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Kansanga MM, Batung E, Mohammed K, Sano Y, Taabazuing MM, Luginaah I. Beyond Purchasing Power: The Association Between Sense of Community Belongingness and Food Insecurity Among Older Adults in Canada. J Aging Soc Policy 2024; 36:189-208. [PMID: 36892989 DOI: 10.1080/08959420.2023.2182082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/12/2022] [Indexed: 03/10/2023]
Abstract
Food is a basic human need, yet a significant proportion of older Canadian adults are vulnerable to food insecurity. The health risks associated with aging make food insecurity among this subgroup a critical policy issue. In Canada, policy solutions to food insecurity are however skewed toward the provision of income support to vulnerable groups. While these income support programs are timely, little emphasis is placed on social factors such as sense of community belongingness. This is despite evidence that food insecurity is a socially mediated experience that goes beyond the ability to purchase food. Drawing data from the Canadian Community Health Survey (n = 24,546) and using negative log-log regression, we examined the association between sense of community belongingness and food insecurity among older adults. Findings show that older adults with a "very weak" (odds ratio [OR] = 1.40, p < .001) and "somewhat weak" (OR = 1.23, p < .01) sense of community belongingness were significantly more likely to be food insecure compared to those with a "very strong" sense of belongingness. This study contributes to a growing body of the literature that demonstrates the need for an integrated approach to addressing food insecurity - one that goes beyond income support to include consideration of social factors like sense of community belonging.
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Affiliation(s)
| | - Evans Batung
- Department of Geography and Environment, University of Western Ontario, London, Canada
| | - Kamaldeen Mohammed
- Department of Geography and Environment, University of Western Ontario, London, Canada
| | - Yujiro Sano
- Department of Sociology, University of Western Ontario, London, Canada
| | - Mary-Margaret Taabazuing
- Department of Medicine, Division of Geriatric Medicine, University of Western Ontario, London, Canada
| | - Isaac Luginaah
- Department of Geography and Environment, University of Western Ontario, London, Canada
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Zhang K, Ma Y, Luo Y, Song Y, Xiong G, Ma Y, Sun X, Kan C. Metabolic diseases and healthy aging: identifying environmental and behavioral risk factors and promoting public health. Front Public Health 2023; 11:1253506. [PMID: 37900047 PMCID: PMC10603303 DOI: 10.3389/fpubh.2023.1253506] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 10/03/2023] [Indexed: 10/31/2023] Open
Abstract
Aging is a progressive and irreversible pathophysiological process that manifests as the decline in tissue and cellular functions, along with a significant increase in the risk of various aging-related diseases, including metabolic diseases. While advances in modern medicine have significantly promoted human health and extended human lifespan, metabolic diseases such as obesity and type 2 diabetes among the older adults pose a major challenge to global public health as societies age. Therefore, understanding the complex interaction between risk factors and metabolic diseases is crucial for promoting well-being and healthy aging. This review article explores the environmental and behavioral risk factors associated with metabolic diseases and their impact on healthy aging. The environment, including an obesogenic environment and exposure to environmental toxins, is strongly correlated with the rising prevalence of obesity and its comorbidities. Behavioral factors, such as diet, physical activity, smoking, alcohol consumption, and sleep patterns, significantly influence the risk of metabolic diseases throughout aging. Public health interventions targeting modifiable risk factors can effectively promote healthier lifestyles and prevent metabolic diseases. Collaboration between government agencies, healthcare providers and community organizations is essential for implementing these interventions and creating supportive environments that foster healthy aging.
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Affiliation(s)
- Kexin Zhang
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Yujie Ma
- Department of Pathophysiology, School of Basic Medical Sciences, Weifang Medical University, Weifang, China
| | - Youhong Luo
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Yixin Song
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Guoji Xiong
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Yanhui Ma
- Department of Pathology, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Xiaodong Sun
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
| | - Chengxia Kan
- Department of Endocrinology and Metabolism, Affiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China
- Clinical Research Center, Affiliated Hospital of Weifang Medical University, Weifang, China
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de Araujo TA, Oliveira IM, da Silva TGV, da Silva VC, Duarte YADO. Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5098. [PMID: 36982006 PMCID: PMC10049442 DOI: 10.3390/ijerph20065098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/22/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m2. Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.
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Affiliation(s)
- Tânia Aparecida de Araujo
- Leônidas and Maria Deane Institute, Fiocruz Amazônia, Manaus 69057-070, Brazil
- Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
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Gan T, Yang J, Jiang L, Gao Y. Living alone and cardiovascular outcomes: a meta-analysis of 11 cohort studies. PSYCHOL HEALTH MED 2023; 28:719-731. [PMID: 34477038 DOI: 10.1080/13548506.2021.1975784] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
To explore whether living alone could increase the risk of cardiovascular outcomes. We searched PubMed, EMBASE, and Web of Science from their inception to 5 October 2020. Cohort studies evaluating the relationship between living alone and cardiovascular outcomes were included. Subgroup analyses were conducted to explore which characteristics would affect the relationship. A total of 13 effect sizes obtained from 11 studies were included and spanned from 1993 to 2019, with 424,286 participants. This study found that living alone increased the risk of cardiovascular outcomes (HR = 1.22, 95% CI: 1.10-1.36, I2 = 80.3%, P = 0.000). In subgroup analyses, living alone increased the risk of cardiovascular outcomes in patients from Europe (HR = 1.37, 95% CI: 1.17-1.61, I2 = 76.2%, P = 0.000), but not increased in Asia (HR = 1.17, 95% CI: 0.83-1.66, I2 = 76.2%, P = 0.000) and multiple regions (HR = 1.02, 95% CI: 0.96-1.08, I2 = 0.0%, P = 0.738). For different cardiovascular outcomes, living alone has statistical significance in increasing the risk of cardiovascular mortality (HR = 1.23, 95% CI: 1.05-1.46, I2 = 84.0%, P = 0.000) and myocardial infarction (HR = 1.11, 95% CI: 1.02-1.21, I2 = 29.6%, P = 0.213). The risk of cardiovascular mortality in men was higher than women (HR = 1.52, 95% CI: 1.24-1.86 vs HR = 1.01, 95% CI: 0.85-1.20; P < 0.05 for interaction). Sensitivity analysis suggested that the results of the meta-analysis were robust. In conclusion, living alone could increase the risk of cardiovascular outcomes and men were more prone to cardiovascular mortality and myocardial infarction.
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Affiliation(s)
- Ting Gan
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Jingli Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China.,College of Earth and Environmental Sciences, Lanzhou University, Lanzhou, Gansu, China
| | - Lili Jiang
- Institute of Social Medicine and Health Management, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Yinyan Gao
- Xiangya School of Public Health, Central South University, Changsha, Hunan, China
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Ishikawa M, Yokoyama T. The relationship between individual and environmental factors related to health, nutritional status, and diet in elderly people living alone in Japan. Nutr Rev 2022; 81:91-94. [PMID: 35674687 DOI: 10.1093/nutrit/nuac041] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Aging is an essential milestone that governments worldwide must plan for. At a global level, Japan currently has the highest share of population older than 65 years. Thus, the Japanese experience may be a useful guide to other countries as they consider their policies. Elderly individuals living alone encounter many challenges typically not faced by those living in a multiperson household. Nutrition status and diet are 2 such challenges, both of which are crucial determinants of health and well-being. The health and nutrition statuses as well as some other factors in elderly individuals living alone in Japan were investigated. The identification of the factors relating to food diversity, social relationships, and physical ability, among others, indicates, as hypothesized, that the relationship between individual and environmental factors is associated with the health, nutritional statuses, and diets of elderly people living alone. The findings and approach may be useful to scholars and policy makers in significantly aging societies like Japan as well as other societies experiencing population aging.
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Affiliation(s)
- Midori Ishikawa
- are with the Department of Health Promotion, National Institute of Public Health, Wako, Saitama, Japan
| | - Tetsuji Yokoyama
- are with the Department of Health Promotion, National Institute of Public Health, Wako, Saitama, Japan
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Laborde C, Ankri J, Cambois E. Environmental barriers matter from the early stages of functional decline among older adults in France. PLoS One 2022; 17:e0270258. [PMID: 35731807 PMCID: PMC9216542 DOI: 10.1371/journal.pone.0270258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 06/07/2022] [Indexed: 11/19/2022] Open
Abstract
Background
The adaptation of living environments can preserve functional independence among older people. A few studies have suggested that this would only benefit the most impaired. But conceptual models theorize that environmental pressure gradually increases with functional decline.
Objectives
We examined (1) how far different environmental barriers increased difficulties and favoured resort to assistance; (2) at what stage in functional decline environmental barriers begin to matter.
Methods
We used the French cross-sectional survey CARE (2015), including 7,451 participants (60+) with at least one severe functional limitation (FL). Multinomial logistic regressions models were used to compare predicted probabilities for outdoor activities of daily living (OADL) difficulties (no OADL difficulties; difficulties but without assistance; use of assistance) among individuals with and without environmental barriers (self-reported or objective), in relation to the number of FLs.
Results
Poor-quality pedestrian areas and lack of places to rest were associated with a higher probability of experiencing OADL difficulties, whatever the number of FLs; the association increased with the number of FLs. Up to 6 FLs, individuals with these barriers were more likely to report difficulties without resorting to assistance, with a decreasing association. Living in cities/towns with high diversity of food outlets was associated with a lower probability of reporting assistance, whatever the number of FLs, but with a decreasing association.
Discussion
Overall, the results suggest that environmental barriers increasingly contribute to OADL difficulties with the number of FLs. Conclusions differed as to whether they tended to favour resort to assistance, but there was a clear association with food outlets, which decreased with impairment severity. The adaptation of living environments could reduce difficulties in performing activities from the early stages of decline to the most severe impairment. However, the most deteriorated functional impairments seem to generate resort to assistance whatever the quality of the environment.
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Affiliation(s)
- Caroline Laborde
- Université Paris-Saclay, UVSQ, Inserm, CESP, Echappement aux anti-infectieux et pharmaco-épidémiologie, Montigny-le-Bretonneux, France
- Observatoire régional de santé Île-de-France, Département de l’Institut Paris Région, Paris, France
- * E-mail:
| | - Joël Ankri
- Université Paris-Saclay, UVSQ, Inserm, CESP, Echappement aux anti-infectieux et pharmaco-épidémiologie, Montigny-le-Bretonneux, France
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Past, present and future influences of diet among older adults - A scoping review. Ageing Res Rev 2022; 77:101600. [PMID: 35248779 DOI: 10.1016/j.arr.2022.101600] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 02/24/2022] [Accepted: 02/27/2022] [Indexed: 12/21/2022]
Abstract
A tacit understanding of the influence of healthy eating on chronic disease risk and quality of life among older adults is essential for successful design and roll-out of healthy ageing policies. Existing research on dietary determinants among older adults is largely outdated owing to the changing geopolitical scenarios including advancements in health and technology and global migration. Studies published between 2000 and 2020 that explored determinants of diet in older adults were identified using five databases, following Preferred Reporting of Systematic review and Meta-Analyses extended for Scoping Review (PRISMA ScR) guidelines. The final 51 studies (25 quantitative, 22 qualitative and 4 mixed methods) were analysed and interpreted to corroborate existing evidence and identify research gaps. The review identified past influences including childhood affluence and future apprehensions regarding loss of independence and fear of disability to be major drivers of food choices. Current socio-economic status, health conditions and cultural contexts were congruent with past and future influences, implying the role of behavioural change programmes in early life to achieve long term health goals for older adults.
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Characteristics and Influencing Factors of Spatial Differentiation of Market Service Industries in Rural Areas around Metropolises—A Case Study of Wuhan City’s New Urban Districts. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2022. [DOI: 10.3390/ijgi11030170] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Market services industries are closely related to residents’ lives, and its spatial distribution has an important impact on satisfying residents’ consumption needs and promoting economic development. In recent years, with the rapid development of urban–rural integration and the gradual implementation of a rural revitalization strategy, rural areas around metropolises have become the “frontier” of urban geographic expansion, causing the rural market services industries to specialize, commercialize, and modernize. Taking Wuhan as a case study, the spatial distribution characteristics and influencing factors of the market services industries were measured using the average nearest neighbor index, the kernel density estimate, the spatial correlation analysis, and the Geodetector method. The results are as follows. (1) The market services industries in Wuhan’s new urban districts, as a whole and individually, showed characteristics of agglomeration. The market services industries overall formed two high-density areas and multiple agglomeration areas, and the high-density areas of different types of market services industries showed characteristics of partial spatial overlap. (2) There was a significant positive spatial correlation in market services industries, as a whole and individually. Among them, the life services industry had the strongest spatial correlation, while the accommodation services industry had the weakest. (3) Market demand and traffic conditions were the core factors influencing the distribution of the market services industries in Wuhan’s new urban districts, followed by urbanization and economic levels; and tourism conditions had a lower impact. Each detector had a different impact on the spatial distribution of different market services industries, and the interaction research showed that the spatial distribution of the market services industries was the result of a combination of multiple factors. This research provides a future development direction for market service industries in rural areas.
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Araujo TAD, Corona LP, Andrade FCD, Roediger MDA, Duarte YADO. Factors associated with body mass index changes among older adults: a ten-year follow-up. CAD SAUDE PUBLICA 2021; 37:e00081320. [PMID: 34909928 DOI: 10.1590/0102-311x00081320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 03/02/2021] [Indexed: 11/22/2022] Open
Abstract
To examine changes in body mass index (BMI) among older Brazilian adults and associated factors. Longitudinal, population-based study, conducted in São Paulo, Brazil. Adults aged 60 years or over (n = 1,796) from the first wave of data collection from the Health, Well-Being, and Aging Study (SABE Project) conducted from 2000 to 2010. Repeated mixed-effects linear regression was used to analyze longitudinal changes in BMI and to examine whether sociodemographic characteristics, health conditions, and social behaviors were associated with these changes. Mean BMI decreased after 70 years. Men had lower BMI than women (β = -1.86, 95%CI: -2.35; -1.37). Older adults who consumed alcohol (β = 0.30, 95%CI: 0.06; 0.54), had more than one chronic disease (β = 0.19, 95%CI: 0.26; 0.72) and who did not perform physical activity (β = 0.56, 95%CI: 0.38; 0.74) had higher BMI. Subjects who smoked (β = -0.40, 95%CI: -0.76; -0.04) and who reported having eaten less food in recent months (β = -0.48, 95%CI: -0.71; -0.24) had lower BMI. In older Brazilians, several sociodemographic characteristics, health conditions, and behaviors predict BMI. Increasing prevalence of chronic diseases and growing sedentary behaviors in Brazil may have detrimental effects on BMI at older ages.
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Affiliation(s)
- Tânia Aparecida de Araujo
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.,Centro Universitário de Patos de Minas, Pato de Minas, Brasil
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Liu Q, Liu Y, Zhang C, An Z, Zhao P. Elderly mobility during the COVID-19 pandemic: A qualitative exploration in Kunming, China. JOURNAL OF TRANSPORT GEOGRAPHY 2021; 96:103176. [PMID: 34776657 PMCID: PMC8575655 DOI: 10.1016/j.jtrangeo.2021.103176] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 07/29/2021] [Accepted: 08/22/2021] [Indexed: 05/19/2023]
Abstract
The outbreak of COVID-19 in China started at the end of December 2019. This led to a series of containment measurements to control the spread of COVID-19. Despite of the widely reported effects of these measures, inadequate attention has gone to their social impacts. The elderly, as one of the most susceptible populations, has experienced a considerable reduction in mobility. This paper explores the role mobility played and how the social environment influenced elderly mobility in the first 2 months of the COVID-19 outbreak. We surveyed 186 families with a total of 248 elderly people in Kunming. The results show that mobility improves the quality of daily living, such as access to grocery shopping, maintenance of outdoor activities for health cultivation and preserving social networks even during the pandemic. Four themes relating to social environment emerged from the data as elements influencing elderly mobility during the pandemic: social pressure, practice of the virtue of Xiao, the social norm of respecting the aged and the impacts of technological advances. Among them, the virtue of Xiao enabled the elderly to stay in place in the early phase of COVID-19 by fulfilling their needs for daily necessities and social interactions, whilst being less technology-savvy further excluded them socially by restraining them from restoring mobility after the lifting of travel restrictions.
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Affiliation(s)
- Qiyang Liu
- School of Urban Planning and Design, Peking University, Shenzhen Graduate School, China
| | - Yang Liu
- Faculty of Transportation Engineering, Kunming University of Science and Technology, China
| | - Chi Zhang
- Centre for Study of Terrorism and Political Violence, University of St Andrews, UK
| | - Zihao An
- Institute for Transport Studies, University of Leeds, UK
| | - Pengjun Zhao
- School of Urban Planning and Design, Peking University, Shenzhen Graduate School, China
- College of Urban and Environmental Sciences, Peking University, China
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Salleh R, Man CS, Ahmad MH, Palaniveloo L, Zulkafly N, Ab Halim SA, Baharudin Shaharuddin A, Sulaiman N, Che Abdul Rahim N, Abdul Aziz NS, Mohd Sallehuddin S, Pardi M, Zainuddin AA, Abdul Ghaffar S, Shahar S, Selamat R, Ibrahim Wong N. Factors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2018. Geriatr Gerontol Int 2021; 20 Suppl 2:73-78. [PMID: 33370860 DOI: 10.1111/ggi.14006] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 06/16/2020] [Accepted: 07/11/2020] [Indexed: 11/26/2022]
Abstract
AIM Older persons are vulnerable to food insecurity. Therefore, this study aimed to determine the prevalence of food insecurity and associated factors among older persons in Malaysia. METHODS This is a cross-sectional study with two-stage stratified random sampling. In total, 3977 older persons participated in this study. Face-to-face interviews were conducted using a mobile device to obtain information about socio-demographic background, food insecurity, non-communicable diseases, social support and living arrangements. Descriptive and multiple complex sample logistic regression analyses were performed for data analysis. RESULTS The overall prevalence of food insecurity among older persons was 10.4%. Older persons from rural areas with no or only primary and secondary education, income less than RM 2000 (USD 477.57), at risk of malnutrition and not receiving very high social support were more likely to be food-insecure. CONCLUSION Approximately, one-tenth of Malaysian older adults were classified as food-insecure; particularly those living in rural areas from lower socio-economic status, not receiving very high social support and malnourished were more likely to be at risk. A specific nutrition program, such as meals on wheels and food vouchers, should be targeted toward older persons who are at risk to improve their malnutrition status. Geriatr Gerontol Int 2020; 20: 73-78.
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Affiliation(s)
- Ruhaya Salleh
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Cheong Siew Man
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Mohamad Hasnan Ahmad
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Lalitha Palaniveloo
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Norlida Zulkafly
- Nutrition Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | | | | | - Norhasmah Sulaiman
- Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | | | - Nur Shahida Abdul Aziz
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | | | - Munawara Pardi
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Ahmad Ali Zainuddin
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Suhaila Abdul Ghaffar
- Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
| | - Suzana Shahar
- Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Rusidah Selamat
- Nutrition Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Norazizah Ibrahim Wong
- Sector of Biostatistics and Data Repository, National Institutes of Health, Selangor, Malaysia
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12
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Ishikawa M, Yokomichi H, Yokoyama T. Difference and Variance in Nutrient Intake by Age for Older Adults Living Alone in Japan: Comparison of Dietary Reference Intakes for the Japanese Population. Nutrients 2021; 13:nu13051431. [PMID: 33922719 PMCID: PMC8146330 DOI: 10.3390/nu13051431] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 04/18/2021] [Accepted: 04/21/2021] [Indexed: 11/16/2022] Open
Abstract
This study aimed to estimate the distribution of usual intakes in protein, sodium, potassium, and calcium by age group and assessed whether proportions of deficiencies/excesses of each nutrient would occur more in older age via a comparison with the dietary reference intakes for the Japanese population (DRIs_J). A cross-sectional analysis was conducted using a database of the 2-day nutrient intake of 361 Japanese people aged 65-90 years. The AGEVAR MODE was used to estimate usual intake. Percentile curves using estimated distribution by sex and age and usual nutrient intake were compared to those of the DRIs_J. The usual intake of protein (male and female) and potassium and calcium (female) were lower with older age. Within-individual variance of protein in female (p = 0.037) and calcium in male (p = 0.008) subjects were considerably lower with older age. The proportion of deficiencies in protein (male and female), potassium (female), and calcium (female) were higher with older age. However, the proportion of people with excess salt (converted from sodium; male and female) did not differ by age. The variances found herein could be important for enhancing the understanding of differences in dietary intake by age.
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Affiliation(s)
- Midori Ishikawa
- Department of Health Promotion, National Institute of Public Health, 2-3-6 Minami, Wako, Saitama 351-0197, Japan;
- Correspondence: ; Tel.: +81-(0)48-458-6230; Fax: +80-(0)48-469-7683
| | - Hiroshi Yokomichi
- Department of Health Sciences, School of Medicine, University of Yamanashi, 1110, Shimokato, Chuo, Yamanashi 409-3898, Japan;
| | - Tetsuji Yokoyama
- Department of Health Promotion, National Institute of Public Health, 2-3-6 Minami, Wako, Saitama 351-0197, Japan;
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Alhammadi K, Santos-Roldán L, Cabeza-Ramírez LJ. A Theoretical Framework on the Determinants of Food Purchasing Behavior of the Elderly: A Bibliometric Review with Scientific Mapping in Web of Science. Foods 2021; 10:foods10030688. [PMID: 33807054 PMCID: PMC8004734 DOI: 10.3390/foods10030688] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 03/09/2021] [Accepted: 03/17/2021] [Indexed: 12/23/2022] Open
Abstract
The past few years have seen significant demographic changes in most regions, including an increased elderly population. Subsequently, elderly citizens comprise an important market segment of consumers, with the food industry one of the most affected areas in this context. However, food market managers previously believed that elderly consumers’ needs were stereotyped in nature. The lack of focus on this sector, therefore, left elderly consumers as an untapped market, without realizing the financial independence of this segment regarding their nutrition. This research will attempt to provide the key determinant factors on elderly consumers’ behavior related to food. For that purpose, a complete literature review of more than 123 papers regarding these concepts has been carried out. Once analyzed, we highlight the common insights to give clear guidance for supermarket managers and food manufacturers to have a better knowledge of the reasons behind elderly people’s food acquisitions.
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Determinants of food insecurity among elderly people: findings from the Canadian Community Health Survey. AGEING & SOCIETY 2021. [DOI: 10.1017/s0144686x20002081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Abstract
Food insecurity among elderly people is a major public health concern due to its association with several health conditions. Despite growing research and implementation of diverse income-based policy measures, food insecurity among elderly people remains a major policy issue in Canada. Additional research could inform food policy beyond strategies that target improving the financial resources of elderly people. Drawing data from the Canadian Community Health Survey (N = 24,930), we explored the correlates of food insecurity among older adults using negative log-log logistic regression techniques. Our findings show that certain categories of elderly people are more prone to food insecurity. These segments include seniors who are visible minorities (OR = 1.29, p < 0.01), live alone (OR = 1.13, p < 0.05), have a very weak sense of community belonging (OR = 1.40, p < 0.001), in poor physical health (OR = 1.20, p < 0.01), and those in lower age and income categories. These findings corroborate previous studies that demonstrate that food insecurity among elderly people is a complex phenomenon influenced by diverse socio-economic factors. In Canada, food security policies targeted at elderly people have largely prioritised poverty alleviation through income support programmes. While these programmes can improve the purchasing power of elderly people, they may not be sufficient in ensuring food security. There is a need to embrace and further investigate an integrated approach that pays attention to other contextual socio-economic dynamics.
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Iizaka S, Koitabashi E, Negishi T, Kawamura A, Iizuka Y. Distance from the nearest grocery stores and frequency of store-specific shopping are associated with dietary intake frequency among the community-dwelling independent elderly population. Nutr Health 2020; 26:197-207. [PMID: 32400265 DOI: 10.1177/0260106020923806] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND Low accessibility to grocery stores may change dietary habits and increase health problems for elderly people living in communities. AIM This study investigated whether the distance from the nearest grocery stores, including supermarkets, convenience stores, and drugstores, and the frequency of store-specific shopping were associated with dietary intake frequency among elderly people. METHODS A cross-sectional study was conducted in two towns of suburban cities. A total of 177 people aged ≥65 years were recruited (M age=76.7 years). The frequency of intake of 10 food groups and dietary variety scores (DVS) were evaluated. Distances from the districts to the nearest grocery stores and the frequency of shopping during a week at each store were evaluated using a geographic information system. RESULTS For supermarkets, people living <300 metres from the nearest supermarket showed a higher intake frequency of fruit (p=0.024) and oil/fat (p=0.045), and those shopping three or more times a week showed a higher intake frequency of meat (p=0.025). In the case of drugstores, people shopping one or more times a week showed a higher intake frequency of eggs (p=0.006) and oil/fat (p=0.048). People living <300 m from the nearest supermarkets (p=0.048) and drugstores (p=0.047) showed higher DVS than those living ≥500 m from the nearest supermarkets and drugstores. CONCLUSIONS Our findings suggest that shopping at supermarkets and drugstores is associated with dietary intake frequency and dietary quality for elderly people living in suburban cities.
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Affiliation(s)
- Shinji Iizaka
- School of Nutrition, College of Nursing and Nutrition, Shukutoku University, Japan
| | - Emiko Koitabashi
- Department of Nursing, Faculty of Health Science, Toho University, Japan
| | - Takako Negishi
- Department of Nursing, Faculty of Health Sciences, Tokyo Kasei University, Japan
| | - Aki Kawamura
- Department of Nursing, Faculty of Nursing, Wayo Women's University, Japan
| | - Yuzuru Iizuka
- School of Nutrition, College of Nursing and Nutrition, Shukutoku University, Japan
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Soriano G, De Souto Barreto P, Virecoulon Giudici K, Cantet C, Guyonnet S, Vellas B, Rolland Y, Andrieu S. Meal-related difficulties and weight loss in older people: Longitudinal data from MAPT study. Clin Nutr 2020; 39:3483-3488. [PMID: 32241710 DOI: 10.1016/j.clnu.2020.03.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 02/08/2020] [Accepted: 03/08/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Difficulties with meal-related activities (preparing meals and food shopping) may influence food intake, and contribute to nutritional risk among elderly people. All known studies on this topic had a cross-sectional design, thereby no causal relationships could be derived. We aim to investigate if difficulties with meal-related activities can contribute to subsequent weight loss in community-dwelling older people. METHODS We used data of older subjects from the MAPT Study (n = 1531, median age = 74 years, 64% women), who provided prospective data on weight every 6 months and cognitive, physical condition, and functional capacities every year during a 3-year period. Difficulties preparing meals and shopping were evaluated each year with the Alzheimer's Disease Cooperative Study-Activities of Daily Living Prevention Instrument (ADCS ADL-PI) Scale. The risk of losing weight (≥5% or ≥ 3 kg in the following year) was estimated using a time-dependent Cox regression model. RESULTS During the 3-year follow-up, a total of 851 subjects experienced at least a 5% or 3 kg weight loss. Two hundred thirty-seven subjects declared having difficulties with meal preparation at least once, and 133 declared having difficulties shopping. Subjects reporting any meal-related difficulties were older (p < 0.001), had more depressive symptoms (p < 0.001), and a lower physical function (p < 0.001) compared to those without difficulties. They also had a lower cognitive score (preparing meals: p < 0.001; shopping: p = 0.005) and a lower body mass index (preparing meals: p = 0.005; shopping: p = 0.023) at the end of the study. Meal-related activities were not associated with weight loss in unadjusted analysis and after adjustment for sex, age, depression, physical and cognitive status. CONCLUSION Difficulties preparing meals and shopping had no effect on weight loss in community-dwelling older people, despite their association with advanced age, functional decline, and depressive symptoms.
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Affiliation(s)
- Gaëlle Soriano
- INSERM UMR1027, Université de Toulouse, Université de Toulouse III Paul Sabatier, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France.
| | - Philippe De Souto Barreto
- INSERM UMR1027, Université de Toulouse, Université de Toulouse III Paul Sabatier, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France.
| | - Kelly Virecoulon Giudici
- Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France.
| | - Christelle Cantet
- Inserm UMR 1027, Université de Toulouse III Paul Sabatier, Faculté de Médecine Toulouse Purpan, 37 Allées Jules Guesde, Toulouse Cedex 9, 31 000, Toulouse, France.
| | - Sophie Guyonnet
- INSERM UMR1027, Université de Toulouse, Université de Toulouse III Paul Sabatier, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France.
| | - Bruno Vellas
- INSERM UMR1027, Université de Toulouse, Université de Toulouse III Paul Sabatier, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France.
| | - Yves Rolland
- INSERM UMR1027, Université de Toulouse, Université de Toulouse III Paul Sabatier, Institut Du Vieillissement, 37 Allées Jules Guesde, Toulouse Cedex 9, 31062, Toulouse, France; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Cité de La Santé, 20 Rue Du Pont Saint Pierre, TSA 60033, Toulouse Cedex 9, 31059, Toulouse, France.
| | - Sandrine Andrieu
- Inserm UMR 1027, Université de Toulouse III Paul Sabatier, Faculté de Médecine Toulouse Purpan, 37 Allées Jules Guesde, Toulouse Cedex 9, 31 000, Toulouse, France; Unité de Soutien Méthodologique à La Recherche CHU de Toulouse, Faculté de Médecine Toulouse Purpan, 37 Allées Jules Guesde, Toulouse Cedex 9, 31 000 Toulouse, France.
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Ohashi K, Ishikawa T, Hoshii A, Hokari T, Suzuki M, Mitobe Y, Yamada E, Abeywickrama HM, Kikuchi Y, Noguchi H, Hirosawa H, Koyama Y. Efficacy of Physical Activity in Prevention of Muscle Weakness in Patients With Chronic Liver Disease. J Clin Med Res 2019; 11:711-719. [PMID: 31636786 PMCID: PMC6785279 DOI: 10.14740/jocmr3978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Accepted: 09/23/2019] [Indexed: 11/17/2022] Open
Abstract
Background Sarcopenia is a prognostic factor for patients with liver cirrhosis and hepatocellular carcinoma, and it affects the onset of hepatic encephalopathy. Therefore, the prevention of sarcopenia contributes to the improvement of the prognosis of patients with chronic liver disease (CLD). We focused on changes of hand grip strength (HGS), one of the indicators of sarcopenia. However, there are little data investigating the impact of physical activity (PA) on HGS in patients with CLD. This study aimed to clarify whether PA contributes to the prevention of muscle weakness in patients with CLD. Methods This was a prospective observational study. We examined the effect of PA on changes in HGS from the baseline to the endpoint in each group. Metabolic equivalents-hour/week (METs-h/w) was used to evaluate PA. In total, 183 outpatients with CLD were analyzed. We divided participants into four groups (low PA in younger patients (n = 20), high PA in younger patients (n = 33), low PA in elderly patients (n = 47), and high PA in elderly patients (n = 83)). Results Fifty-eight percent of patients were men, and the median (interquartile range) age was 69.0 (63.0, 75.0) years. The most common etiology of liver disease was hepatitis C (38%). The frequency of living alone and low exercise habit was significantly high, and sarcopenia was more obvious in elderly patients with low PA than in those with high PA. Additionally, the elderly with low PA showed significantly reduced HGS compared to that of the elderly with high PA (-1.00 (-2.27, 0.55) kg vs. 0.10 (-1.40, 1.10) kg, P < 0.05). However, changes in HGS in younger patients were not significant (-0.02 (1.83, 1.47) kg vs. 0.25 (-2.45, 2.05) kg, P = 0.96). Logistic regression analyses identified PA as the independent factor for prevention of decrease in HGS (odds ratio: 1.91, 95% confidence interval: 1.00 - 3.62, P = 0.049). Conclusions Young patients with low PA were characterized by a long sedentary time; however, there was no loss of HGS. In contrast, elderly patients with CLD and low PA had significantly reduced HGS compared to that in elderly patients with CLD and high PA.
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Affiliation(s)
- Kazuki Ohashi
- Department of Nursing, Sapporo University of Health Sciences, Hokkaido, Japan.,Department of Nursing, Graduate School of Health Sciences, Niigata University, Niigata, Japan
| | - Toru Ishikawa
- Department of Gastroenterology and Hepatology, Saiseikai Niigata Hospital, Niigata, Japan
| | - Asami Hoshii
- Department of Medical Radiology, Saiseikai Niigata Hospital, Niigata, Japan
| | - Tamaki Hokari
- Department of Medical Radiology, Saiseikai Niigata Hospital, Niigata, Japan
| | - Mitsuyuki Suzuki
- Department of Pharmacology, Saiseikai Niigata Hospital, Niigata, Japan
| | - Yuta Mitobe
- Department of Nursing, Teikyo University, Faculty of Medical Technology, Tokyo, Japan
| | - Etsuko Yamada
- Department of Nursing, Graduate School of Health Sciences, Niigata University, Niigata, Japan
| | | | - Yuko Kikuchi
- Department of Nursing, Graduate School of Health Sciences, Niigata University, Niigata, Japan
| | - Hirohito Noguchi
- Department of Nursing, Saiseikai Niigata Hospital, Niigata, Japan
| | - Hiroshi Hirosawa
- Department of Clinical Engineering, Saiseikai Niigata Hospital, Niigata, Japan
| | - Yu Koyama
- Department of Nursing, Graduate School of Health Sciences, Niigata University, Niigata, Japan
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Klasan A, Putnis SE, Yeo WW, Fritsch BA, Coolican MR, Parker DA. Advanced Age Is Not a Barrier to Total Knee Arthroplasty: A Detailed Analysis of Outcomes and Complications in an Elderly Cohort Compared With Average Age Total Knee Arthroplasty Patients. J Arthroplasty 2019; 34:1938-1945. [PMID: 31155457 DOI: 10.1016/j.arth.2019.05.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2019] [Revised: 04/30/2019] [Accepted: 05/02/2019] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Life expectancy and higher complication rates have made the routine use of total knee arthroplasty (TKA) in elderly patients disputed by some authors. The purpose of this study was to assess patient and implant survivorship, complication and revision rates, and patient-reported outcomes (PROMS) in a cohort of patients aged above 80 years undergoing TKA. A comparison with a propensity matched cohort of patients of average age within our database for TKA was performed. METHODS A retrospective review of prospectively collected data identified 644 patients over the age of 80 years undergoing a TKA within a 14-year period. After calculating the average age of all TKA patients within the reviewed database, a cohort deemed average age was created within 1 standard deviation of the average age and matched using the following criteria: gender, surgeon, diagnosis, procedure type, and year. The primary outcomes were survivorship of the implant and the patient. The secondary outcomes were complications, transfusion rates, discharge destination, and PROMS. RESULTS The revision rate was low for both groups (P = .051). Implant survivorship at 10 years was similar (P = .07). Mortality rate was higher in the elderly (P < .001). General complication rate was higher in the elderly (P = .031). Surgical complications rates were similar (P = .702). The PROMS at final follow-up were 4% lower in the elderly (P < .001). CONCLUSION TKA in the elderly is a safe procedure. With measures minimizing the perioperative complications and blood loss, the outcome can be expected to be similar to patients of average age. The projected implant and patient survivorship in the elderly cohort is long enough to suggest that TKA in the elderly could have a high impact on remaining quality of life. Level III retrospective study.
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Affiliation(s)
- Antonio Klasan
- Sydney Orthopaedic Research Institute, Chatswood, Australia
| | | | - Wai Weng Yeo
- University of New South Wales, Sydney, Australia
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Heterogeneous factors predict food insecurity among the elderly in developed countries: insights from a multi-national analysis of 48 countries. Food Secur 2019. [DOI: 10.1007/s12571-019-00934-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Otani A, Sakakura K, Yamamoto K, Taniguchi Y, Ito M, Ibe T, Wada H, Momomura SI, Fujita H. Comparison of mid-term clinical outcomes after acute myocardial infarction in diabetic men between living alone and living together. Heart Vessels 2019; 34:1288-1296. [PMID: 30806777 DOI: 10.1007/s00380-019-01366-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Accepted: 02/22/2019] [Indexed: 12/11/2022]
Abstract
Because living alone is associated with an increased risk of type 2 diabetes mellitus in men but not women, living alone may be a risk factor of cardiovascular events after acute myocardial infarction (AMI) in diabetic men. The aim of the present study was to investigate the association between living alone and mid-term clinical outcomes after AMI in diabetic men. We conducted a single center, retrospecitve study. The primary endpoint was the major adverse cardiovascular events (MACE) defined as the composite of all cause death, AMI, and target vessel revascularization. A total of 253 AMI men with diabetes mellitus were included from our hospital records, and divided into the living together group (n = 203) and the living alone group (n = 50). Median follow-up duration was 239 days (Q1: 94 days, Q3: 451 days). A total of 66 MACE was observed during the study period, and Kaplan-Meier curves were constructed to compare the MACE. The MACE was more frequently observed in the living alone group than the living together group (P = 0.041). Multivariate Cox regression analysis revealed that the living alone group was significantly associated with the MACE (Odds ratio: 1.770, 95% confidence interval 1.018-3.077, P = 0.043) after known clinical risk factors. In conclusion, living alone was significantly associated with the mid-term MACE after AMI in diabetic men. It may be important to provide multiple interventions including lifestyle guidance as well as sufficient acute medical care for such high-risk patients.
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Affiliation(s)
- Akira Otani
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Kenichi Sakakura
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan.
| | - Kei Yamamoto
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Yousuke Taniguchi
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Miyuki Ito
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Tatsuro Ibe
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Hiroshi Wada
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Shin-Ichi Momomura
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
| | - Hideo Fujita
- Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Saitama, Japan
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Non-Market Food Provision and Sharing in Japan’s Socio-Ecological Production Landscapes. SUSTAINABILITY 2018. [DOI: 10.3390/su10010213] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ishikawa M, Yokoyama T, Hayashi F, Takemi Y, Nakaya T, Fukuda Y, Kusama K, Nozue M, Yoshiike N, Murayama N. Subjective Well-Being Is Associated with Food Behavior and Demographic Factors in Chronically Ill Older Japanese People Living Alone. J Nutr Health Aging 2018; 22:341-353. [PMID: 29484347 DOI: 10.1007/s12603-017-0930-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
OBJECTIVES This study aimed to examine the relationships among subjective well-being, food and health behaviors, socioeconomic factors, and geography in chronically ill older Japanese adults living alone. DESIGN The design was a cross-sectional, multilevel survey. A questionnaire was distributed by post and self-completed by participants. SETTING The sample was drawn from seven towns and cities across Japan. PARTICIPANTS A geographic information system was used to select a representative sample of older people living alone based on their proximity to a supermarket. Study recruitment was conducted with municipal assistance. MEASUREMENTS To assess subjective well-being and food and health behaviors of respondents with disease, a logistic regression analysis was performed using stepwise variable analyses, adjusted for respondent age, socioeconomic status, and proximity to a supermarket. The dependent variable was good or poor subjective well-being. RESULTS In total, 2,165 older people (744 men, 1,421 women) completed the questionnaire (63.5% response rate). Data from 737 men and 1,414 women were used in this study. Among people with a chronic disease, individuals with good subjective well-being had significantly higher rates than those with poor subjective well-being for satisfaction with meal quality and chewing ability, food diversity, food intake frequency, perception of shopping ease, having someone to help with food shopping, eating home-produced vegetables, preparing breakfast themselves, eating with other people, and high alcohol consumption. A stepwise logistic analysis showed that the factors strongly related to poor subjective well-being were shopping difficulty (men: odds ratio [OR] = 3.19, 95% confidence interval [CI], 1.94-5.23; P < 0.0001; women: OR = 2.20, 95% CI, 1.54-3.14; P < 0.0001), not having someone to help with food shopping (women: OR = 1.41, 95% CI, 1.01-1.97; P = 0.043), not preparing breakfast (women: OR = 2.36, 95% CI, 1.40-3.98; P = 0.001), and eating together less often (women: OR = 1.99, 95% CI, 1.32-3.00; P = 0.002). CONCLUSION Subjective well-being of people with chronic diseases is associated with food intake and food behavior. The factors that affect poor subjective well-being in chronically ill older Japanese people living alone include food accessibility and social communication.
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Affiliation(s)
- M Ishikawa
- Midori Ishikawa, PhD, RD, Department of Health Promotion, National Institute of Public Health, 2-3-6 Minami, Wako, Saitama 351-0197, Japan, TEL +81-48-458-6230; FAX: +81-48-469-7683, E mail:
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Ishikawa M, Yokoyama T, Takemi Y, Fukuda Y, Nakaya T, Kusama K, Yoshiike N, Nozue M, Yoshiba K, Murayama N. Association between Satisfaction with State of Health and Meals, Physical Condition and Food Diversity, Health Behavior, and Perceptions of Shopping Difficulty among Older People Living Alone in Japan. J Nutr Health Aging 2017; 21:514-520. [PMID: 28448081 DOI: 10.1007/s12603-016-0824-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
OBJECTIVE This study aimed to examine perceptions of shopping difficulty, and the relationships with satisfaction with state of health and meals, physical condition, food diversity and health behavior in older people living alone in Japan. DESIGN A cross-sectional, multilevel survey was designed. The questionnaire was distributed by mail and self-completed by participants. SETTING The sample was drawn from seven towns and cities across Japan. PARTICIPANTS A geographic information system was used to select the sample of older people living alone, by proximity to a supermarket. In total, 2,346 older people (827 men and 1,519 women) completed the questionnaire. MEASUREMENTS The dependent variable was whether shopping was easy or difficult. A logistic regression analysis was performed, adjusting for age, socioeconomic status and proximity of residence to a supermarket using stepwise variable analyses. RESULTS The response rate was 67.8%. Overall, 14.5% of men and 21.7% of women considered shopping difficult. The stepwise logistic analysis showed that the factors most strongly related to shopping difficulty were a subjective feeling of poor health (men: OR = 3.01, women: OR = 2.16) and lack of satisfaction with meals (men: OR = 2.82, women: OR = 3.69). Other related physical condition and dietary factors were requiring nursing care (men: OR = 3.69, women: OR = 1.54), a high level of frailty, measured using the frailty index score (women: OR = 0.36) and low food diversity score (men: OR = 1.84, women: OR = 1.36). CONCLUSION The study found that older people's assessment of their shopping difficulty was related to satisfaction aspects, including a subjective feeling of poor health, and lack of satisfaction with meals, as well as physical condition. These have a greater influence on shopping difficulty than income in both sexes, and proximity to a supermarket in women.
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Affiliation(s)
- M Ishikawa
- Midori Ishikawa, PhD, RD, 2-3-6, Minami, Wako-shi, Saitama Japan, 351-0197, Department of Health Promotion. National Institute of Public Health, TEL +81-(0)48-458-6230 FAX: +80-(0)48-469-7683, E mail:
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Ishikawa M, Takemi Y, Yokoyama T, Kusama K, Fukuda Y, Nakaya T, Nozue M, Yoshiike N, Yoshiba K, Hayashi F, Murayama N. "Eating Together" Is Associated with Food Behaviors and Demographic Factors of Older Japanese People Who Live Alone. J Nutr Health Aging 2017; 21:662-672. [PMID: 28537330 DOI: 10.1007/s12603-016-0805-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE This study aimed to examine the relationships between eating together and subjective health, frailty, food behaviors, food accessibility, food production, meal preparation, alcohol intake, socioeconomic factors and geography among older Japanese people who live alone. DESIGN A cross-sectional, multilevel survey was designed. The questionnaire was distributed by post and self-completed by participants. SETTING The sample was drawn from seven towns and cities across Japan. PARTICIPANTS A geographic information system was used to select a representative sample of older people who lived alone based on their proximity to a supermarket. Recruitment for the study was conducted with municipal assistance. MEASUREMENTS A logistic regression analysis was performed that adjusted for the respondent's age, socioeconomic status and proximity to a supermarket using stepwise variable analyses. The dependent variable was whether the respondent ate together more or less than once a month. RESULTS In total, 2,196 older people (752 men and 1,444 women) completed the questionnaire (63.5% response rate). It was found that 47.1% of men and 23.9% of women ate together less than once a month. Those who ate together less than once a month had a significantly lower rate of subjective health, food diversity and food intake frequency than those who ate together more often. A stepwise logistic analysis showed that the factors most strongly related to eating together less than once a month were not having any food shopping assistance (men: OR = 3.06, women: OR = 2.71), not receiving any food from neighbors or relatives (men: OR = 1.74, women: OR = 1.82), daily alcohol intake (women: OR = 1.83), frailty (men: OR = 0.48) and income (men: OR = 2.16, women: OR = 1.32). CONCLUSION Eating together is associated with subjective health and food intake. Factors that affect how often older Japanese people who live alone eat together include food accessibility, daily alcohol intake, frailty and a low income.
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Affiliation(s)
- M Ishikawa
- Midori Ishikawa, PhD, RD, 2-3-6 Minami, Wako, Saitama 351-0197, Japan, Department of Health Promotion, National Institute of Public Health, TEL +81-(0)48-458-6230; FAX: +80-(0)48-469-7683, E mail:
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