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.

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 d...

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Autores: Smith L, Shin JI, López-Sánchez GF, Veronese N, Soysal P, Oh H, Grabovac I, Barnett Y, Jacob L, Koyanagi A
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p19665
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19665
Access Level:acceso abierto
Palabra clave:*Fall-related injury
*Food insecurity
*Low- and middle-income countries
*Older adults
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spelling 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 LShin JILópez-Sánchez GFVeronese NSoysal POh HGrabovac IBarnett YJacob LKoyanagi A*Fall-related injury*Food insecurity*Low- and middle-income countries*Older adultsPURPOSE: 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.ELSEVIER IRELAND LTD2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19665ARCHIVES OF GERONTOLOGY AND GERIATRICSISSN: 01674943ISSNe: 18726976reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p196652026-05-27T12:37:41Z
dc.title.none.fl_str_mv 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.
title 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.
spellingShingle 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 L
*Fall-related injury
*Food insecurity
*Low- and middle-income countries
*Older adults
title_short 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.
title_full 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.
title_fullStr 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.
title_full_unstemmed 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.
title_sort 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.
dc.creator.none.fl_str_mv Smith L
Shin JI
López-Sánchez GF
Veronese N
Soysal P
Oh H
Grabovac I
Barnett Y
Jacob L
Koyanagi A
author Smith L
author_facet Smith L
Shin JI
López-Sánchez GF
Veronese N
Soysal P
Oh H
Grabovac I
Barnett Y
Jacob L
Koyanagi A
author_role author
author2 Shin JI
López-Sánchez GF
Veronese N
Soysal P
Oh H
Grabovac I
Barnett Y
Jacob L
Koyanagi A
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv *Fall-related injury
*Food insecurity
*Low- and middle-income countries
*Older adults
topic *Fall-related injury
*Food insecurity
*Low- and middle-income countries
*Older adults
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19665
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=19665
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER IRELAND LTD
publisher.none.fl_str_mv ELSEVIER IRELAND LTD
dc.source.none.fl_str_mv ARCHIVES OF GERONTOLOGY AND GERIATRICS
ISSN: 01674943
ISSNe: 18726976
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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