Food Insecurity and Dietary Intake Among Elderly Population: A Systematic Review

Zarei, Maryam; Qorbani, Mostafa; Djalalinia, Shirin; Sulaiman, Norhasmah; Subashini, Thambiah; Appanah, G; Naderali, Ebrahim K.

doi:10.4103/ijpvm.ijpvm_61_19

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…However, evidence suggests that food prices have varied to favour the consumption of processed and UPF in Brazil and several other developing countries 46 . Previous studies have reported that households with FI face difficulty accessing affordable healthy foods 30,32 .…”

Section: Discussionmentioning

confidence: 99%

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The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey

Coletro

Júnior

Mendonça

et al. 2023

Public Health Nutr.

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Objective: Investigate whether the combined consumption of fresh/minimally processed and ultra-processed food is associated with food insecurity during the COVID-19 pandemic. Design: Cross-sectional observational study was derived from a survey using a population-based search of a complex sample. Food insecurity was assessed using the validated Brazilian Food Insecurity Scale. Food consumption was assessed using a qualitative food frequency questionnaire and the NOVA classification for fresh/minimally processed food and ultra-processed food. A scoring system was used to evaluate combined food consumption according to the extent and purpose of processing, considering the weekly consumption of the two groups (according to the NOVA classification). Higher punctuation reflects worse diet quality (higher consumption of ultra-processed foods and lower consumption of fresh/minimally processed foods). A theoretical causality model was constructed using a directed acyclic graph, and multivariate analysis was performed using Poisson regression to test the association between food insecurity and food consumption. Setting: Ouro Preto and Mariana, Brazil, between October and December 2020. Participants: An epidemiological household survey was conducted with 1,753 individuals selected through a stratified and clustered sampling design in three stages. Results: Those with food consumption scores in the fourth quartile had a 60% higher prevalence ratio (PR) for food insecurity (RP: 1.60 and 95%IC: 1.06 - 2.40). Also, the increased consumption of fresh/minimally processed foods and low consumption of ultra-processed foods presented a 45% lower prevalence ratio of food insecurity (RP: 0.55 and 95%IC: 0.40 – 0.80). Conclusion: These results indicate an inverse association between food insecurity and diet quality.

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Section: Discussionmentioning

confidence: 99%

“…The causal connections are represented by arrows (Figure 1). Each variable in the DAG was chosen based on the recent literature and scientific evidencek [29][30][31][32] . A minimum set of adjustment variables was defined to avoid unnecessary adjustments, spurious associations, and estimation errors.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey

Coletro

Júnior

Mendonça

et al. 2023

Public Health Nutr.

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“…It is also important to note that since perceived stress, anxiety, and depression explained around 43% of the relationship, other factors are also likely to be involved. For example, food insecurity is a risk factor for deficiency in multiple nutrients such as vitamins, calcium, and zinc (Zarei et al, 2021), while nutrient deficiency (e.g., vitamin D deficiency) could have a deleterious impact on sleep via chronic pain and immunological dysregulations (Gao et al, 2018). Besides, food insecurity is associated with increased inflammation (Gowda et al, 2012), and inflammation and sleep problems are intimately related, although the mechanisms of the association remain insufficiently understood up until now (Simpson & Dinges, 2007).…”

Section: Discussionmentioning

confidence: 99%

Food insecurity and insomnia‐related symptoms among adults from low‐ and middle‐income countries

Jacob

Smith

Kostev

et al. 2023

Journal of Sleep Research

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Summary Little is known about the relationship between food insecurity and sleep problems in low‐ and middle‐income countries, while the mediators of this association are largely unknown. Therefore, we investigated the association between food insecurity and insomnia‐related symptoms in six low‐ and middle‐income countries (i.e., China, Ghana, India, Mexico, Russia, South Africa), and the potential mediators of this relationship. Cross‐sectional, nationally representative data from the Study on Global AGEing and Adult Health (2007–2010) were analysed. Past 12‐month food insecurity was assessed with two questions on the frequency of eating less, and on hunger owing to a lack of food. Insomnia‐related symptoms referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression and mediation analysis were conducted. Data on 42,489 adults aged ≥18 years were analysed (mean [standard deviation] age 43.8 [14.4] years; 50.1% females). The prevalence of any food insecurity and insomnia‐related symptoms was 11.9% and 4.4%, respectively. After adjustment, compared with no food insecurity, moderate (odds ratio = 1.53, 95% confidence interval = 1.11–2.10) and severe food insecurity (odds ratio = 2.35, 95% confidence interval = 1.56–3.55) were significantly associated with insomnia‐related symptoms. Anxiety, perceived stress, and depression mediated 27.7%, 13.5%, and 12.5% of the relationship between any food insecurity and insomnia‐related symptoms, respectively (total percentage = 43.3%). Food insecurity was positively associated with insomnia‐related symptoms in adults from six low‐ and middle‐income countries. Anxiety, perceived stress, and depression explained a substantial proportion of this relationship. Addressing food insecurity itself or the identified potential mediators among people with food insecurity may lead to a reduction in sleep problems among adults in low‐ and middle‐income countries, pending confirmation with longitudinal studies.

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Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

Flores,

Sarpong,

Dou

et al. 2024

Nutr J

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Background Studies investigating the relationship between food insecurity and sleep among older populations are limited. This study aimed to cross-sectionally examine the associations between food sufficiency status and sleep outcomes in a nationally representative sample of older adults. Methods Our study included 1,665 older adults (≥ 65 years), using data from the 2013 and 2014 National Health and Aging Trends Study (NHATS). Food insufficiency was determined via participants’ experience and utilization of food assistance programs (FAP). Sleep outcomes, including nighttime and total sleep hours, sleep latency, and sleep quality, were derived from self-reported data. Multivariable linear regression and logistic regression models were used to estimate the associations between food sufficiency status and sleep outcomes. Results In 2013–2014, 86.1% of older adults were classified as food sufficient without FAP, 9.85% as food sufficient with FAP, and 4.08% as food insufficient. Adjusting for sociodemographic characteristics, food sufficient older adults with FAP reported more total sleep hours (𝛽 = 0.31, 95% CI: -0.02, 0.64) than those participants who are food sufficient without FAP. Further adjusting for health factors, food sufficient participants with FAP had more nighttime sleep hours and greater total sleep hours compared to those participants food sufficient without FAP. Compared to those deemed as food sufficient without FAP, food sufficient participants with FAP had lower odds of having longer sleep latency (OR = 0.50, 95% CI: 0.28, 0.89), after further adjusting for physical function performance. Conclusions Among older adults, food sufficiency with FAP is associated with greater total sleep hours, greater nighttime sleep hours, and lower odds of longer sleep latency. Our findings may help inform nutrition food assistance programs targeting older populations.

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Food Insecurity and Dietary Intake Among Elderly Population: A Systematic Review

Cited by 9 publications

References 21 publications

The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey

The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey

Food insecurity and insomnia‐related symptoms among adults from low‐ and middle‐income countries

Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)

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