Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries
Limited literature has investigated the association between food insecurity and sarcopenia in low- and middle-income countries (LMICs). Therefore, the aim of the present study was to investigate the association between food insecurity and sarcopenia among adults aged ≥65 years in six LMICs. Communit...
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doaj-fa6f36b2b10a43fe9269029259d530a22021-06-01T01:43:00ZengMDPI AGNutrients2072-66432021-05-01131879187910.3390/nu13061879Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income CountriesLee Smith0Louis Jacob1Yvonne Barnett2Laurie T. Butler3Jae-Il Shin4Guillermo F. López-Sánchez5Pinar Soysal6Nicola Veronese7Josep Maria Haro8Ai Koyanagi9The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UKResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830 Barcelona, SpainFaculty of Science and Engineering, Anglia Ruskin University, Cambridge CB1 1PT, UKFaculty of Science and Engineering, Anglia Ruskin University, Cambridge CB1 1PT, UKDepartment of Pediatrics, Yonsei University College of Medicine, Yonsei-ro 50, Seodaemun-gu, C.P.O. Box 8044, Seoul 120-752, KoreaVision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge CB1 1PT, UKDepartment of Geriatric Medicine, Bezmialem Vakif University, 34093 Istanbul, TurkeyDepartment of Geriatric Medicine, University of Palermo, 90133 Palermo, ItalyResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830 Barcelona, SpainResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830 Barcelona, SpainLimited literature has investigated the association between food insecurity and sarcopenia in low- and middle-income countries (LMICs). Therefore, the aim of the present study was to investigate the association between food insecurity and sarcopenia among adults aged ≥65 years in six LMICs. Community-based cross-sectional data of the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as the presence of low skeletal muscle mass based on indirect population formula, and either slow gait or low handgrip strength. In the 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. The final sample consisted of 14,585 individuals aged ≥65 years (mean (SD) age 72.6 (11.5) years; 55.0% females). The prevalence of sarcopenia among those with no food insecurity was 13.0% but this increased to 24.4% among those with severe food insecurity. After adjustment for potential confounders, compared to no food insecurity, severe food insecurity was associated with 2.05 (95%CI = 1.12–3.73) times higher odds for sarcopenia. In this large representative sample of older adults from multiple LMICs, it was found that severe food insecurity is associated with higher odds for sarcopenia. Addressing food insecurity in such settings may be an effective strategy to curb the high prevalence of sarcopenia in LMICs.https://www.mdpi.com/2072-6643/13/6/1879food insecuritysarcopenialow- and middle-income countrieshungerold adults |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lee Smith Louis Jacob Yvonne Barnett Laurie T. Butler Jae-Il Shin Guillermo F. López-Sánchez Pinar Soysal Nicola Veronese Josep Maria Haro Ai Koyanagi |
spellingShingle |
Lee Smith Louis Jacob Yvonne Barnett Laurie T. Butler Jae-Il Shin Guillermo F. López-Sánchez Pinar Soysal Nicola Veronese Josep Maria Haro Ai Koyanagi Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries Nutrients food insecurity sarcopenia low- and middle-income countries hunger old adults |
author_facet |
Lee Smith Louis Jacob Yvonne Barnett Laurie T. Butler Jae-Il Shin Guillermo F. López-Sánchez Pinar Soysal Nicola Veronese Josep Maria Haro Ai Koyanagi |
author_sort |
Lee Smith |
title |
Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries |
title_short |
Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries |
title_full |
Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries |
title_fullStr |
Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries |
title_full_unstemmed |
Association between Food Insecurity and Sarcopenia among Adults Aged ≥65 Years in Low- and Middle-Income Countries |
title_sort |
association between food insecurity and sarcopenia among adults aged ≥65 years in low- and middle-income countries |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-05-01 |
description |
Limited literature has investigated the association between food insecurity and sarcopenia in low- and middle-income countries (LMICs). Therefore, the aim of the present study was to investigate the association between food insecurity and sarcopenia among adults aged ≥65 years in six LMICs. Community-based cross-sectional data of the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as the presence of low skeletal muscle mass based on indirect population formula, and either slow gait or low handgrip strength. In the 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. The final sample consisted of 14,585 individuals aged ≥65 years (mean (SD) age 72.6 (11.5) years; 55.0% females). The prevalence of sarcopenia among those with no food insecurity was 13.0% but this increased to 24.4% among those with severe food insecurity. After adjustment for potential confounders, compared to no food insecurity, severe food insecurity was associated with 2.05 (95%CI = 1.12–3.73) times higher odds for sarcopenia. In this large representative sample of older adults from multiple LMICs, it was found that severe food insecurity is associated with higher odds for sarcopenia. Addressing food insecurity in such settings may be an effective strategy to curb the high prevalence of sarcopenia in LMICs. |
topic |
food insecurity sarcopenia low- and middle-income countries hunger old adults |
url |
https://www.mdpi.com/2072-6643/13/6/1879 |
work_keys_str_mv |
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