Food insecurity and sleep quality among older adults: Findings from a population-based study in Ghana

Gyasi, Razak M.; Asamoah, Edward; Gyasi-Boadu, Nelson; Zornu, Ophelia; Asiki, Gershim; Phillips, David

doi:10.1016/j.maturitas.2021.10.011

Cited by 17 publications

(24 citation statements)

References 38 publications

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“…Of these 318 records, 302 were excluded because they did not meet our inclusion criteria, resulting in nineteen eligible studies for full-text evaluation (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(37)(38)(39)(40)(41)(42) . Of these nineteen studies, ten were excluded because they were conducted on children (40) or adolescents (43) , provided insufficient data for inclusion in our analyses (37)(38)(39)41,42,44,45) , or used variable domains to measure FI (24) . Together, nine eligible studies (n 83 764) (22,23,(25)(26)(27)(28)(29)(30)(31) were included in our study (Fig.…”

Section: Resultsmentioning

confidence: 99%

Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

Mazloomi

Kazemi

Ghoreishy

et al. 2022

Public Health Nutr.

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Objective: We evaluated associations between food insecurity (FI) and the quality and quantity of sleep in adults (≥18 years). Design: The current study represented a systematic review and meta-analysis of observational studies. Setting: Databases of PubMed, Scopus, Embase, and Web of Science were searched from inception until June 06, 2022. Meta-analyses were conducted using random-effects models, and effect sizes were reported as odds ratios (OR) and 95% confidence intervals (CI). Subjects: Data from ten eligible observational studies, including 83,764 participants, were included. Results: FI was associated with an increased risk of poor sleep quality (OR=1.45; 95% CI:1.24-1.70, I 2 =95, P<0.001, n=7). Besides, subgroup analysis showed increased risk of poor sleep quality corresponding to the severity of FI across mild (OR=1.31; 95% CI: 1.16-1.48, I 2 =0%, P<0.001, n=5), moderate (OR=1.49; 95% CI: 1.32-1.68, I 2 =0%, P<0.001, n=5), and severe (OR=1.89; 95% CI: 1.63-2.20, I 2 =0%, P<0.001, n=5) levels. Similarly, subgroup analysis by sleep problems showed that FI was associated with an increased the risk of trouble falling asleep (OR=1.39; 95% CI: 1.05-1.83, I 2 =91%, P=0.002, n=3) and trouble staying asleep (OR=1.91; 95% CI: 1.37-2.67, I 2 =89%, P<0.001, n=3). Moreover, FI was associated with the odds of shorter (OR=1.14; 95% CI:1.07-1.21, I 2 =0%, P<0.001, n=4) and longer sleep duration (OR=1.14; 95% CI:1.03-1.26, I 2 =0%, P=0.010, n=4). Conclusions: Collective evidence supports that FI is associated with poor sleep quality and quantity in adults. Preventative and management strategies that address FI may provide health benefits beyond improving nutritional status per se.

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Section: Resultsmentioning

confidence: 99%

Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

Mazloomi

Kazemi

Ghoreishy

et al. 2022

Public Health Nutr.

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“…Third, we employed self-reported sleep, social isolation, loneliness, and mental distress data rather than objectively measured outcomes. These may be subject to measurement errors and social desirability bias 20 . Fourth, our participants were limited to six districts from one region.…”

Section: Discussionmentioning

confidence: 99%

“…For example, social isolation may increase the perception of poor belonging and social connectedness, emotional grief, and fatigue which, in turn, reduce the required energy for uninterrupted sleep 18,19 . Moreover, the risk of loneliness and cognitive dysfunction sequelae which are attendant to poor social attachment may lead to intense unhealthy sleep among older people [19][20][21] .…”

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confidence: 99%

A two-mediator serial mediation chain of the association between social isolation and impaired sleep in old age

Gyasi

Abass

Segbefia

et al. 2022

Sci Rep

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Poor sleep is a long-term public health issue that has become increasingly prevalent among socially isolated older adults. However, research on the mechanisms explaining the link between social isolation and impaired sleep (IS) remains limited, particularly in low- and middle-income countries. This study explored the serial mediating effects of loneliness and mental distress on the association of social isolation with IS among Ghanaian older adults. We analyzed data from 1201 adults aged ≥ 50 from Ghana's AgeHeaPsyWel–HeaSeeB study (mean age = 66.14, SD = 11.85, age range = 50–111; women = 63.28%). Measures included the UCLA 3-item Loneliness Scale, modified Berkman–Syme Social Network Index, Sleep Quality Scale, and Mental Distress Questionnaire. We used bootstrapping techniques from Hayes’ PROCESS macro program to estimate the hypothesized serial mediation. Social isolation was significantly associated with IS (β = 0.242, p < 0.001). Crucially, social isolation indirectly predicted IS via three significant mediating pathways. Loneliness accounted for 17.6% (β = 0.054, CI = 0.096, 0.016), mental distress accounted for 6.5% (β = 0.020, 95% CI = 0.004, 0.040), and loneliness and mental distress accounted for 32.2% (β = 0.099, 95% CI = 0.065, 0.138) of the overall effect. The total mediating effect was 56.4%. These findings suggest that the social isolation-sleep link is respectively and serially explained by loneliness and mental distress. Social integrative interventions for sleep quality in old age should target mental and emotional well-being.

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“…In the past decade, several studies have focussed on the association between food insecurity and sleep (Bermúdez‐Millán et al, 2016; Ding et al, 2015; Do et al, 2021; Gyasi et al, 2022; Isaura et al, 2020; Jordan et al, 2016; Liu et al, 2014; Nagata et al, 2019; Troxel et al, 2020; Wang, 2021). A cross‐sectional analysis of 223,561 adolescents from 68 countries found a significant association between severe food insecurity and sleep disturbance in 48 of the participating countries, and the odds ratio (OR) ranged from 1.84 (95% CI = 1.36–2.32) to 2.03 (95% CI = 1.64–2.42) in LMICs (Wang, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Although this previous body of research has advanced the field, most of the studies were conducted in the United States (Bermúdez‐Millán et al, 2016; Ding et al, 2015; Do et al, 2021; Liu et al, 2014; Nagata et al, 2019; Troxel et al, 2020), and their results may not be generalisable to other countries, particularly LMICs. In addition, most of the research from LMICs focussed on specific populations (e.g., adolescents [Wang, 2021], working‐age adults [Isaura et al, 2020], and older adults [Gyasi et al, 2022]), while data were collected from a single country in all studies except one (Wang, 2021). Besides this, little is known about the potential mediating role of mental health factors, such as perceived stress, anxiety, and depression, in the relationship between food insecurity and sleep problems.…”

Section: Introductionmentioning

confidence: 99%

Food insecurity and insomnia‐related symptoms among adults from low‐ and middle‐income countries

Jacob

Smith

Kostev

et al. 2023

Journal of Sleep Research

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Summary Little is known about the relationship between food insecurity and sleep problems in low‐ and middle‐income countries, while the mediators of this association are largely unknown. Therefore, we investigated the association between food insecurity and insomnia‐related symptoms in six low‐ and middle‐income countries (i.e., China, Ghana, India, Mexico, Russia, South Africa), and the potential mediators of this relationship. Cross‐sectional, nationally representative data from the Study on Global AGEing and Adult Health (2007–2010) were analysed. Past 12‐month food insecurity was assessed with two questions on the frequency of eating less, and on hunger owing to a lack of food. Insomnia‐related symptoms referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression and mediation analysis were conducted. Data on 42,489 adults aged ≥18 years were analysed (mean [standard deviation] age 43.8 [14.4] years; 50.1% females). The prevalence of any food insecurity and insomnia‐related symptoms was 11.9% and 4.4%, respectively. After adjustment, compared with no food insecurity, moderate (odds ratio = 1.53, 95% confidence interval = 1.11–2.10) and severe food insecurity (odds ratio = 2.35, 95% confidence interval = 1.56–3.55) were significantly associated with insomnia‐related symptoms. Anxiety, perceived stress, and depression mediated 27.7%, 13.5%, and 12.5% of the relationship between any food insecurity and insomnia‐related symptoms, respectively (total percentage = 43.3%). Food insecurity was positively associated with insomnia‐related symptoms in adults from six low‐ and middle‐income countries. Anxiety, perceived stress, and depression explained a substantial proportion of this relationship. Addressing food insecurity itself or the identified potential mediators among people with food insecurity may lead to a reduction in sleep problems among adults in low‐ and middle‐income countries, pending confirmation with longitudinal studies.

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Food insecurity and sleep quality among older adults: Findings from a population-based study in Ghana

Cited by 17 publications

References 38 publications

Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

A two-mediator serial mediation chain of the association between social isolation and impaired sleep in old age

Food insecurity and insomnia‐related symptoms among adults from low‐ and middle‐income countries

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