Curtis L Petersen1,2,3, Jessica M Brooks4,5, Alexander J Titus2,3, Elizabeth Vasquez6, John A Batsis1,7. 1. a The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth , Lebanon , NH , USA. 2. b Department of Epidemiology, Geisel School of Medicine at Dartmouth , Lebanon , NH , USA. 3. c Quantitative Biomedical Sciences Program, Geisel School of Medicine at Dartmouth , Lebanon , NH , USA. 4. d Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth College , Lebanon , NH , USA. 5. e Department of Rehabilitation and Health Services, University of North Texas , Denton , TX , USA. 6. f Department of Epidemiology, School of Public Health, SUNY Albany , Albany , NY , USA. 7. g Sections of General Internal Medicine and Weight & Wellness Center, Dartmouth-Hitchcock , Lebanon , NH , USA.
Abstract
Background: Food insecurity refers to the physical, social, and economic inability to access and secure sufficient, safe and nutritious food. Food insecurity has been found to be associated with poor health status, obesity, and chronic disease. To date, a relationship between food insecurity and functional limitations has not been described in of older adults. Methods: We examined 9309 adults ≥60 years old from the 2005-2014 National Health and Nutrition Examination Surveys (NHANES). Food security was categorized as full, marginal, low, and very low. Functional limitations were assessed as having difficulty in physical, basic or instrumental activities of daily living. Results: Of adults ≥60 years old (mean age: 70.5 ± 0.08, 51% female), the prevalence of full, marginal, low, or very low food insecurity was 7572 (81%), 717 (7%), 667 (8%), and 353 (4%), respectively. The prevalence of any functional limitations was 5895 (66.3%). The adjusted odds (OR [95%CI]) of having any functional limitation in marginal, low, and very low food security levels compared to full food security are: 1.08 [1.02-1.13], 1.16 [1.10-1.22], 1.14 [1.07-1.21], respectively. The association between levels of food insecurity and functional limitation is modified by race/ethnicity. Conclusions: Functional limitation is significantly associated with increasing food insecurity in older adults.
Background: Food insecurity refers to the physical, social, and economic inability to access and secure sufficient, safe and nutritious food. Food insecurity has been found to be associated with poor health status, obesity, and chronic disease. To date, a relationship between food insecurity and functional limitations has not been described in of older adults. Methods: We examined 9309 adults ≥60 years old from the 2005-2014 National Health and Nutrition Examination Surveys (NHANES). Food security was categorized as full, marginal, low, and very low. Functional limitations were assessed as having difficulty in physical, basic or instrumental activities of daily living. Results: Of adults ≥60 years old (mean age: 70.5 ± 0.08, 51% female), the prevalence of full, marginal, low, or very low food insecurity was 7572 (81%), 717 (7%), 667 (8%), and 353 (4%), respectively. The prevalence of any functional limitations was 5895 (66.3%). The adjusted odds (OR [95%CI]) of having any functional limitation in marginal, low, and very low food security levels compared to full food security are: 1.08 [1.02-1.13], 1.16 [1.10-1.22], 1.14 [1.07-1.21], respectively. The association between levels of food insecurity and functional limitation is modified by race/ethnicity. Conclusions: Functional limitation is significantly associated with increasing food insecurity in older adults.
Authors: Soham Al Snih; Kenneth J Ottenbacher; Kyriakos S Markides; Yong-Fang Kuo; Karl Eschbach; James S Goodwin Journal: Arch Intern Med Date: 2007-04-23
Authors: John A Batsis; Cassandra M Germain; Elizabeth Vásquez; Francisco Lopez-Jimenez; Stephen J Bartels Journal: J Aging Phys Act Date: 2014-08-07 Impact factor: 1.961
Authors: Mario Ulises Pérez-Zepeda; Roberto Carlos Castrejón-Pérez; Emma Wynne-Bannister; Carmen García-Peña Journal: Public Health Nutr Date: 2016-05-02 Impact factor: 4.022
Authors: Hilary K Seligman; Andrew B Bindman; Eric Vittinghoff; Alka M Kanaya; Margot B Kushel Journal: J Gen Intern Med Date: 2007-04-11 Impact factor: 5.128
Authors: Rachel N Logue Cook; Susan H Brown; Rebecca E Hasson; Dominique Kinnett-Hopkins; Matthew A Davis Journal: Aging Clin Exp Res Date: 2022-07-23 Impact factor: 4.481