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

Smith, Lee ORCID logoORCID: https://orcid.org/0000-0002-5340-9833, Shin, Jae Il, Jacob, Louis, Lopez-Sanchez, Guillermo, Schuch, Felipe, Tully, Mark, Oh, Hans, Veronese, Nicola, Soysal, Pinar, Butler, Laurie T., Barnett, Yvonne A. ORCID logoORCID: https://orcid.org/0000-0003-0271-2266 and Koyanagi, Ai (2022) Food insecurity and physical multimorbidity among adults aged ≥50 years from six low- and middle-income countries. European Journal of Nutrition. ISSN 1436-6215

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Official URL: https://doi.org/10.1007/s00394-022-02999-5

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. Addressing food insecurity in the general population may reduce risk for multimorbidity, while screening for food insecurity and addressing it among those with multimorbidity may lead to better clinical outcomes, pending future longitudinal research

Item Type: Journal Article
Keywords: Multimorbidity, Food Insecurity, Chronic Disease, LMICs
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 06 Sep 2022 10:29
Last Modified: 23 Nov 2022 17:18
URI: https://arro.anglia.ac.uk/id/eprint/707875

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