Food insecurity and physical multimorbidity among adults aged = 50 years from six low- and middle-income countries.
Por:
Smith L, Shin JI, Jacob L., López Sánchez GF, Schuch F, Tully MA, Hans Oh, Veronese N, Soysal P, Butler L, Barnett Y and Koyanagi A
Publicada:
1 feb 2023
Ahead of Print:
21 sep 2022
Resumen:
PURPOSE: Food insecurity and multimoribidity (i.e., = 2 chronic conditions) may be linked bidirectionally, but there are no studies on this topic from LMICs. Therefore, the aim of the present study was to examine the association between food insecurity and physical multimorbidity in a large representative sample of older adults from six LMICs. METHODS: Cross-sectional, community-based data on adults aged = 50 years from the World Health Organization's Study on Global AGEing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia, and South Africa were analyzed. A total of 11 chronic physical conditions were assessed. Past 12 month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable logistic regression analysis was conducted to assess the associations. RESULTS: Data on 34,129 adults aged = 50 years [mean (SD) age 62.4 (16.0) years; age range 50-114 years; 47.9% males] were analyzed. After adjustment for potential confounders, in the overall sample, compared to being food secure, moderate and severe food insecurity were associated with 1.29 (95% CI 1.06-1.56) and 1.56 (95% CI 1.13-2.16) times higher odds for multimorbidity, respectively CONCLUSION: Food insecurity was associated with greater odds for multimorbidity in older adults from LMICs. Addressing food insecurity in the general population may reduce risk for multimorbidity, while screening for food insecurity and addressing it among those with multimorbidity may lead to better clinical outcomes, pending future longitudinal research.
Filiaciones:
Smith L:
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seoul, 03372, Korea
Jacob L.:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830, Barcelona, Barcelona, Spain
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78000, Versailles, France
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain.
Schuch F:
Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil
Tully MA:
School of Health Sciences, Institute of Mental Health Sciences, Ulster University, Newtownabbey, BT15 1ED, Northern Ireland
Hans Oh:
Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA, 90007, USA
Veronese N:
Department of Internal Medicine and Geriatrics, University of Palermo, 90133, Palermo, Italy
Soysal P:
Department of Geriatric Medicine, Bezmialem Vakif University, 34093, Istanbul, Turkey
Butler L:
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Barnett Y:
Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830, Barcelona, Barcelona, Spain
ICREA, Pg, Lluis Companys 23, 08010, Barcelona, Spain
hybrid, Green Published, Green Accepted
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