在《健康与退休研究》中，老年人的粮食不安全状况与精神疾病有关，而非肥胖状况。
Mental Illness, Not Obesity Status, is Associated with Food Insecurity Among the Elderly in the Health and Retirement Study.
作者信息
Brostow Diana P, Gunzburger Elise, Abbate Lauren M, Brenner Lisa A, Thomas Kali S
机构信息
a Denver VA Medical Center , Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care , Denver , CO , USA.
b Department of Biostatistics and Informatics , University of Colorado School of Public Health , Aurora , CO , USA.
出版信息
J Nutr Gerontol Geriatr. 2019 Apr-Jun;38(2):149-172. doi: 10.1080/21551197.2019.1565901. Epub 2019 Feb 22.
OBJECTIVES
Food insecurity, limited or uncertain access to adequate nutrition, is an increasingly recognized determinant of health outcomes and is often associated with having obesity. It is unclear, however, if this association persists in elderly populations.
METHODS
We conducted a cross-sectional study of 2868 participants' aged 65+ years from the Health and Retirement Study. Multivariate logistic regression was used to assess associations between food insecurity and body mass index, demographic characteristics, psychiatric history, and medical history.
RESULTS
Participants with overweight/obesity had a higher prevalence of food insecurity than leaner counterparts, however, weight status was not a significant predictor of food insecurity after multivariate adjustment. Instead, mental illness, current smoking status, and non-White race were all independently associated with food insecurity.
DISCUSSION
Beyond financial status, health care providers are encouraged to use these characteristics to identify elderly patients that may be at risk of food insecurity.
目的
粮食不安全，即获得充足营养的机会有限或不确定，是一个越来越被认可的健康结果决定因素，并且常常与肥胖相关。然而，这种关联在老年人群中是否持续尚不清楚。
方法
我们对来自健康与退休研究的2868名65岁及以上参与者进行了一项横断面研究。采用多因素逻辑回归来评估粮食不安全与体重指数、人口统计学特征、精神病史和病史之间的关联。
结果
超重/肥胖的参与者粮食不安全的患病率高于较瘦的参与者，然而，在多因素调整后，体重状况并不是粮食不安全的显著预测因素。相反，精神疾病、当前吸烟状况和非白人种族均与粮食不安全独立相关。
讨论
除财务状况外，鼓励医疗保健提供者利用这些特征来识别可能存在粮食不安全风险的老年患者。
Zotero 插件