1
|
Sassine AJ, Rabbitt MP, Coleman-Jensen A, Moshfegh AJ, Sahyoun NR. Development and Validation of a Physical Food Security Tool for Older Adults. J Nutr 2023; 153:1273-1282. [PMID: 36868513 DOI: 10.1016/j.tjnut.2023.02.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 02/17/2023] [Accepted: 02/24/2023] [Indexed: 03/05/2023] Open
Abstract
BACKGROUND Current measures of food insecurity focus on economic access to food, but not on the physical aspect of food insecurity that captures the inability to access food or prepare meals. This is particularly relevant among the older adult population who are at a high risk of functional impairments. OBJECTIVES To develop a short-form physical food security (PFS) tool among older adults using statistical methods based on the Item Response Theory (Rasch) model. METHODS Pooled data from adults aged ≥60 y of the NHANES (2013-2018) (n = 5892) were used. The PFS tool was derived from the physical limitation questions included in the physical functioning questionnaire of NHANES. Item severity parameters, fit and reliability statistics, and residual correlation between items were estimated using the Rasch model. The construct validity of the tool was assessed by examining associations with the Healthy Eating Index (HEI)-2015 scores, self-reported health, self-reported diet quality, and economic food insecurity, using weighted multivariable linear regression analysis, controlling for potential confounders. RESULTS A 6-item scale was developed, which had adequate fit statistics and high reliability (0.62). It was categorized based on raw score severity into high, marginal, low, and very low PFS. Very low PFS was associated with respondent's self-reported poor health (OR = 23.8; 95% CI: 15.3, 36.9; P < 0.0001), self-reported poor diet (OR = 3.9; 95% CI: 2.8, 5.5; P < 0.0001), low and very low economic food security (OR = 6.08; 95% CI: 4.23, 8.76; P < 0.0001), and with lower mean HEI-2015 index score, in comparison to older adults with high PFS (54.5 compared with 57.5, P = 0.022). CONCLUSIONS The proposed 6-item PFS scale captures a new dimension of food insecurity that can inform on how older adults experience food insecurity. The tool will require further testing and evaluation in larger and different contexts to demonstrate its external validity.
Collapse
Affiliation(s)
- AnnieBelle J Sassine
- Department of Nutrition and Food Science, University of Maryland, College Park; MD United States
| | | | | | - Alanna J Moshfegh
- Beltsville Human Nutrition Research Center, Agricultural Research Service, United States Department of Agriculture
| | - Nadine R Sahyoun
- Department of Nutrition and Food Science, University of Maryland, College Park; MD United States.
| |
Collapse
|
2
|
Fu X, Du B, Chen Q, Norbäck D, Lindgren T, Janson C, Runeson-Broberg R. Self-rated health (SRH), recovery from work, fatigue, and insomnia among commercial pilots concerning occupational and non-occupational factors. Front Public Health 2023; 10:1050776. [PMID: 36684912 PMCID: PMC9846758 DOI: 10.3389/fpubh.2022.1050776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 11/17/2022] [Indexed: 01/06/2023] Open
Abstract
Background This study investigated associations of self-rated health (SRH), recovery from work, fatigue, and insomnia with working conditions, the psychosocial work environment, lifestyle, and sense of coherence (SOC) among commercial pilots. Methods A standardized questionnaire was sent to all pilots in an airline company, of whom 354 (61%) responded. Associations were analyzed via ordinal and logistic regression with mutual adjustment. Results Overall, 21.8% of participants reported low SRH, 13.0% reported not recovering from work during their free time, 61.9% experienced fatigue, and 70.6% experienced insomnia symptoms. A high level of demand at work was associated with poor SRH and more fatigue, and low social support at work was associated with insomnia and poorer recovery from work. Habits surrounding exercise and BMI were associated with SRH. Part-time pilots and captains reported experiencing better recovery from work than their counterparts, while female pilots and younger pilots reported less fatigue. Amount of free time after work and the type of airplane operated were associated with experience of insomnia symptoms. Finally, having a strong sense of coherence was protectively associated with all health outcomes. Conclusion The psychosocial environment at work is essential for the health of pilots, and a strong sense of coherence can be protective. Occupational conditions may influence recovery from work, fatigue, and insomnia. Moreover, engaging in exercise, maintaining a healthy weight, working part-time, and having more free time after the working day could improve pilots' health.
Collapse
Affiliation(s)
- Xi Fu
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China
- Guangdong Provincial Engineering Research Center of Public Health Detection and Assessment, Guangdong Pharmaceutical University, Guangzhou, China
| | - Bingqian Du
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China
- Guangdong Provincial Engineering Research Center of Public Health Detection and Assessment, Guangdong Pharmaceutical University, Guangzhou, China
| | - Qingsong Chen
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China
- Guangdong Provincial Engineering Research Center of Public Health Detection and Assessment, Guangdong Pharmaceutical University, Guangzhou, China
| | - Dan Norbäck
- Occupational and Environmental Medicine, Department of Medical Sciences, University Hospital, Uppsala University, Uppsala, Sweden
| | - Torsten Lindgren
- Occupational and Environmental Medicine, Department of Medical Sciences, University Hospital, Uppsala University, Uppsala, Sweden
| | - Christer Janson
- Respiratory, Allergy and Sleep Research, Department of Medical Sciences, University Hospital, Uppsala University, Uppsala, Sweden
| | - Roma Runeson-Broberg
- Occupational and Environmental Medicine, Department of Medical Sciences, University Hospital, Uppsala University, Uppsala, Sweden
| |
Collapse
|
3
|
Keramat SA, Ahammed B, Mohammed A, Seidu AA, Farjana F, Hashmi R, Ahmad K, Haque R, Ahmed S, Ali MA, Ahinkorah BO. Disability, physical activity, and health-related quality of life in Australian adults: An investigation using 19 waves of a longitudinal cohort. PLoS One 2022; 17:e0268304. [PMID: 35552556 PMCID: PMC9098066 DOI: 10.1371/journal.pone.0268304] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 04/26/2022] [Indexed: 11/23/2022] Open
Abstract
Background Any form of long-term physical or mental impairment might negatively influence health-related quality of life (HRQoL). HRQoL, as an independent concept, covers a wide range of characteristics that includes physical, mental, social, and spiritual functions. People with disabilities are continuously exposed to multiple barriers that deteriorate their HRQoL. It also creates impairment in performing physical activities. However, experts opine regular physical exercise as an intervention to help disabled people. This research aims to investigate the association between disability and physical activity with HRQoL among the adult population in Australia. Design A retrospective cohort study. Methods This study utilized the most recent 19 waves of data (2002–2020) from the nationally representative Household, Income and Labour Dynamics in Australia (HILDA) survey. Component summary scores such as physical component summary (PCS) and mental component summary (MCS), and SF-6D utility scores were utilized to measure HRQoL. Random-effects GLS regression technique was fitted to estimate the association between disability and physical activity with HRQoL, after adjusting for a range of socio-demographic and health-related characteristics. Results Disability was negatively associated with the PCS (-5.95), MCS (-2.70) and SF-6D (-0.060) compared with non-disabled counterparts. However, respondents engaged in the recommended level of physical activity had substantial gain in PCS (b = 0.96), MCS (1.57), and SF-6D (0.021) scores. Besides, the results showed that performing the recommended level of physical activity in the presence of disability has lessen the negative effect of disability/ positive moderating effect of physical activity on PCS, MCS, and SF-6D scores by 1.84 points, 0.82 points, and 0.013 percentage points, respectively. Conclusion This study found an inverse association between disability and HRQoL among Australian adults. However, physical activity was associated with improved HRQoL. Therefore, public health interventions, such as the orientation of physical activities, have a higher potential to dwindle the burden regarding HRQoL.
Collapse
Affiliation(s)
- Syed Afroz Keramat
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Services Research, University of Queensland, Brisbane Australia
| | - Benojir Ahammed
- Statistics Discipline, Science, Engineering, Technology School, Khulna University, Khulna, Bangladesh
| | - Aliu Mohammed
- Department of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast, Ghana
| | - Abdul-Aziz Seidu
- Centre For Gender and Advocacy, Takoradi Technical University, Takoradi, Ghana
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville Australia
- * E-mail:
| | - Fariha Farjana
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Rubayyat Hashmi
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- QUT Business School, Queensland University of Technology, Brisbane, QLD, Australia
| | - Kabir Ahmad
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Rezwanul Haque
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Sazia Ahmed
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Mohammad Afshar Ali
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- Quality Use of Medicines and Pharmacy Research Centre (QUMPRC), Clinical and Health Sciences, University of South Australia, Adelaide, South Australia
- Department of Economics, Jagannath University, Dhaka, Bangladesh
| | | |
Collapse
|
4
|
Keramat SA, Alam K, Rana RH, Chowdhury R, Farjana F, Hashmi R, Gow J, Biddle SJH. Obesity and the risk of developing chronic diseases in middle-aged and older adults: Findings from an Australian longitudinal population survey, 2009-2017. PLoS One 2021; 16:e0260158. [PMID: 34784404 PMCID: PMC8594821 DOI: 10.1371/journal.pone.0260158] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 11/03/2021] [Indexed: 11/18/2022] Open
Abstract
Background Overweight and obesity impose a significant health burden in Australia, predominantly the middle-aged and older adults. Studies of the association between obesity and chronic diseases are primarily based on cross-sectional data, which is insufficient to deduce a temporal relationship. Using nationally representative panel data, this study aims to investigate whether obesity is a significant risk factor for type 2 diabetes, heart diseases, asthma, arthritis, and depression in Australian middle-aged and older adults. Methods Longitudinal data comprising three waves (waves 9, 13 and 17) of the Household, Income and Labour Dynamics in Australia (HILDA) survey were used in this study. This study fitted longitudinal random-effect logistic regression models to estimate the between-person differences in the association between obesity and chronic diseases. Results The findings indicated that obesity was associated with a higher prevalence of chronic diseases among Australian middle-aged and older adults. Obese adults (Body Mass Index [BMI] ≥ 30) were at 12.76, 2.05, 1.97, 2.25, and 1.96, times of higher risks of having type 2 diabetes (OR: 12.76, CI 95%: 8.88–18.36), heart disease (OR: 2.05, CI 95%: 1.54–2.74), asthma (OR: 1.97, CI 95%: 1.49–2.62), arthritis (OR: 2.25, 95% CI: 1.90–2.68) and depression (OR: 1.96, CI 95%: 1.56–2.48), respectively, compared with healthy weight counterparts. However, the study did not find any evidence of a statistically significant association between obesity and cancer. Besides, gender stratified regression results showed that obesity is associated with a higher likelihood of asthma (OR: 2.64, 95% CI: 1.84–3.80) among female adults, but not in the case of male adults. Conclusion Excessive weight is strongly associated with a higher incidence of chronic disease in Australian middle-aged and older adults. This finding has clear public health implications. Health promotion programs and strategies would be helpful to meet the challenge of excessive weight gain and thus contribute to the prevention of chronic diseases.
Collapse
Affiliation(s)
- Syed Afroz Keramat
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
- * E-mail:
| | - Khorshed Alam
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Rezwanul Hasan Rana
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- The Centre for the Health Economy, Macquarie University, Sydney, NSW, Australia
| | - Rupok Chowdhury
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Fariha Farjana
- Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Rubayyat Hashmi
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Jeff Gow
- School of Business, University of Southern Queensland, Toowoomba, QLD, Australia
- School of Accounting, Economics, and Finance, University of KwaZulu-Natal, Durban, South Africa
| | - Stuart J. H. Biddle
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| |
Collapse
|