Rigling Maurus, Schuetz Philipp, Kaegi-Braun Nina
Division of General Internal and Emergency Medicine, Medical University Department, Kantonsspital Aarau, Aarau, Switzerland.
Medical Faculty, University of Basel, Basel, Switzerland.
Front Nutr. 2023 Aug 16;10:1228826. doi: 10.3389/fnut.2023.1228826. eCollection 2023.
Food insecurity has been defined as "" and may increase the nutritional risk, which in turn leads to poor health, development of chronic diseases, poor psychological and cognitive functioning, and substandard academic achievements. There is limited data on the importance of food insecurity in a rich country such as Switzerland.
This is a cross-sectional analysis of data from a structured survey in an elderly population of Switzerland. The data was assessed between June and August 2021 in the course of a 7-year phone call follow-up from the EFFORT trial, which included medical inpatients at nutritional risk from 2014 to 2018. A validated questionnaire (Six-Item Short Form 2012 of the U.S: Household Food Security Survey Module) was used to assess food security status.
Of the 433 included patients, 30 (6.9%) were food insecure. A significant association between food insecurity and age, governmental financial support and self-reported loneliness was found. When compared with the food secure group, there was a significant lower quality of life measured by the EQ-5D VAS.
In an older Swiss population of patients at nutritional risk, food insecurity was named as a contributing factor for malnutrition in about 7% of patients, particularly younger individuals with financial support, and self-reported loneliness. In the assessment of malnutrition, physician and dieticians should ask for food insecurity and if detect take appropriate actions.
粮食不安全被定义为“……”，可能会增加营养风险，进而导致健康状况不佳、慢性病的发展、心理和认知功能不良以及学业成绩不达标准。在瑞士这样的富裕国家，关于粮食不安全重要性的数据有限。
这是对瑞士老年人群体结构化调查数据的横断面分析。数据于2021年6月至8月期间，在EFFORT试验的7年电话随访过程中进行评估，该试验纳入了2014年至2018年有营养风险的住院患者。使用一份经过验证的问卷（美国家庭粮食安全调查模块2012年简版六项问卷）来评估粮食安全状况。
在纳入的433名患者中，30名（6.9%）存在粮食不安全问题。发现粮食不安全与年龄、政府财政支持以及自我报告的孤独感之间存在显著关联。与粮食安全组相比，通过EQ - 5D视觉模拟量表测量的生活质量显著较低。
在有营养风险的瑞士老年患者群体中，约7%的患者将粮食不安全列为营养不良的一个促成因素，尤其是那些获得财政支持且自我报告有孤独感的较年轻个体。在评估营养不良时，医生和营养师应询问粮食不安全情况，若发现则采取适当行动。
