Functional Limitations, Depression, and Cash Assistance are Associated with Food Insecurity among Older Urban Adults in Mexico City

Vilar‐Compte, Mireya; Martínez, Óscar Alfonso Martínez; Orta‐Aleman, Dania; Pérez‐Escamilla, Rafael

doi:10.1353/hpu.2016.0130

Cited by 26 publications

(25 citation statements)

References 48 publications

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“…Consistent with the results of previous studies, our study revealed that older adults in food-insecure households were more likely to be women, have less education, and live in households with a lower per capita income ( 5 , 11 , 12 , 34 , 37 , 43 – 45 ). The income perception is the factor with the most robust association with food insecurity in older adults; it clearly represents the relationship between economic factors and food insecurity ( 5 , 13 , 46 ).…”

Section: Discussionsupporting

confidence: 92%

“…Consistent with our findings, some studies found that food insecurity is associated with greater BMI values (pre-obesity and obesity) in older adults ( 18 , 62 ). However, other studies have not found this association ( 12 ) or it has only been found in populations of older females but not in populations of older males ( 45 , 61 ). These conflicting results may be related to the evidence that compared with direct assessment, self-reported measures of weight and height in older adults could give biased results ( 18 , 45 , 63 ).…”

Section: Discussionmentioning

confidence: 79%

“…Our study also revealed that a higher proportion of older adults from food-insecure households reported lower rates of being underweight and higher rates of pre-obesity and obesity (Table 6 ). The results of previous studies have been inconsistent in this area, especially in the older adult populations where this association is weak ( 12 , 45 , 55 , 59 – 61 ). Consistent with our findings, some studies found that food insecurity is associated with greater BMI values (pre-obesity and obesity) in older adults ( 18 , 62 ).…”

Section: Discussionmentioning

confidence: 90%

“…Our findings for the self-reported noncommunicable diseases suggested that older adults with chronic diseases (i.e., diabetes, pulmonary disease, cardiac disease, digestive disease, mental disease, and urinary disease) had increased odds of living in a food-insecure household. Other studies have also found associations between food insecurity and higher values for prevalence of diabetes ( 34 , 47 – 51 ), pulmonary disease ( 51 ), mental disease ( 12 , 18 , 48 , 52 , 53 ), cardiac disease ( 48 , 54 , 55 ) and poor health outcomes ( 56 ). The higher prevalence can be explained by the results of a study that found that food insecurity requires changes in the household food supply that reduce diet quality ( 57 ).…”

Section: Discussionmentioning

confidence: 93%

“…A poor diet also has severe effects on quality of life and health. Older adults who adopt poor dietary patterns have higher risks of malnutrition, frailty, deteriorating health conditions, and disability compared with those that consume a healthy diet ( 9 , 12 ). Previous findings indicate that food insecurity is particularly prevalent among older adults ( 11 , 12 , 17 ) and is associated with poor health ( 5 , 12 ), increased depression, disability ( 18 ), and poor quality of life ( 5 , 19 ).…”

Section: Introductionmentioning

confidence: 99%

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Food Insecurity in Older Adults: Results From the Epidemiology of Chronic Diseases Cohort Study 3

et al. 2018

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Introduction: The public health problem of food insecurity also affects the elderly population. This study aimed to estimate the prevalence of household food insecurity and its associations with chronic disease and health-related quality of life characteristics in individuals ≥65 years of age living in the community in Portugal.Methods: The data were collected from the Epidemiology of Chronic Diseases Cohort Study 3 (EpiDoC3)—Promoting Food Security Study (2015–2016), which was the third evaluation wave of the EpiDoC and represented the Portuguese adult population. Food insecurity was assessed using a psychometric scale adapted from the Brazilian Food Insecurity Scale. The data on sociodemographic variables, chronic disease, and management of chronic disease were self-reported. Health-related quality of life were assessed using the European Quality of Life Survey (version validated for the Portuguese population). Logistic regression models were used to determine crude and adjusted odds ratios (for age group, gender, region, and education). The dependent variable was the perceived level of food security.Results: Among older adults, 23% were living in a food-insecure household. The odds of living in a food-insecure household were higher for individuals in the 70–74 years age group (odds ratio (OR) = 1.405, 95% confidence interval (CI) 1.392–1.417), females (OR = 1.545, 95% CI 1.534–1.556), those with less education (OR = 3.355, 95% CI 3.306–3.404), low income (OR = 4,150, 95% CI 4.091–4.210), and those reporting it was very difficult to live with the current income (OR = 16.665, 95% CI 16.482–16.851). The odds of having a chronic disease were also greater among individuals living in food-insecure households: diabetes mellitus (OR = 1.832, 95% CI 1.818–1.846), pulmonary diseases (OR = 1.628, 95% CI 1.606–1.651), cardiac disease (OR = 1.329, 95% CI 1.319–1.340), obesity (OR = 1.493, 95% CI 1.477–1.508), those who reduced their frequency of medical visits (OR = 4.381, 95% CI 4.334–4.428), and who stopped taking medication due to economic difficulties (OR = 5.477, 95% CI 5.422–5.532). Older adults in food-insecure households had lower health-related quality of life (OR = 0.212, 95% CI 0.210–0.214).Conclusions: Our findings indicated that food insecurity was significantly associated with economic factors, higher values for prevalence of chronic diseases, poor management of chronic diseases, and decreased health-related quality of life in older adults living in the community.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Food Insecurity in Older Adults: Results From the Epidemiology of Chronic Diseases Cohort Study 3

et al. 2018

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End of Life, Food, and Water: Ethical Standards of Care

Eleuteri

Caruso²,

Pulle

2021

Perspectives in Nursing Management and Care for Older Adults

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End-of-life care constitutes an important situation of extreme nutritional vulnerability for older adults. Feeding decisions in late-stage dementia often provoke moral and ethical questions for family members regarding whether or not to continue hand-feeding or opt for tube-feeding placement. Despite the knowledge that starvation and dehydration do not contribute to patient suffering at the end of life and in fact may contribute to a comfortable passage from life, the ethics of not providing artificial nutrition and hydration (ANH) continue to be hotly debated. However, in the past two decades, voluntary stopping of eating and drinking (VSED) has moved from a palliative option of last resort to being increasingly recognized as a valid means to intentionally hasten death for cognitively intact persons dealing with a serious illness. Across many settings globally, when oral intake is deemed unsafe, decisions to withhold oral feeding and to forgo artificial means of providing nutrition are deemed to be ethically and legally sanctioned when the decision is made by a capable patient or their legally recognized substitute decision-maker. Decision-making at the end of life involves knowledge of and consideration of the legal, ethical, cultural, religious, and personal values involved in the issue at hand. This chapter attempted to illustrate the unique complexities when considering nutrition therapy (by oral and artificial means) at the end of life.

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Temporal Changes in the Association Between Food Insecurity and Socioeconomic Status in Two Population-Based Surveys in Rio de Janeiro, Brazil

et al. 2019

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Functional Limitations, Depression, and Cash Assistance are Associated with Food Insecurity among Older Urban Adults in Mexico City

Abstract: Higher educational attainment and cash-transfers may have a positive influence on reducing food insecurity. Depression and functional limitations may increase the likelihood of food insecurity among older adults.

Cited by 26 publications

References 48 publications

Food Insecurity in Older Adults: Results From the Epidemiology of Chronic Diseases Cohort Study 3

Food Insecurity in Older Adults: Results From the Epidemiology of Chronic Diseases Cohort Study 3

End of Life, Food, and Water: Ethical Standards of Care

Temporal Changes in the Association Between Food Insecurity and Socioeconomic Status in Two Population-Based Surveys in Rio de Janeiro, Brazil

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