Food Insecurity Is Associated with Mild Cognitive Impairment among Middle-Aged and Older Adults in South Africa: Findings from a Nationally Representative Survey.

Journal: Nutrients

Volume: 11

Issue: 4

Year of Publication: 2019

Affiliated Institutions:  Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain. a.koyanagi@pssjd.org. Aging Branch, Neuroscience Institute, National Research Council, Padova, Italy. ilmannato@gmail.com. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE AZ, UK. brendon.stubbs@kcl.ac.uk. Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium. davy.vancampfort@kuleuven.be. Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo -, Japan. amstick@gmail.com. School of Social Work, University of Southern California, CA , USA. hansoh@usc.edu. Department of Pediatrics, Yonsei University College of Medicine, Yonsei-ro , Seodaemun-gu, C.P.O. Box , Seoul , Korea. SHINJI@yuhs.ac. Department of Behavioural Science and Health, University College London, London WCE HB, UK. s.e.jackson@ucl.ac.uk. The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB PT, UK. Lee.Smith@anglia.ac.uk. Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain. elvira.lara@uam.es.

Abstract summary 

There are no studies on the association between food insecurity and mild cognitive impairment (MCI). Thus, cross-sectional, community-based data on individuals aged ≥50 years from the World Health Organization's Study on Global AGEing and Adult Health (SAGE) conducted in South Africa (2007⁻2008) were analyzed to assess this association. The definition of MCI was based on the National Institute on Ageing-Alzheimer's Association criteria. 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 sample consisted of 3,672 individuals aged ≥50 years [mean (SD) age 61.4 (18.3); 56% females]. The prevalence of MCI was 8.5%, while 11.0% and 20.8% experienced moderate and severe food insecurity, respectively. After adjustment for potential confounders, moderate and severe food insecurity were associated with 2.82 (95%CI = 1.65⁻4.84) and 2.51 (95%CI = 1.63⁻3.87) times higher odds for MCI compared with no food insecurity, respectively. The OR for those aged ≥65 years with severe food insecurity was particularly high (OR = 3.87; 95%CI = 2.20⁻6.81). In conclusion, food insecurity was strongly associated with MCI among South African older adults. Future longitudinal research is required to assess whether addressing food insecurity may reduce risk of MCI and subsequent dementia.

Authors & Co-authors:  Koyanagi Ai A Veronese Nicola N Stubbs Brendon B Vancampfort Davy D Stickley Andrew A Oh Hans H Shin Jae Il JI Jackson Sarah S Smith Lee L Lara Elvira E

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Wimo A., Guerchet M., Ali G.C., Wu Y.T., Prina A.M., Winblad B., Jonsson L., Liu Z., Prince M. The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimers Dement. 2017;13:1–7. doi: 10.1016/j.jalz.2016.07.150.
Authors :  10
Identifiers
Doi : 749
SSN : 2072-6643
Study Population
Male,Female
Mesh Terms
Aged
Other Terms
South Africa;epidemiology;food insecurity;mild cognitive impairment
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Switzerland