Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries

Lee Smith; Jae Il Shin; Louis Jacob; Guillermo F López Sánchez; Felipe Schuch; Mark A Tully; Hans Oh; Nicola Veronese; Pinar Soysal; Laurie Butler; Yvonne Barnett; Ai Koyanagi

doi:10.1007/s00394-022-02999-5

Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries

Lee Smith, Jae Il Shin, Louis Jacob, Guillermo F López Sánchez, Felipe Schuch, Mark A Tully, Hans Oh, Nicola Veronese, Pinar Soysal, Laurie Butler, Yvonne Barnett, Ai Koyanagi

School of Medicine

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

45 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	489-497
Number of pages	9
Journal	European Journal of Nutrition
Volume	62
Issue number	1
Early online date	21 Sept 2022
DOIs	https://doi.org/10.1007/s00394-022-02999-5
Publication status	Published (in print/issue) - 28 Feb 2023

Bibliographical note

Funding Information:
Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. Dr. Guillermo F. López Sánchez is funded by the European Union—Next Generation EU.

Funding Information:
This paper uses data from WHO’s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323–08-CN-0020, Y1-AG-1005–01 and through research grants R01-AG034479 and R21-AG034263.

Publisher Copyright:
© 2022, The Author(s).

Keywords

Low- and middle-income countries
Older adults
Food insecurity
Chronic disease
Multimorbidity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s00394-022-02999-5

s00394-022-02999-5 (3)Final published version, 563 KBLicence: CC BY

Cite this

Smith, L., Shin, J. I., Jacob, L., López Sánchez, G. F., Schuch, F., Tully, M. A., Oh, H., Veronese, N., Soysal, P., Butler, L., Barnett, Y., & Koyanagi, A. (2023). Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries. European Journal of Nutrition, 62(1), 489-497. https://doi.org/10.1007/s00394-022-02999-5

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title = "Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries",

abstract = "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{\textquoteright}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.",

keywords = "Low- and middle-income countries, Older adults, Food insecurity, Chronic disease, Multimorbidity",

author = "Lee Smith and Shin, {Jae Il} and Louis Jacob and {L{\'o}pez S{\'a}nchez}, {Guillermo F} and Felipe Schuch and Tully, {Mark A} and Hans Oh and Nicola Veronese and Pinar Soysal and Laurie Butler and Yvonne Barnett and Ai Koyanagi",

note = "Funding Information: Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. Dr. Guillermo F. L{\'o}pez S{\'a}nchez is funded by the European Union—Next Generation EU. Funding Information: This paper uses data from WHO{\textquoteright}s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323–08-CN-0020, Y1-AG-1005–01 and through research grants R01-AG034479 and R21-AG034263. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

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Smith, L, Shin, JI, Jacob, L, López Sánchez, GF, Schuch, F, Tully, MA, Oh, H, Veronese, N, Soysal, P, Butler, L, Barnett, Y & Koyanagi, A 2023, 'Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries', European Journal of Nutrition, vol. 62, no. 1, pp. 489-497. https://doi.org/10.1007/s00394-022-02999-5

TY - JOUR

T1 - Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries

AU - Smith, Lee

AU - Shin, Jae Il

AU - Jacob, Louis

AU - López Sánchez, Guillermo F

AU - Schuch, Felipe

AU - Tully, Mark A

AU - Oh, Hans

AU - Veronese, Nicola

AU - Soysal, Pinar

AU - Butler, Laurie

AU - Barnett, Yvonne

AU - Koyanagi, Ai

N1 - Funding Information: Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. Dr. Guillermo F. López Sánchez is funded by the European Union—Next Generation EU. Funding Information: This paper uses data from WHO’s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323–08-CN-0020, Y1-AG-1005–01 and through research grants R01-AG034479 and R21-AG034263. Publisher Copyright: © 2022, The Author(s).

PY - 2023/2/28

Y1 - 2023/2/28

N2 - 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.

AB - 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.

KW - Low- and middle-income countries

KW - Older adults

KW - Food insecurity

KW - Chronic disease

KW - Multimorbidity

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