Food insecurity, comorbidity, and mobility limitations among older U.S. adults: Findings from the Health and Retirement Study and Health Care and Nutrition Study

Bishop, Nicholas; Wang, Kaipeng

doi:10.1016/j.ypmed.2018.07.001

Cited by 56 publications

(45 citation statements)

References 36 publications

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“…Food insecurity, defined as the inability to afford and access nutritious foods to eat, disproportionately affects those living in poverty and leads to poor health, higher healthcare costs, and increased risk of mortality [1][2][3][4][5][6][7]. 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].…”

Section: Introductionmentioning

confidence: 99%

“…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%

“…In the present study, we explored the possibility that health challenges and financial worry, independently moderate the relationship between age and food insecurity such that the relationships are most pronounced in midlife. The hypothesized relationships between health challenges, financial worry, and food insecurity are depicted in Fig 1 [ 6 , 13 , 35 , 36 , 43 , 44 ].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…In a large group of elderly households, there is a risk of food insecurity [ 5 , 6 , 7 , 8 , 9 ]. Its consequence is many harmful health effects [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Areas with poor access to food (low density or long distance), making it difficult to buy healthy and inexpensive food, are called “food deserts” [ 33 ]. Moreover, there is a growing interest in the purchasing behaviour of older people, mainly due to its health consequences and the deterioration in the quality of life of these people [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Elderly Perception of Distance to the Grocery Store as a Reason for Feeling Food Insecurity—Can Food Policy Limit This?

Gajda

Jeżewska-Zychowicz

2020

Nutrients

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The sense of food insecurity in a group of elderly people may be determined by the perception of distance to food outlets. The aim of the study was to assess the relationship between the perception of food insecurity by the elderly and their perception of the distance between the places of residence and food purchase. A cross-sectional quantitative survey was carried out in 2019–2020 amongst 762 Polish elderly living in Świętokrzyskie and Śląskie Voivodeship. The assessment of the relationships between the perceived food insecurity due to living too far away from the grocery shops and socio-demographic features was performed using multiple correspondence analysis (MCA), chi-square tests, and Phi and Cramér’s V coefficients. Too great a distance to the place of food purchase was the cause of a lack of a sense of food security in 20.5% of the study sample, especially in men, people aged 75 and more, people living in a rural environment and people living alone. People reporting a lack of food due to the distance to the place of purchase showed socio-demographic characteristics similar to those of people declaring a lack of a sense of food security. Reduced food consumption due to the distance from the place of sale, including of fish (24.8%), some fruits (18.9%) and vegetables (15.4%) and beef (17.3%), may contribute to the deterioration of the diet and, as a result, health conditions. Including access to places of the sale of food in food policy as a factor contributing to ensuring the food security of older people can help to maintain a better quality of life and avoid exclusion. Especially in a situation of limited independence, food insecurity in elders due to causes other than financial limitations should be a focus of food policy.

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Association of the Mediterranean Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) Diet With the Risk of Dementia

et al. 2023

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ImportanceDementia threatens the well-being of older adults, making efforts toward prevention of great importance.ObjectiveTo evaluate the association of the Mediterranean–Dietary Approaches to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay (MIND) diet with the risk of dementia in 3 prospective studies and a meta-analysis.Design, Setting, and ParticipantsCohort analyses included the Whitehall II study (WII), the Health and Retirement Study (HRS), and the Framingham Heart Study Offspring cohort (FOS), and the meta-analysis included 11 cohort studies. Participants were middle-aged and older women and men from WII in 2002 to 2004, HRS in 2013, and FOS in 1998 to 2001 without dementia at the study baseline. Data were analyzed from May 25 to September 1, 2022.ExposuresMIND diet score was measured using food frequency questionnaires, and scores ranged from 0 to 15, with a higher score indicating higher adherence to the MIND diet.Main Outcome and MeasuresIncident all-cause dementia, with cohort-specific definitions.ResultsIncluded in this study were 8358 participants (mean [SD] age, 62.2 [6.0] years; 5777 male [69.1%]) from WII, 6758 participants (mean [SD] age, 66.5 [10.4] years; 3965 female [58.7%]) from HRS, and 3020 participants (mean [SD] age, 64.2 [9.1] years; 1648 female [54.6%]) from FOS. The mean (SD) baseline MIND diet score was 8.3 (1.4) in WII, 7.1 (1.9) in HRS, and 8.1 (1.6) in FOS. Over 166 516 person-years, a total of 775 participants (220 in WII, 338 in HRS, and 217 in FOS) developed incident dementia. In the multivariable-adjusted Cox proportional hazard model, higher MIND diet score was associated with lower risk of dementia (pooled hazard ratio [HR] for every 3-point increment, 0.83; 95% CI, 0.72-0.95; P for trend = .01; I2 = 0%). The associations were consistently observed in subgroups defined by sex, age, smoking status, and body mass index. In the meta-analysis of 11 cohort studies with 224 049 participants (5279 incident dementia cases), the highest tertile of MIND diet score was associated with lower risk of dementia compared with the lowest tertile (pooled HR, 0.83; 95% CI, 0.76-0.90; I2 = 35%).Conclusions and RelevanceResults suggest that adherence to the MIND diet was associated with lower risk of incident dementia in middle-aged and older adults. Further studies are warranted to develop and refine the specific MIND diet for different populations.

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Food insecurity, comorbidity, and mobility limitations among older U.S. adults: Findings from the Health and Retirement Study and Health Care and Nutrition Study

Cited by 56 publications

References 36 publications

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

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

Elderly Perception of Distance to the Grocery Store as a Reason for Feeling Food Insecurity—Can Food Policy Limit This?

Association of the Mediterranean Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) Diet With the Risk of Dementia

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