Barriers to eating are associated with poor physical function in older women

Neuhouser, Marian L.; Hunt, Rebecca P.; Horn, Linda Van; Shikany, James M.; Stefanick, Marcia L.; Johnson, Karen C.; Brunner, Robert L.; Cannell, Brad; Hatsu, Irene; Tinker, Lesley F.

doi:10.1016/j.ypmed.2020.106234

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…Simultaneously, clinicians should receive training to hold sensitive discussions on food insecurity and other barriers to nutritious food with their aging patients. 11 Furthermore, partnerships between health care systems and community organizations to provide medically tailored meals can serve as a promising model to integrate nutrition assistance, social support, and health care services for home-bound older adults. 12…”

Section: Discussionmentioning

confidence: 99%

Trends in Recurring and Chronic Food Insecurity Among US Families With Older Adults

Leung,

Insolera,

Wolfson

2024

JAMA Health Forum

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ImportanceFood insecurity is a critical social determinant of health for older adults. Understanding national food insecurity trends among families with older adults has important policy implications.ObjectiveTo compare food insecurity trends among US families with an older adult from 1999 to 2003 and 2015 to 2019 and further stratify the analysis by race and ethnicity, socioeconomic status markers, and enrollment in the federal Supplemental Nutrition Assistance Program (SNAP).Design, Setting, and ParticipantsIn this cohort study using biennial data from the nationally representative Panel Study of Income Dynamics, balanced panels of families with at least 1 older adult (≥60 years) who participated from 1999 to 2003 (n = 1311) and 2015 to 2019 (n = 2268) were created. Analysis was completed in 2023.Main outcomeFood insecurity was assessed using the US Household Food Security Survey Module. Within each 5-year period, we defined recurring food insecurity as 2 or more episodes of food insecurity and chronic food insecurity as 3 episodes of food insecurity.ResultsOverall, food insecurity among US families with older adults increased from 12.5% in 1999 to 2003 to 23.1% in 2015 to 2019. Rates of recurring food insecurity more than doubled (5.6% to 12.6%), whereas rates of chronic food insecurity more than tripled (2.0% to 6.3%). Across both time periods, higher rates of food insecurity persisted among Black and Hispanic families, with lower socioeconomic status, and participating in SNAP.Conclusions and RelevanceThese results highlight how rates of recurring and chronic food insecurity among families with older adults rose substantially over the past 20 years. Monitoring national trends in food insecurity among older adults has direct programmatic and policy implications.

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Section: Discussionmentioning

confidence: 99%

Trends in Recurring and Chronic Food Insecurity Among US Families With Older Adults

Leung,

Insolera,

Wolfson

2024

JAMA Health Forum

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Potential role of statins in treatment of acute sarcopenia

et al. 2023

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Prevalence and determinants of physical frailty among people living in residential aged care facilities: a large-scale retrospective audit

et al. 2022

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Background Physical frailty is associated with increased risk of falls, hospitalisation and mortality. There is a dearth of information on physical frailty of older adults living in residential aged care. This study aimed to describe physical frailty in aged care residents and investigate possible determinants of frailty. Method A retrospective audit of resident records was undertaken across 14 residential aged care facilities. Data were extracted on all consenting residents who had completed measures relating to frailty (Short Physical Performance Battery SPPB; grip strength). All data of the first record of measures were extracted, resident characteristics, and the time from admission to assessment. Summary statistics were completed. Differences between sub-groups were explored (Mann-Whitney U, Kruskall-Wallis Ranked tests). Associations between variables were explored with Chi-squared and Pearson correlations. Determinants of physical frailty were determined with linear regression analyses. Alpha (2-sided) was 0.05. Results Data were extracted for 1241 residents (67% female), with a mean age of 86.0 (7.6) years. Males had a significantly lower time from admission to assessment of frailty (p ≤ 0.001). The average SPPB score was 4.1 (3.3), 75% of residents were frail and 19% pre-frail. Bivariate analyses indicated no significant relationships between grip strength and SPPB score, but significant differences for grip strength, where males were significantly stronger (males 20.2 ± 8.3 kg; females 12.4 ± 5.4 kg; p ≤ 0.001). There was a significant positive relationship between SPPB total score and grip strength, gender (p ≤ 0.001), and marital status (p = 0.049) and a negative relationship between time from admission to assessment and SPPB total score (p ≤ 0.001). There were significant negative relationships between gender (p ≤ 0.001) and age (p ≤ 0.001), and time from admission to assessment (p ≤ 0.001) with grip strength. Conclusion Older adults living in residential aged care have a high level of physical frailty which may lead to increased risk of adverse outcomes. Time in the residential aged care setting and age appear to predict physical frailty. There is a need for a consistent battery of measures to continually monitor frailty and programs to address the high levels of frailty in residential aged care.

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Barriers to eating are associated with poor physical function in older women

Cited by 3 publications

References 35 publications

Trends in Recurring and Chronic Food Insecurity Among US Families With Older Adults

Trends in Recurring and Chronic Food Insecurity Among US Families With Older Adults

Potential role of statins in treatment of acute sarcopenia

Prevalence and determinants of physical frailty among people living in residential aged care facilities: a large-scale retrospective audit

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