Food insecurity and subjective cognitive complaints among adults aged ≥ 65 years from low- and middle-income countries.

Purpose: To date, no study has investigated the association between food insecurity and subjective cognitive complaints (SCC). Thus, the aims of the present study were to examine this association among older adults in low- and middle-income countries (LMICs), and to identify the potential mediators...

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Publicado en:European Journal of Nutrition Vol. 62; no. 8; pp. 3217 - 3227
Autores principales: Smith, Lee, López Sánchez, Guillermo F., Shin, Jae Il, Kostev, Karel, Underwood, Benjamin R., Oh, Hans, Soysal, Pinar, Veronese, Nicola, Schuch, Felipe, Tully, Mark A., Koyanagi, Ai
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 62
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-023-03226-5
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        atl: Food insecurity and subjective cognitive complaints among adults aged ≥ 65 years from low- and middle-income countries.
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        au:
          Smith, Lee
          López Sánchez, Guillermo F.
          Shin, Jae Il
          Kostev, Karel
          Underwood, Benjamin R.
          Oh, Hans
          Soysal, Pinar
          Veronese, Nicola
          Schuch, Felipe
          Tully, Mark A.
          Koyanagi, Ai
        affil: https://ror.org/0009t4v78 Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
      sug:
        subj:
          Cognition Disorders Risk Factors
          Food Security
          Low and Middle Income Countries
          Risk Assessment
          Human
          Secondary Analysis
          Memory
          Learning
          Aged
          Aged, 80 and Over
          Hunger
          Food Intake
          Descriptive Statistics
          Multiple Logistic Regression
          Mediation Analysis
          Confidence Intervals
          Male
          Female
          Sleep
          Energy Intake
          Stress, Psychological Complications
          Depression Complications
          Funding Source
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: To date, no study has investigated the association between food insecurity and subjective cognitive complaints (SCC). Thus, the aims of the present study were to examine this association among older adults in low- and middle-income countries (LMICs), and to identify the potential mediators in this association, given the importance of SCC in dementia risk among older people, and the projected particularly large increase in dementia in this setting. Methods: Cross-sectional, community-based, nationally representative data from the World Health Organization (WHO) Study on global AGEing and Adult Health (SAGE) collected between 2007 and 2010 were analyzed. Two questions on subjective memory and learning complaints in the past 30 days were used to create a SCC scale ranging from 0 (No SCC) to 100 (worse SCC). Past 12 month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable linear regression and mediation (Karlson–Holm–Breen method) analyses were conducted to assess associations. Results: Data on 14,585 individuals aged ≥ 65 years [mean (SD) age 72.6 (11.5) years; 55.0% females] were analyzed. Severe food insecurity (vs. no food insecurity) was associated with 9.16 (95% CI = 6.95–11.37) points higher mean SCC score. Sleep/energy (mediated% 37.9%; P < 0.001), perceived stress (37.2%; P = 0.001), and depression (13.7%; P = 0.008) partially explained the association between severe food insecurity and SCC. Conclusion: Food insecurity was associated with SCC among older adults in LMICs. Future studies should assess whether addressing food insecurity among older adults in LMICs can improve cognitive health.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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