Food insecurity and geriatric functional limitations: Observational analysis from the AgeHeaPsyWel–HeaSeeB Survey

Gyasi, Razak M.; Abass, Kabila; Frempong, Foster; Obodai, Jacob; Asamoah, Edward; Obeng, Bernard; Awuviry-Newton, Kofi

doi:10.1016/j.exger.2022.111707

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Additionally, among older populations, prior studies have indicated a connection between food insecurity and functional limitations [ 38 – 40 ]. This association suggests that older adults who are food insecure may experience problems with limited food affordability, lack of food availability, and inaccessibility to the acquisition of food in addition to alterations in food use [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

Flores,

Sarpong,

Dou

et al. 2024

Nutr J

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Background Studies investigating the relationship between food insecurity and sleep among older populations are limited. This study aimed to cross-sectionally examine the associations between food sufficiency status and sleep outcomes in a nationally representative sample of older adults. Methods Our study included 1,665 older adults (≥ 65 years), using data from the 2013 and 2014 National Health and Aging Trends Study (NHATS). Food insufficiency was determined via participants’ experience and utilization of food assistance programs (FAP). Sleep outcomes, including nighttime and total sleep hours, sleep latency, and sleep quality, were derived from self-reported data. Multivariable linear regression and logistic regression models were used to estimate the associations between food sufficiency status and sleep outcomes. Results In 2013–2014, 86.1% of older adults were classified as food sufficient without FAP, 9.85% as food sufficient with FAP, and 4.08% as food insufficient. Adjusting for sociodemographic characteristics, food sufficient older adults with FAP reported more total sleep hours (𝛽 = 0.31, 95% CI: -0.02, 0.64) than those participants who are food sufficient without FAP. Further adjusting for health factors, food sufficient participants with FAP had more nighttime sleep hours and greater total sleep hours compared to those participants food sufficient without FAP. Compared to those deemed as food sufficient without FAP, food sufficient participants with FAP had lower odds of having longer sleep latency (OR = 0.50, 95% CI: 0.28, 0.89), after further adjusting for physical function performance. Conclusions Among older adults, food sufficiency with FAP is associated with greater total sleep hours, greater nighttime sleep hours, and lower odds of longer sleep latency. Our findings may help inform nutrition food assistance programs targeting older populations.

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Section: Discussionmentioning

confidence: 99%

Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

Flores,

Sarpong,

Dou

et al. 2024

Nutr J

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“…ACEs encompass events such as parental divorce, witnessing intimate partner violence, parental mental illness, economic hardship, parental or guardian imprisonment, maltreatment, abuse, neglect, and household dysfunction, which are often categorized into physical, sexual, and emotional violence (Brown et al, 2023;Hughes et al, 2017;Negriff, 2021;Chipalo & Jeong, 2024). Other studies have further shown that food insecurity is linked with increased risks of experiencing violence, neglect, substantiated child maltreatment, selfreported abuse and neglect, and parent-to-child aggression, all of which are characterized as ACEs (Helton et al, 2019;Mersky & Janczewski, 2018;Kim et al, 2023;Gyasi et al, 2022). A recent study estimated that 63.9% of U.S. adults have experienced at least one ACE, with 17.3% having four or more ACEs.…”

Section: Adverse Childhood Experiences and Food Insecuritymentioning

confidence: 99%

Parent-Reported Adverse Childhood Experiences (ACEs) and Food Insecurity Among Children in Non-English-Speaking Households in the United States

Chipalo,

Nkwanzi,

Odii

et al. 2024

Preprint

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Adverse childhood experiences (ACEs) are potentially traumatic events associated with the risk of food insecurities in the United States. However, there are limited studies investigating this association, particularly for children aged 0–17 in non-English-speaking households. Therefore, this study examines the association between individual and cumulative ACEs and food insecurity for children in non-English-speaking households in the U.S. Using data extracted from the 2022 National Survey of Children's Health (NSCH), an analytic sample of 4677 children aged 0–17 was obtained. The dependent variable was binary food insecurity (food secure vs. food insecure). Independent variables included 11 individual ACEs (i.e., economic hardship, parent/guardian divorce, etc) and cumulative ACEs (0 ACE, 1 ACE, 2 ACEs, and 3 ≥ ACEs). Data were analyzed using six sets of multivariate logistic regression models with household food insecurity as an outcome variable across ACEs while controlling for individual, family, and community-level characteristics. Of the 4677 children, 22.4% experienced at least one or more ACEs, and 4.5% experienced food insecurity. After controlling for other factors, individual ACEs, including family economic hardships (aOR = 13.2), parents/guardians divorced (aOR = 2.65), and parents/guardians died (aOR = 3.59) were associated with higher odds of food insecurity among children. After covariates adjustment, children with at least one ACEs (aOR = 1.98), two ACEs (aOR = 3.51), and three or more ACEs (aOR = 2.25) were associated with higher odds of food insecurity compared with children with no ACEs. Therefore, preventing ACEs is crucial to mitigate their negative impact on food insecurity for children and their families. Interventions should focus on preventing ACEs and increasing financial resources needed for economic support, which can be strengthened through public assistance programs such as Supplemental Nutrition Assistance Programs (SNAPs) and Women and Infant programs (WIC) or supplemented by existing social support systems so low-income non-English-speaking families can afford food.

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“…For example, participating in health behaviour promoting activities such as physical activity and healthy diet habits may delay the development of functional disability [ 19 , 20 ]. In Ghana, studies on associations between functional disability and other variables such as food insecurity [ 21 , 22 ], and social isolation, neighbourhood walkability and loneliness [ 23 , 24 ], physical activity [ 25 ], and long-term care [ 26 ] exist with limited understanding of how perceived neighborhood social cohesion and its measures associate with functional disability.…”

Section: Introductionmentioning

confidence: 99%

Perceived neighborhood social cohesion and functional disability among older adults: The moderating roles of sex, physical activity, and multi-morbidity

Awuviry-Newton,

Amoah,

Doh

et al. 2024

PLoS ONE

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Though the Ghanaian social structure is largely communal in several of its social life and social spaces, the extent to which cohesive neighbourhood affects functional ability of older persons and the moderating factors of the relationship, are unknown in Ghana. This study examines the moderating roles of sex, multimorbidity, and physical activity on the association between neighbourhood social cohesion and functional disability among older people in Ghana. A cross-sectional study of 4,446 people—50 years and older—from WHO’s Study on global AGEing and adult health Ghana Wave 2 was employed. Functional disability—WHO Disability Assessment Schedule 2.0—and neighbourhood social cohesion measured with community-level participation, perceived trust and safety were studied. Generalised Logistic regressions with interactional tests were used to examine the associations. A more socially cohesive neighbourhood was significantly associated with a lower functional disability among older people (OR = 0.94, 95%CI: 0.93, 0.94; P<0.001). A similar relationship was found for community-level participation (aOR = 0.94, 95%CI: 0.94, 0.95; P<0.001) and perceived trust (aOR = 1.00, 95%CI: 0.99, 1.00; P<0.001). Community-level participation is associated with a lower functional disability among older people who were physically active (aOR = 0.98, 95%CI: 0.96, 0.99; P<0.001). Among the three individual-level measures of neighbourhood social cohesion, only physical activity (OR = 0.98, 95%CI: 0.98, 0.99; P<0.01) moderated the association between community-level participation and functional disability. Community-level participation, along with physical activity, may be relevant in improving functional ability among older people. The results highlight the usefulness of policy to ensure a more socially cohesive neighbourhood for older people in Ghana to improve their quality of life.

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Food insecurity and geriatric functional limitations: Observational analysis from the AgeHeaPsyWel–HeaSeeB Survey

Cited by 7 publications

References 31 publications

Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

Parent-Reported Adverse Childhood Experiences (ACEs) and Food Insecurity Among Children in Non-English-Speaking Households in the United States

Perceived neighborhood social cohesion and functional disability among older adults: The moderating roles of sex, physical activity, and multi-morbidity

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