Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries: the role of mental health conditions

Smith, Lee and Shin, Jae Il and López-Sánchez, Guillermo F. and Veronese, Nicola and Soysal, Pinar and Oh, Hans and Grabovac, Igor and Barnett, Yvonne A. and Jacob, Louis and Koyanagi, Ai (2021) Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries: the role of mental health conditions. Archives of Gerontology and Geriatrics, 96. p. 104438. ISSN 1872-6976

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Official URL: https://doi.org/10.1016/j.archger.2021.104438

Abstract

Purpose: We investigated the association between food insecurity and fall-related injury among older adults from six low- and middle-income countries (LMICs), and the extent to which this association is mediated by mental health. Methods: Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression analysis and mediation analysis were conducted to assess associations. Results: Data on 14,585 adults aged ≥65 years [mean (SD) age 72.5 (11.5) years; 54.9% females] were analyzed. After adjustment for potential confounders, severe food insecurity (versus no food insecurity) was associated with 1.95 (95%CI = 1.11–3.41) times higher odds for fall-related injury. Moderate food insecurity was not significantly associated with fall-related injury (OR = 1.34; 95%CI = 0.81–2.25). The mediation analysis showed that 37.3%, 21.8%, 17.7%, and 14.0% of the association between severe food insecurity and fall-related injury was explained by anxiety, sleep problems, depression, and cognition, respectively. Conclusion: Severe food insecurity was associated with higher odds for injurious falls among older adults in LMICs, and a large proportion of this association may be explained by mental health complications. Interventions to improve mental health among those who are food insecure and a strong focus on societal and government efforts to reduce food insecurity may contribute to a decrease in injurious falls.

Item Type: Journal Article
Keywords: food insecurity, fall-related injury, mental health, older adults, low- and middle-income countries
Faculty: Faculty of Health, Education, Medicine & Social Care
Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 25 May 2021 08:58
Last Modified: 07 Jun 2021 16:05
URI: https://arro.anglia.ac.uk/id/eprint/706597

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