Food accessibility and perceptions of shopping difficulty among elderly people living alone in Japan

Ishikawa, Midori; Yokoyama, Tetsuji; Nakaya, Tomoki; Fukuda, Yoshiharu; Takemi, Yukari; Kusama, Kaoru; Yoshiike, Nobuo; Nozue, Miho; Yoshiba, K.; Murayama, Nobuko

doi:10.1007/s12603-015-0694-6

Cited by 39 publications

(37 citation statements)

References 18 publications

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“…Living alone requires adequate physical function. However, it is reported that the elderly who live and eat alone have a significantly lower food diversity and food intake frequency than those who eat together their family often [35], and have lower food accessibility, related to shopping difficulty [36]. Therefore, even if the elderly living alone have independent lives, there is a concern that the quality of their food intake may deteriorate their nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Physical Activity in Prevention of Muscle Weakness in Patients With Chronic Liver Disease

et al. 2019

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BackgroundSarcopenia is a prognostic factor for patients with liver cirrhosis and hepatocellular carcinoma, and it affects the onset of hepatic encephalopathy. Therefore, the prevention of sarcopenia contributes to the improvement of the prognosis of patients with chronic liver disease (CLD). We focused on changes of hand grip strength (HGS), one of the indicators of sarcopenia. However, there are little data investigating the impact of physical activity (PA) on HGS in patients with CLD. This study aimed to clarify whether PA contributes to the prevention of muscle weakness in patients with CLD.MethodsThis was a prospective observational study. We examined the effect of PA on changes in HGS from the baseline to the endpoint in each group. Metabolic equivalents-hour/week (METs-h/w) was used to evaluate PA. In total, 183 outpatients with CLD were analyzed. We divided participants into four groups (low PA in younger patients (n = 20), high PA in younger patients (n = 33), low PA in elderly patients (n = 47), and high PA in elderly patients (n = 83)).ResultsFifty-eight percent of patients were men, and the median (interquartile range) age was 69.0 (63.0, 75.0) years. The most common etiology of liver disease was hepatitis C (38%). The frequency of living alone and low exercise habit was significantly high, and sarcopenia was more obvious in elderly patients with low PA than in those with high PA. Additionally, the elderly with low PA showed significantly reduced HGS compared to that of the elderly with high PA (-1.00 (-2.27, 0.55) kg vs. 0.10 (-1.40, 1.10) kg, P < 0.05). However, changes in HGS in younger patients were not significant (-0.02 (1.83, 1.47) kg vs. 0.25 (-2.45, 2.05) kg, P = 0.96). Logistic regression analyses identified PA as the independent factor for prevention of decrease in HGS (odds ratio: 1.91, 95% confidence interval: 1.00 - 3.62, P = 0.049).ConclusionsYoung patients with low PA were characterized by a long sedentary time; however, there was no loss of HGS. In contrast, elderly patients with CLD and low PA had significantly reduced HGS compared to that in elderly patients with CLD and high PA.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Physical Activity in Prevention of Muscle Weakness in Patients With Chronic Liver Disease

et al. 2019

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“…In many rural areas in Japan, small local stores have been forced to close because of development of large-scale stores in suburban areas [22]. This situation, often described as a "food desert" problem, could have increasingly serious consequences because of the aging and shrinking population and the closing of local supermarkets in rural areas [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Non-Market Food Provision and Sharing in Japan’s Socio-Ecological Production Landscapes

2018

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Socio-ecological production landscapes and seascapes (SEPLS) are characterized by a dynamic mosaic of different ecosystem types that maintain relatively high biodiversity and produce a bundle of ecosystem services. One unique characteristic of SEPLS is the sharing of provisioning services within and beyond communities, such as forests, agricultural and marine products. Conventional ecosystem assessments based on statistical data often ignore the benefits of these non-market provisioning services. This short communication quantifies the contribution of the sharing of food provisioning services in Japan in terms of their amount and variety, and it analyzes the relationship between such sharing practices and landscape types. Using an online web survey, we investigated the benefits of sharing goods and services provided from SEPLS. In both mountainous and flat agricultural areas, 16% of the total food amount came from non-market sources, compared to 10% in urbanized areas. Farmland and forests had significant positive correlations with most non-market food items in terms of amount. Greater amounts of built-up area in the landscape were associated with a lesser amount of non-market food provision. Food sharing culture can contribute to enhancing resilience against socio-economic changes and natural disasters. This study provides baseline information for monitoring the hidden flow of food provision and its multiple functions.

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“…Several studies have reported no relationship between dietary habits and objective accessibility such as distance. Some studies have shown that perceived access to food retailers or difficulties with shopping are related to fruit/vegetable intake frequency or dietary variety scores (DVS; Fukuda et al, 2017;Ishikawa et al, 2016;Nakamura et al, 2017;Yoshiba et al, 2015). Another study reported the opposite results -that a higher intake frequency of vegetables and fruits was noted, even in areas with low objective accessibility, whereas a low intake frequency of vegetables and fruits was noted in areas with low perceived accessibility (Yamaguchi et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The threshold of low accessibility based on the distance from the grocery stores may depend on population or geographical characteristics. In rural areas, where a car or automobile is required for shopping, >1 km is often used as the threshold (Ishikawa et al, 2016;Nakamura et al, 2017;Sharkey et al, 2010), whereas elderly people primarily walk to food stores in urban/suburban areas. Therefore, their shopping behaviour will be limited to grocery stores within a shorter distance.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, their shopping behaviour will be limited to grocery stores within a shorter distance. Second, there are various determinants to food accessibility, including not only the geographical location of grocery shops but also transportation, household income and social support (Ishikawa et al, 2016;Yamaguchi et al, 2019). Therefore, actual shopping behaviour or perceived accessibility should be evaluated concurrently with the objective environment.…”

Section: Introductionmentioning

confidence: 99%

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Distance from the nearest grocery stores and frequency of store-specific shopping are associated with dietary intake frequency among the community-dwelling independent elderly population

et al. 2020

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Background: Low accessibility to grocery stores may change dietary habits and increase health problems for elderly people living in communities. Aim: This study investigated whether the distance from the nearest grocery stores, including supermarkets, convenience stores, and drugstores, and the frequency of store-specific shopping were associated with dietary intake frequency among elderly people. Methods: A cross-sectional study was conducted in two towns of suburban cities. A total of 177 people aged ≥65 years were recruited ( M age=76.7 years). The frequency of intake of 10 food groups and dietary variety scores (DVS) were evaluated. Distances from the districts to the nearest grocery stores and the frequency of shopping during a week at each store were evaluated using a geographic information system. Results: For supermarkets, people living <300 metres from the nearest supermarket showed a higher intake frequency of fruit ( p=0.024) and oil/fat ( p=0.045), and those shopping three or more times a week showed a higher intake frequency of meat ( p=0.025). In the case of drugstores, people shopping one or more times a week showed a higher intake frequency of eggs ( p=0.006) and oil/fat ( p=0.048). People living <300 m from the nearest supermarkets ( p=0.048) and drugstores ( p=0.047) showed higher DVS than those living ≥500 m from the nearest supermarkets and drugstores. Conclusions: Our findings suggest that shopping at supermarkets and drugstores is associated with dietary intake frequency and dietary quality for elderly people living in suburban cities.

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Food accessibility and perceptions of shopping difficulty among elderly people living alone in Japan

Cited by 39 publications

References 18 publications

Efficacy of Physical Activity in Prevention of Muscle Weakness in Patients With Chronic Liver Disease

Efficacy of Physical Activity in Prevention of Muscle Weakness in Patients With Chronic Liver Disease

Non-Market Food Provision and Sharing in Japan’s Socio-Ecological Production Landscapes

Distance from the nearest grocery stores and frequency of store-specific shopping are associated with dietary intake frequency among the community-dwelling independent elderly population

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