A Social Ecological Perspective of the Influential Factors for Food Access Described by Low-Income Seniors

Keller, Heather; Dwyer, John J. M.; Senson, Christine; Edwards, Vicki; Edward, Gayle

doi:10.1300/j477v01n03_03

Cited by 37 publications

(32 citation statements)

References 34 publications

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“…Using this tool we found a higher proportion of older adults with some level of food insecurity (12%) than has previously been reported in Australia using the single question (4%) . However, the findings in this study are consistent with previous studies conducted in North America using a similar tool that found declining physical and mental health was associated with worsening food insecurity status …”

Section: Discussionsupporting

confidence: 92%

Food insecurity and poor diet quality are associated with reduced quality of life in older adults

Russell¹,

Flood

Yeatman³

et al. 2016

Nutrition & Dietetics

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Mitchell, P. (2016). Food insecurity and poor diet quality are associated with reduced quality of life in older adults. Nutrition and Dietetics, 73 (1), 50-58.Food insecurity and poor diet quality are associated with reduced quality of life in older adults AbstractAim: The aim of this study was to examine the relationships of food security and diet quality with health related quality of life (HRQoL) in a cohort of older Australians. Methods: Data were collected as part of the Blue Mountains Eye Study, a cohort study of community-living individuals aged 49 years and over. A 12-item food security survey, the Short-form 36-item (SF-36) health survey, assessing four physical and four mental domains of HRQoL, and a food frequency questionnaire (FFQ) were completed by 2642 participants. The Total Diet Score (TDS) (maximum score 20) measured diet quality based on food intake from the FFQ. Analysis of covariance compared adjusted mean differences in SF-36 scores between (i) food secure and food insecure groups and (ii) quartiles of TDS. Higher SF-36 scores indicated better physical and mental health. Results: Across all SF-36, domains scores were significantly lower in the food insecure group compared to the food secure group. Adjusted mean differences ranged from 4.01 (95% confidence intervals (CIs): 1.64, 6.38) to 18.00 (95% CIs: 13.43, 22.56). Individuals in the lowest quartile of TDS had significantly lower SF-36 scores compared to those in the highest TDS quartile for physical functioning domain (4.46, 95% CIs: 1.67, 7.26) and vitality domain (4.14, 95% CIs: 1.34, 6.95). Conclusions: The study findings provide evidence of associations between reduced physical and mental health and food insecurity and poor diet quality, respectively. Further research into food insecurity in the ageing population is required to ensure that good health is maintained through appropriate health and community services. Higher SF-36 scores indicated better physical and mental health.Results: Across all SF-36 domains scores were significantly lower in the food insecure group compared to the food secure group. Adjusted mean differences ranged from 4.01 (95% CIs: 1.64, 6.38) to 18.00 (95% CIs: 13.43, 22.56). Individuals in the lowest quartile of TDS had significantly lower SF-36 scores compared to those in the highest TDS quartile for physical functioning domain (4.46, 95% CIs: 1.67, 7.26) and vitality domain (4.14 (95% CIs: 1.34, 6.95).Conclusions: The study findings provide evidence of associations between reduced physical and mental health and food insecurity and poor diet quality respectively.Further research into food insecurity in the ageing population is required to ensure good health is maintained through appropriate health and community services.

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Section: Discussionsupporting

confidence: 92%

Food insecurity and poor diet quality are associated with reduced quality of life in older adults

Russell¹,

Flood

Yeatman³

et al. 2016

Nutrition & Dietetics

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“…Food purchases were based on cost and participants shared methods to make food dollars stretch. Limited financial resources altered food choices and quality, which ultimately affects health outcomes of older adults [30][31][32]. The discussion about produce quality is in line with findings from Byker et al that fruits and vegetables in rural environments are lower in quality than in urban environments [33].…”

Section: Discussionmentioning

confidence: 75%

Factors Influencing Food Choices Among Older Adults in the Rural Western USA

Shanks

Haack²,

Tarabochia

et al. 2016

J Community Health

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Nutrition is an essential component in promoting health and quality of life into the older adults years. The purpose of this qualitative research is to explore how the rural food environment influences food choices of older adults. Four focus groups were conducted with 33 older adults (50 years of age and older) residing in rural Montana communities. Four major themes related to factors influencing food choices among rural older adults emerged from this study: perception of the rural community environment, support as a means of increasing food access, personal access to food sources, and dietary factors. The findings from this current study warrant further research and promotion of specifically tailored approaches that influence the food choices of older adults in the rural western USA, including the developing and expanding public transportation systems, increasing availability of local grocers with quality and affordable food options, increasing awareness and decreasing stigma surrounding community food programs, and increasing nutrition education targeting senior health issues.

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“…For example, a recent study investigated the concept of food security in low-income older adults in Ontario (Keller et al 2006c). It was found that food security does not only mean sufficient money to purchase food, but also informal and formal supports with transportation, good health, eating with others to promote food intake and appetite, and changing the shopping environment to make it easier for older adults to be successful at this activity (Keller et al 2006c). Qualitative methodology may be useful to further understand the complex interaction of factors influencing food intake and thus nutrition status in older adults.…”

Section: What Contributes To Changes In Food Intake With Ageing?mentioning

confidence: 99%

Promoting food intake in older adults living in the community: a review

Keller

2007

Appl. Physiol. Nutr. Metab.

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Older adults (>65 y) living in the community have the potential to have significant nutrition concerns and deficits owing to the physiological, social, and psychological changes that occur with ageing. However, poor nutrition should not be considered an inevitable consequence of ageing. Older adults are quite heterogenous, including those ageing "successfully", "usually", and at "accelerated" rates. By improving the nutritional status of older adults, significant health and quality of life gains can be realized. These three subgroups of older adults have different concerns and risk factors and thus need different interventions. A substantial amount of research on older adult nutrition needs, determinants of food intake, risk of poor nutrition, and interventions has occurred in the past decade in Canada. The purpose of this review is to summarize this research and identify how nutrition promotion for older adults can be improved. Research to date indicates that the need for nutrition promotion is substantial. A variety of interventions have improved food intake and health of participants, although most programs are provided at a tertiary prevention level. Nutrition screening can help to identify in a timely manner those older adults who may benefit from limited services and which secondary prevention activities need to be increased. Nutrition promotion policy is currently lacking for older adults in Canada and is an important barrier to improving food intake in this growing segment of the population.

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A Social Ecological Perspective of the Influential Factors for Food Access Described by Low-Income Seniors

Cited by 37 publications

References 34 publications

Food insecurity and poor diet quality are associated with reduced quality of life in older adults

Food insecurity and poor diet quality are associated with reduced quality of life in older adults

Factors Influencing Food Choices Among Older Adults in the Rural Western USA

Promoting food intake in older adults living in the community: a review

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