%0 Journal Article %T Understanding why adult participants at the World Senior Games choose a healthy diet %A Ray M Merrill %A Eric C Shields %J Nutrition Journal %D 2003 %I BioMed Central %R 10.1186/1475-2891-2-16 %X Analyses are based on a cross-sectional convenience sample of 670 seniors aged 50 years and older at the 2002 World Senior Games in St. George, Utah. Data are assessed using frequencies, bivariate analysis, analysis of variance, and multiple logistic regression analysis.Fruit and vegetable consumption was significantly higher in individuals aged 70¨C79, in women, in those not overweight or obese, and in those with excellent overall health. Dietary fiber consumption was significantly higher in former or never smokers, current and previous alcohol drinkers, in those not overweight or obese, and in those with excellent health. The strongest motivating factors identified for adopting a healthy diet were to improve the quality of life, to increase longevity, and to prevent disease. Of intermediate importance were the need to feel a sense of control and to satisfy likes or dislikes. Least important were the desire to experience a higher level of spirituality, social reasons, and peer acceptance.Seniors who have adopted a healthy diet are more likely to have chosen that behavior because of perceived health benefits than for personal and social benefits. Overweight or obese individuals and those in poor health were less likely to be engaged in healthy eating behavior and require special attention by dieticians and public health professionals.Six of the ten leading causes of death in the United States (coronary heart disease, stroke, cancer, diabetes, atherosclerosis, and liver disease) are associated with poor food choices and overeating [1]. The U.S. Department of Agriculture Dietary Guidelines for Americans recommends consuming a varied diet that is low in fat, saturated fat, and cholesterol, as well as moderate in sodium, sugar, and alcohol for those who drink [2]. Although the benefits of making proper food choices are clear, the determinants of sustained healthy eating often remain unclear. Food choices are influenced by a complex combination of factors, including socia %U http://www.nutritionj.com/content/2/1/16