Frailty and food insecurity in older adults.

Autor: Pérez-Zepeda MU; 1Geriatric Epidemiology Research Department,Instituto Nacional de Geriatría,Mexico City,Mexico., Castrejón-Pérez RC; 1Geriatric Epidemiology Research Department,Instituto Nacional de Geriatría,Mexico City,Mexico., Wynne-Bannister E; 2Public Health Division,Universidad Nacional Autónoma de México,Mexico City,Mexico., García-Peña C; 3Instituto Nacional de Geriatría,Periférico Sur 2767,Colonia San Jerónimo Lídice,Delegación Magdalena Contreras,CP 10200,México DF,México.
Jazyk: angličtina
Zdroj: Public health nutrition [Public Health Nutr] 2016 Oct; Vol. 19 (15), pp. 2844-9. Date of Electronic Publication: 2016 May 02.
DOI: 10.1017/S1368980016000987
Abstrakt: Objective: The objective of the current work was to determine the association between food insecurity and frailty in older adults, within the context of a country with accelerated ageing and nutritional problems.
Design: Cross-sectional analysis of a representative nationwide survey on health and nutrition.
Setting: Mexican nationwide survey.
Subjects: A sample of 7108 adults aged 60 years or older living in communities, representative of Mexican older adults.
Results: Multivariate regression and descriptive analyses of food insecurity and frailty were performed. From a total of 7108 adults aged 60 years or older, with a mean age of 70·7 years, most (54·7 %) were women. Food security categories were: 26·3 % had food security, 40·3 % had mild food insecurity, 20·5 % had moderate food insecurity and 12·9 % had severe food insecurity. Food insecurity categories were associated with frailty, with the severe category having the highest odds ratio of 2·41 (95 % CI 2·03, 2·86; P<0·001) after adjustment for confounding factors.
Conclusions: According to our results, food insecurity is associated to frailty, which in turn is a condition that renders the older adult at a higher risk of developing adverse outcomes. Targeted food programmes for older adults with a high risk of having food insecurity or of being frail may improve health in this population group.
Databáze: MEDLINE