls in older people: Balancing evidence-based medicine against falls risk","volume":"127","author":"Zia","year":"2015","journal-title":"Postgrad. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1017\/S1368980018002951","article-title":"Dietary assessment toolkits: An overview","volume":"22","author":"Dao","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.jand.2012.04.016","article-title":"The automated self-administered 24-hour dietary recall (ASA24): A resource for researchers, clinicians, and educators from the national cancer institute","volume":"112","author":"Subar","year":"2012","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.jand.2018.05.021","article-title":"Update of the Healthy Eating Index: HEI-2015","volume":"118","author":"Pannucci","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_23","unstructured":"Bowman, S., Lino, M., Gerrior, S., and Basiotis, P. (2002). The Healthy Eating Index 1994\u20131996, United States Department of Agriculture, Center for Nutrition Policy and Promotion. CNPP Reports 257277."},{"key":"ref_24","unstructured":"U.S. Department of Agriculture, A.R.S. (2020, May 29). Nutrient Intakes from Food and Beverages: Mean Amounts Consumed per Individual, by Gender and Age, What We Eat in America, NHANES 2015\u20132016, Food Patterns Equivalents Intakes from Food: Mean Amounts Consumed per Individual, by Gender and Age. What We Eat in America, NHANES 2015\u20132016 5\/4\/2020, Available online: www.ars.usda.gov\/nea\/bhnrc\/fsrg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"438","DOI":"10.3945\/an.116.012120","article-title":"The 2015 Dietary Guidelines Advisory Committee Scientific Report: Development and Major Conclusions","volume":"7","author":"Millen","year":"2016","journal-title":"Adv. Nutr. Int. Rev. J."},{"key":"ref_26","first-page":"e505","article-title":"Recommended Dietary Pattern to Achieve Adherence to the American Heart Association\/American College of Cardiology (AHA\/ACC) Guidelines: A Scientific Statement From the American Heart Association","volume":"134","author":"Carson","year":"2016","journal-title":"Circulation"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.clnu.2014.04.007","article-title":"Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group","volume":"33","author":"Deutz","year":"2014","journal-title":"Clin. Nutr."},{"key":"ref_28","unstructured":"(2006). Move!11 Questionnaire, US Department of Veterans Affairs, National Center for Health Promotion and Disease Prevention."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Jay, M., Mateo, K.F., Squires, A.P., Kalet, A.L., and Sherman, S.E. (2015). Military service and other socioecological factors influencing weight and health behavior change in overweight and obese Veterans: A qualitative study to inform intervention development within primary care at the United States Veterans Health Administration. BMC Obes., 3.","DOI":"10.1186\/s40608-016-0087-3"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1542\/peds.2009-3146","article-title":"Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity","volume":"126","author":"Hager","year":"2010","journal-title":"Pediatrics"},{"key":"ref_31","first-page":"e125","article-title":"The Newest Vital Sign: Frequently Asked Questions","volume":"2","author":"Weiss","year":"2018","journal-title":"Health Lit. Res. Prac."},{"key":"ref_32","unstructured":"Center for Disease Control and Prevention National Health and Nutrition Examination Survey Data, 2015\u20132016, U.S. Department of Health and Human Services. Available online: https:\/\/fns-prod.azureedge.net\/sites\/default\/files\/media\/file\/HEI-2015_1516_web.pdf."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2205","DOI":"10.1002\/oby.20566","article-title":"Obesity and the US military family","volume":"21","author":"Sbrocco","year":"2013","journal-title":"Obesity"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.jand.2013.03.002","article-title":"Eating patterns and leisure-time exercise among active duty military personnel: Comparison to the Healthy People objectives","volume":"113","author":"Smith","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_35","unstructured":"Defense, D.O. (2020, April 01). Department of Defense Instruction Number 1010.10; Health Promotion and Disease Prevention. Available online: https:\/\/www.esd.whs.mil\/Portals\/54\/Documents\/DD\/issuances\/dodi\/101010p.pdf."},{"key":"ref_36","unstructured":"Institute of Medicine (US) Subcommittee on Military Weight Management (2004). Weight Management: State of the Science and Opportunities for Military Programs, National Academies Press."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.appet.2008.10.003","article-title":"Military experience strongly influences post-service eating behavior and BMI status in American veterans","volume":"52","author":"Smith","year":"2009","journal-title":"Appetite"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1093\/ageing\/27.4.527","article-title":"Undereating and undernutrition in old age: Integrating bio-psychosocial aspects","volume":"27","author":"Clarke","year":"1998","journal-title":"Age Ageing"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/ageing\/11.2.97","article-title":"Anthropometric indices in normal elderly subjects","volume":"11","author":"Mcevoy","year":"1982","journal-title":"Age Ageing"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.mcna.2017.08.007","article-title":"Addressing Obesity in Aging Patients","volume":"102","author":"Batsis","year":"2018","journal-title":"Med. Clin. N. Am."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"318","DOI":"10.2165\/00002018-199411050-00004","article-title":"Drug-induced taste and smell disorders. Incidence, mechanisms and management related primarily to treatment of sensory receptor dysfunction","volume":"11","author":"Henkin","year":"1994","journal-title":"Drug Saf."},{"key":"ref_42","first-page":"75","article-title":"Impact of aging on eating behaviors, food choices, nutrition, and health status","volume":"5","author":"Drewnowski","year":"2001","journal-title":"J. Nutr. Health Aging"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1136\/jech-2013-202513","article-title":"Economic determinants of diet in older adults: Systematic review","volume":"67","author":"Conklin","year":"2013","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1111\/jgs.14514","article-title":"Weight Loss Interventions in Older Adults with Obesity: A Systematic Review of Randomized Controlled Trials since 2005","volume":"65","author":"Batsis","year":"2017","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/S0197-2456(03)00064-3","article-title":"Design and methods for a clinical trial of weight loss for the prevention of cardiovascular disease in type 2 diabetes","volume":"24","author":"Ryan","year":"2003","journal-title":"Control. Clin. Trials"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","author":"Knowler","year":"2002","journal-title":"N. Engl. J. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/15\/9153\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:57:18Z","timestamp":1760140638000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/15\/9153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,27]]},"references-count":46,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["ijerph19159153"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19159153","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,27]]}}}