Food Insecurity and Health-Related Quality of Life: A Cross-Sectional Analysis of Older Adults in Florida, U.S.

Kihlström, Laura; Burris, Mecca; Dobbins, Jessica; McGrath, Emily L.; Renda, Andrew; Cordier, Tristan; Song, Yongjia; Prendergast, K.; Arce, Karen Serrano; Shannon, E.; Himmelgreen, David

doi:10.1080/03670244.2018.1559160

Cited by 28 publications

(22 citation statements)

References 54 publications

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“…The findings of this study are consistent with and extend those of prior studies that typically found food insecurity is associated with lower HRQoL. [42][43][44][45][46] However, these studies were not nationally representative, focused on specific subsets of the population, and/or used only a single HRQoL instrument-often the "Healthy Days" tool. 47 This study adds nationally representative data with a variety of validated, and commonly used, HRQoL instruments.…”

Section: Discussionsupporting

confidence: 84%

Association between Food Insecurity and Health-Related Quality of Life: a Nationally Representative Survey

2021

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BACKGROUND: Food insecurity, limited or uncertain access to enough food for an active, healthy life, affected over 37 million Americans in 2018. Food insecurity is likely to be associated with worse health-related quality of life (HRQoL), but this association has not been measured with validated instruments in nationally representative samples. Given growing interest understanding food insecurity's role in health outcomes, it would be useful to learn what HRQoL measures best capture the experience of those with food insecurity. OBJECTIVE: To determine the association between food insecurity and several validated HRQoL instruments in US adults. DESIGN: Cross-sectional. PARTICIPANTS: US adults (age ≥ 18), weighted to be nationally representative. MAIN MEASURES: Food insecurity was assessed with three items derived from the USDA Household Food Security Survey Module. HRQoL was assessed using PROMIS-Preference (PROPr), which contains 7 PROMIS domains, self-rated health (SRH), Euroqol-5D-5L (EQ-5D), Health Utilities Index (HUI), and Short Form-6D (SF-6D). KEY RESULTS: In December 2017, 4142 individuals completed at least part of the survey (31% response rate), of whom 4060 (98.0%) reported food security information. Of survey respondents, 51.7% were women, 12.5% selfidentified as black, 15.8% were Hispanic, and 11.0% did not have a high school diploma. 14.1% of respondents reported food insecurity. In adjusted analyses, food insecurity was associated with worse HRQoL across all instruments and PROMIS domains (p < .0001 for all). The magnitude of the difference between food-insecure and foodsecure participants was largest with the SF-6D, EQ-5D, and PROPr; among individual PROMIS domain scores, the largest difference was for ability to participate in social roles.CONCLUSIONS: Food insecurity is strongly associated with worse HRQoL, with differences between food-secure and food-insecure individuals best measured using the SF-6D, EQ-5D, and PROPr. Future work should develop a specific instrument to measure changes in HRQoL in food insecurity interventions.

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Section: Discussionsupporting

confidence: 84%

Association between Food Insecurity and Health-Related Quality of Life: a Nationally Representative Survey

2021

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“…While food insecurity has been shown to negatively impact individuals during a variety of different developmental periods, [see 6,17], it is especially important to consider the impact of exposure to food insecurity on elderly individuals as it has been linked to depression, anxiety, and limited ability to perform daily living activities [18], as well as poorer physical health [19]. The impact of food insecurity on elderly individuals is especially evident when examining the corresponding cognitive deficits, especially in regard to memory [20].…”

Section: Food Insecurity In Vulnerable Populationsmentioning

confidence: 99%

Food insecurity in older female mice affects food consumption, coping behaviors, and memory

et al. 2021

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Food insecurity correlates with poor physical and mental health in older individuals, but has not been studied in a laboratory animal model. This explorative study developed a laboratory mouse model for analyzing the impact of food insecurity on food consumption, stress coping mechanisms, exploratory behavior, and memory. 18-month-old CD-1 female mice were assigned to either the food insecurity exposure condition (31 mice, 8 cages) or the control condition (34 mice, 8 cages) by cage. Over four weeks, the mice that were exposed to food insecurity received varied, unpredictable portions of their baseline food consumption (50%, 75%, 125%, 150% of baseline) for four days, followed by ad libitum access for three days, to approximate the inconsistent access to food observed in households experiencing food insecurity. Behavioral tasks were conducted before and after food insecurity exposure. Mice in the food insecurity exposure condition ate less compared to control mice during food insecurity (two-way ANOVA: group x time interaction: F7,93 = 10.95, P < 0.01) but ate more when given access to high fat food (two-way ANOVA, group x time interaction: F1,14 = 11.14, P < 0.01). Mice exposed to food insecurity increased active escaping behaviors in the forced swim test (repeated measures two-way ANOVA, group x time interaction: F1,63 = 5.40, P = 0.023). Exploratory behaviors were unaffected by food insecurity. Mice exposed to food insecurity showed a reduction in memory (repeated measures two-way ANOVA, group x time interaction: F1,61 = 4.81, P = 0.037). These results suggest that exposure to food insecurity is associated with differences in food consumption patterns, active coping mechanisms, and memory. The behavioral changes associated with food insecurity may inform research on food insecurity’s impact on health in elderly humans.

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“…In this framework, the present paper aims to contribute, in a new and evocative way, to current debates concerning the link among food, wellbeing and quality of life (Morozova et al, 2016;Kihlström et al, 2019) that refer 'to the positive, subjective state that is opposite to illness' (Meiselman, 2016). The several dimensions of this link are related to physical, social, well-being, and quality of life aspects and can be crucial in studying how culture, development and geographical approach affect food consumption in particular of wine.…”

Section: Investigating the Evocative Link Among Wine Consumption Hummentioning

confidence: 99%

Investigating the evocative link among wine consumption, Human Development Index and geographical region

2020

Stud. Agr. Econ.

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Food Insecurity and Health-Related Quality of Life: A Cross-Sectional Analysis of Older Adults in Florida, U.S.

Cited by 28 publications

References 54 publications

Association between Food Insecurity and Health-Related Quality of Life: a Nationally Representative Survey

Association between Food Insecurity and Health-Related Quality of Life: a Nationally Representative Survey

Food insecurity in older female mice affects food consumption, coping behaviors, and memory

Investigating the evocative link among wine consumption, Human Development Index and geographical region

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