Food Insecurity Among Older Adults: 10-Year National Trends and Associations with Diet Quality.
Food Insecurity Among Older Adults: 10-Year National Trends and Associations with Diet Quality.
复制标题
DOI：
10.1111/jgs.16971
复制
发表时间：
2021-04
影响因子：
6.3
通讯作者：
Wolfson JA
中科院分区：
文献类型：
--
作者：
Leung CW;Wolfson JA
粮食不安全已成为老年人的一个严重健康问题。食品不安全已被证明会扰乱健康的饮食模式，但这些联系在老年人中尚未得到广泛研究。本研究的目的是：1)审查十年期间全国粮食不安全的趋势；2)在最近具有全国代表性的60岁或以上成年人样本中，评估粮食不安全与多种饮食质量指数之间的关系。对2007-2016年度全国健康和营养调查的横截面分析具有全国代表性的美国样本分析样本包括5,097名60岁或以上的成年人，他们的家庭收入低于或低于联邦贫困水平的300%。家庭食品安全是使用18项美国家庭食品安全调查模块衡量的。通过两次24小时的饮食召回来评估饮食。多元线性和Logistic回归模型检验了家庭食品安全与三个基于证据的饮食质量指数之间的关系，并根据社会人口和健康特征进行了调整。在整个十年期间，老年人的粮食不安全从5.5%显著增加到12.4%；这一增加在低收入老年人中更为明显。从线性回归模型看，食物不安全与健康饮食指数(β=−1.90，95%CI−3.70，−0.09)、2010年交替健康饮食指数(β=−1.47，95%CI−2.51，−0.44)和地中海饮食得分(β=−0.54，95%CI−1.06，−0.001)的得分较低有关。对慢性疾病的存在进行进一步的调整并没有减弱这些结果。粮食不安全与老年人的总体饮食质量较低有关，这支持需要临床努力来确定那些面临粮食不安全风险的人，并需要公共卫生努力来缓解粮食不安全和促进老年人的健康饮食行为。
Food insecurity has emerged as a critical health issue for older adults. Food insecurity has been shown to disrupt healthy eating patterns, but these associations have not been widely studied among older adults. The objectives of the present study were to: 1) examine national trends in food insecurity across a ten-year period, and 2) evaluate the associations between food insecurity and multiple diet quality indices in a recent and nationally representative sample of adults aged 60 or older. Cross-sectional analysis of the 2007–2016 National Health and Nutrition Examination Surveys Nationally representative sample of the United States The analytic sample was comprised of 5,097 adults aged 60 or older, with household incomes at or below 300% of the federal poverty level Household food security was measured using the 18-item US Household Food Security Survey Module. Diet was assessed using two 24-hour dietary recalls. Multivariate linear and logistic regression models examined the associations between household food security and three evidence-based diet quality indices, adjusting for sociodemographic and health characteristics. Across the ten-year period, food insecurity increased significantly from 5.5% to 12.4% among older adults; this increase was more pronounced among lower-income older adults. From the linear regression models, food insecurity was associated with lower scores on the Healthy Eating Index (β=−1.90, 95% CI −3.70, −0.09), the Alternate Healthy Eating Index-2010 (β=−1.47, 95% CI −2.51, −0.44), and the Mediterranean Diet Score (β=−0.54, 95% CI −1.06, −0.001) after multivariate adjustment. Further adjustment for the presence of chronic medical conditions did not attenuate these results. Food insecurity is associated with lower overall diet quality among older adults, supporting the need for clinical efforts to identify those at risk of food insecurity and public health efforts to alleviate food insecurity and promote healthy eating behaviors among older adults.
登录
查看更多内容
影响因子：
5.4
作者：
Hamelin, AM;Beaudry, M;Habicht, JP
通讯作者：
Habicht, JP
DOI：
10.1093/gerona/glu097
发表时间：
2015-03-01
影响因子：
5.1
作者：
Koyama, Alain;Houston, Denise K.;Yaffe, Kristine
通讯作者：
Yaffe, Kristine
影响因子：
2.3
作者：
Gamba, Ryan;Leung, Cindy W.;Laraia, Barbara A.
通讯作者：
Laraia, Barbara A.
影响因子：
6.3
作者：
McEvoy CT;Guyer H;Langa KM;Yaffe K
通讯作者：
Yaffe K
影响因子：
3.5
作者：
Bhattacharya, J;Currie, J;Haider, S
通讯作者：
Haider, S