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Food insecurity and physical multimorbidity among adults aged ≥ 50 years from six low- and middle-income countries

 Lee Smith  ;  Jae Il Shin  ;  Louis Jacob  ;  Guillermo F López Sánchez  ;  Felipe Schuch  ;  Mark A Tully  ;  Hans Oh  ;  Nicola Veronese  ;  Pinar Soysal  ;  Laurie Butler  ;  Yvonne Barnett  ;  Ai Koyanagi 
 EUROPEAN JOURNAL OF NUTRITION, Vol.62(1) : 489-497, 2023-02 
Journal Title
Issue Date
Chronic disease ; Food insecurity ; Low- and middle-income countries ; Multimorbidity ; Older adults
Purpose Food insecurity and multimoribidity (i.e., >= 2 chronic conditions) may be linked bidirectionally, but there are no studies on this topic from LMICs. Therefore, the aim of the present study was to examine the association between food insecurity and physical multimorbidity in a large representative sample of older adults from six LMICs. Methods Cross-sectional, community-based data on adults aged >= 50 years from the World Health Organization's Study on Global AGEing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia, and South Africa were analyzed. A total of 11 chronic physical conditions were assessed. 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 to assess the associations. Results Data on 34,129 adults aged >= 50 years [mean (SD) age 62.4 (16.0) years; age range 50-114 years; 47.9% males] were analyzed. After adjustment for potential confounders, in the overall sample, compared to being food secure, moderate and severe food insecurity were associated with 1.29 (95% CI 1.06-1.56) and 1.56 (95% CI 1.13-2.16) times higher odds for multimorbidity, respectively Conclusion Food insecurity was associated with greater odds for multimorbidity in older adults from LMICs. Addressing food insecurity in the general population may reduce risk for multimorbidity, while screening for food insecurity and addressing it among those with multimorbidity may lead to better clinical outcomes, pending future longitudinal research
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
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