Food Insecurity and Perceived Diet Quality Among Low-Income Older Americans with Functional Limitations

Chang, Yunhee; Hickman, Haley

doi:10.1016/j.jneb.2017.09.006

Cited by 28 publications

(35 citation statements)

References 23 publications

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“…Similar to our findings, Lee and Frongillo Jr (2001b) found that older adults with functional impairments (i.e., ADL and IADL), had higher odds of food insecurity. Chang and Hickman (Chang and Hickman, 2018) also found higher odds of food insecurity among older adults with functional limitations; specifically those with low-income. Gundersen and Ziliak (Gundersen and Ziliak, 2017) found that food insecure seniors were more likely to suffer from at least one ADL limitation.…”

Section: Discussionmentioning

confidence: 94%

“…Xu et al (2012) found an inverse association between overall diet quality and self-reported limitations in physical functioning among older adults, suggesting that a healthier diet is important for physical functioning in older adults. Furthermore, Chang and Hickman (Chang and Hickman, 2018) found higher odds of poor diet quality among low-income older adults with physical limitations. Together, these findings and those from this study suggest that it is important to screen for adequate food intake, and physical functioning limitations, in the aging population.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies examining the relationship between physical functioning and food security among older adults were limited in that they concentrated on only two specific domains of physical functioning (i.e., Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL)), with one recent study including limitations related to obtaining and preparing food (Gundersen and Ziliak, 2017; Lee and Frongillo Jr, 2001b; Goldberg and Mawn, 2015; Chang and Hickman, 2018). Notably, all of these studies defined food security as a dichotomous variable, with marginal food security included in the food secure category.…”

Section: Introductionmentioning

confidence: 99%

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Food insecurity and physical functioning limitations among older U.S. adults

Jackson

Branscum

Tang

et al. 2019

Preventive Medicine Reports

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Food insecurity among U.S. older adults has more than doubled since 2001 and is higher in those who are frail. Given the growing aging population and the importance of physical functioning and adequate food intake, the increase in food insecurity is a public health concern. This study examined the association between domains of physical limitations and food security in U.S. older adults. Data were from the National Health and Nutrition Examination Survey (2007–2012) participants 60 years of age and older (n = 5969). Physical limitations were defined as some or much difficulty on 19 activities, categorized into 5 domains and an index score. Food security status was categorized as full, marginal, low, or very low, and also dichotomized into food secure and food insecure (marginal, low, or very low food security). Multinomial and logistic regression models were used to estimate odds ratios (OR) and adjusted ORs (aOR) with food security as the dependent variable and physical limitations as independent variables. Older adults with 4 or more physical limitations were more likely to report very low food security than older adults without limitations (aOR:2.62, 95% CI:1.43, 4.81). The strongest correlates of food insecurity were Instrumental Activities of Daily Living (aOR:1.49; 95% CI:1.10, 2.01), Leisure and Social Activities (aOR:1.56; 95% CI:1.37, 2.14), and General Physical Activities (aOR:1.50; 95% CI:1.08, 2.07). Physical functioning is important for food security among older adults. Interventions should incorporate assessment of physical functioning, and provide resources for food acquisition, preparation, and intake for older adults with physical limitations.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Food insecurity and physical functioning limitations among older U.S. adults

Jackson

Branscum

Tang

et al. 2019

Preventive Medicine Reports

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“…Individuals living with food insecurity are at increased risk of poor quality diet and inadequate nutrient intake, which contribute to muscle mass loss, mobility problems, and frailty at earlier ages than those living with adequate access to nutritious food [8][9][10][11][12][13][14][15]. Older adults in the US often have lower rates of food insecurity than do working age (e.g., 25-61 years of age) and young adults, possibly because of social safety nets in the US such as social security [13,[16][17][18][19][20][21][22][23][24]. It is unclear, however, how food insecurity rates in the middle portion of adulthood compare to earlier and later ages.…”

Section: Introductionmentioning

confidence: 99%

Midlife vulnerability and food insecurity: Findings from low-income adults in the US National Health Interview Survey

et al. 2020

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Background Food insecurity, limited access to adequate food, in adulthood is associated with poor health outcomes that suggest a pattern of accelerated aging. However, little is known about factors that impact food insecurity in midlife which in turn could help to identify potential pathways of accelerated aging. Methods Low-income adults (n = 17,866; 2014 National Health Interview Survey), ages 18 to 84, completed a 10-item food security module and answered questions regarding health challenges (chronic conditions and functional limitations) and financial worry. We used multinomial logistic regression for complex samples to assess the association of health challenges and financial worry with food insecurity status and determine whether these associations differed by age group, while adjusting for poverty, sex, race/ethnicity, education, family structure, social security, and food assistance. Results Food insecurity rates were highest in late-(37.5%) and early-(36.0%) midlife, relative to younger (33.7%) and older (20.2%) age groups and, furthermore, age moderated the relationship between food insecurity and both risk factors (interaction p-values < .05, for both). The effects of poor health were stronger in midlife relative to younger and older ages. Unlike younger and older adults, however, adults in midlife showed high levels of food insecurity regardless of financial worry. Conclusions Findings suggest that food insecurity in midlife may be more severe than previously thought. Greater efforts are needed to identify those at greatest risk and intervene early to slow premature aging.

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“…3,4 Members of these age groups keenly feel the impact of food insecurity; they are especially vulnerable to the detrimental physical and cognitive effects of poor diets. 5,6 These negative consequences reflect barriers residents face to accessing sufficient nutritious food in their neighborhoods. For example, food stores in communities characterized by food insecurity mainly sell alcohol and tobacco with limited fresh produce.…”

Section: Introductionmentioning

confidence: 99%

Developing Intergenerational Interventions To Address Food Insecurity among Pre-School Children: A Community-based Participatory Approach

Jarrott

Cao

Dabelko‐Schoeny

et al. 2019

Journal of Hunger & Environmental Nutrition

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Children and older adults are especially vulnerable to the negative effects of food insecurity. Intergenerational strategies often engage youth and elders in shared programming that supports each group's needs. With community partners, we established a community-based participatory action research (CBPAR) partnership to improve knowledge, access, and consumption related to healthy food at four child care centers in two states using intergenerational practices. The current paper represents work of a dedicated planning year (Year 1) to develop implementation and research plans for subsequent years of the 5-year grant. Work was guided by Israel and colleagues' CBPAR principles. KEYWORDSFood security; healthy food access; community food access; intergenerational program; early childhood; older adult; communitybased participatory action research CONTACT Shannon E. Jarrott

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Food Insecurity and Perceived Diet Quality Among Low-Income Older Americans with Functional Limitations

Cited by 28 publications

References 23 publications

Food insecurity and physical functioning limitations among older U.S. adults

Food insecurity and physical functioning limitations among older U.S. adults

Midlife vulnerability and food insecurity: Findings from low-income adults in the US National Health Interview Survey

Developing Intergenerational Interventions To Address Food Insecurity among Pre-School Children: A Community-based Participatory Approach

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