Brooks Jessica M, Petersen Curtis L, Titus Alexander J, Umucu Emre, Chiu Chungyi, Bartels Stephen J, Batsis John A
a Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth College , Lebanon , NH , USA.
b Department of Rehabilitation and Health Services, University of North Texas , Denton , TX , USA.
J Nutr Gerontol Geriatr. 2019 Jul-Sep;38(3):218-230. doi: 10.1080/21551197.2019.1611520. Epub 2019 May 10.
Food insecurity refers to restricted or uncertain access to and ineffective utilization of nutritious and safe foods. Although food insecurity is linked to poorer physical health consequences among older adults, national estimates are not well known on food insecurity and depression. Using the 2005-2014 National Health and Nutrition Examination Survey, this study examines the associations between varying food insecurity levels and clinically relevant depressive symptoms (defined by PHQ-9 ≥ 10) among adults ≥60 years old ( = 7969). Rates of clinically relevant depressive symptoms in marginal, low, and very low food security were 12.3, 16.3, and 25.2%, respectively. Marginal, low, and very low food security were significantly associated with clinically relevant depressive symptoms: odds ratio (OR) = 1.12 (95% confidence intervals [CI] 1.07-1.18), OR = 1.07 (95% CI 1.03-1.12), and OR = 1.24 (95% CI 1.16-1.32), respectively. Given the intersection of food insecurity and depression, geriatric health professionals should work to improve health and nutrition programs for older adults at risk for or experiencing both public health concerns.
粮食不安全是指获取营养丰富且安全的食物受限或不确定，以及对这些食物的利用效率低下。尽管粮食不安全与老年人较差的身体健康后果相关，但关于粮食不安全与抑郁症的全国性估计尚不为人所知。本研究利用2005年至2014年全国健康与营养检查调查，考察了60岁及以上成年人（n = 7969）中不同程度的粮食不安全与临床相关抑郁症状（由PHQ-9≥10定义）之间的关联。边缘、低度和极低粮食安全状况下临床相关抑郁症状的发生率分别为12.3%、16.3%和25.2%。边缘、低度和极低粮食安全状况均与临床相关抑郁症状显著相关：优势比（OR）分别为1.12（95%置信区间[CI] 1.07 - 1.18）、1.07（95% CI 1.03 - 1.12）和1.24（95% CI 1.16 - 1.32）。鉴于粮食不安全与抑郁症的交叉情况，老年健康专业人员应努力改善针对面临这两种公共卫生问题风险或正在经历这两种问题的老年人的健康和营养项目。
