Effect of food insecurity on the cognitive problems among elderly in India
Tóm tắt
Food Insecurity (FI) is a crucial social determinant of health, independent of other socioeconomic factors, as inadequate food resources create a threat to physical and mental health especially among older person. The present study explores the associations between FI and cognitive ability among the aged population in India. To measure the cognitive functioning we have used two proxies, word recall and computational problem. Descriptive analysis and multivariable logistic regression was used to understand the prevalence of word recall and computational problem by food security and some selected sociodemographic parameters. All the results were reported at 95% confidence interval. We have used the data from the first wave of longitudinal ageing study of India (LASI), with a sample of 31,464 older persons 60 years and above. The study identified that 17 and 5% of the older population in India experiencing computational and word recall problem, respectively. It was found that respondents from food secure households were 14% less likely to have word recall problems [AOR:0.86, 95% CI:0.31–0.98], and 55% likely to have computational problems [AOR:0.45, 95% CI:0.29–0.70]. We also found poor cognitive functioning among those experiencing disability, severe ADL, and IADL. Further, factors such as age, education, marital status, working status, health related factors were the major contributors to the cognitive functioning in older adults. This study suggest that food insecurity is associated with a lower level of cognition among the elderly in India, which highlight the need of food policy and interventional strategies to address food insecurity, especially among the individuals belonging to lower wealth quintiles. Furthermore, increasing the coverage of food distribution may also help to decrease the burden of disease for the at most risk population. Also, there is a need for specific programs and policies that improve the availability of nutritious food among elderly.
Tài liệu tham khảo
Nations Department of Economic U, Affairs S, Division P. World Population Ageing 2019. 2019.
Ince YM. Economic and social consequences of population aging the dilemmas and opportunities in the twenty-first century. Appl Res Qual Life. 2015;10:735–52.
Kaplan MA, Inguanzo MM. The social, economic, and public health consequences of global population aging: implications for social work practice and public policy. J Soc Work Glob Community. 2017;2:1–12.
Murman DL. The impact of age on cognition. Semin Hear. 2015;36:111–21.
Juan SMA, Adlard PA. Ageing and cognition. In: Subcellular Biochemistry. Springer New York; 2019. p. 107–122.
Global Health Index. Global Hunger Index: One Decade to Zero Hunger - Linking Health and Sustainable Food Systems. 2020:2020.
Perez-Escamilla R, Pinheiro de Toledo Vianna R. Food Insecurity and the Behavioral and Intellectual Development of Children: A Review of the Evidence. J Appl Res Child Informing Policy Child Risk. 2012;3.
Frith E, Loprinzi PD. Food insecurity and cognitive function in older adults: brief report. Clin Nutr. 2018;37:1765–8.
Portela-Parra ET, Leung CW. Food insecurity is associated with lower cognitive functioning in a National Sample of older adults. J Nutr. 2019;149:1812–7.
Grineski SE, Morales DX, Collins TW, Rubio R. Transitional dynamics of household food insecurity impact children’s developmental outcomes Sara. J Dev Behav Pediatr. 2018;39:715–25.
Gyasi RM, Obeng B, Yeboah JY. Impact of food insecurity with hunger on mental distress among community-dwelling older adults. PLoS One. 2020;15:1–11.
Koyanagi A, Veronese N, Stubbs B, Vancampfort D, Stickley A, Oh H, et al. Food insecurity is associated with mild cognitive impairment among middle-aged and older adults in South Africa: findings from a nationally representative survey. Nutrients. 2019;11.
Bickel G, Nord M, Price C, Hamilton W, Cook J. Measuring food security in the United States guide to measuring household food security revised 2000; 2000.
Nord M, Andrews M, Carlson S. Household food security in the United States, 2005; 2006.
International Institute of Population Sciences (IIPS), National Programme for Health Care of Elderly (NPHCE), MoHFW, Harvard T.H. Chan School of Public Health (HSPH), University of Southern California (USC). Longitudinal Ageing Study in India (LASI) Wave 1, 2017–18, India Report. Mumbai; 2020.
FAO, IFAD, UNICEF, WFP, WHO. The state of food security and nutrition in the world 2020. Rome: FAO, IFAD, UNICEF, WFP and WHO; 2020.
Farì G, Santagati D, Pignatelli G, Scacco V, Renna D, Cascarano G, et al. Collagen peptides, in association with vitamin C, Sodium Hyaluronate, Manganese and Copper, as Part of the Rehabilitation Project in the Treatment of Chronic Low Back Pain. Endocr Metab Immune Disord Drug Targets. 2021.
Agostini F, Bernetti A, Di Giacomo G, Viva MG, Paoloni M, Mangone M, et al. Rehabilitative good practices in the treatment of sarcopenia: a narrative review. Am J Phys Med Rehabil. 2021;100:280–7.
Iolascon G, Gimigliano R, Bianco M, De Sire A, Moretti A, Giusti A, et al. Are dietary supplements and Nutraceuticals effective for musculoskeletal health and cognitive function? A scoping review. J Nutr Health Aging. 2017;21:527–38.
Seligman HK, Laraia BA, Kushel MB. Nutrition and disease food insecurity is associated with chronic disease among low-income NHANES participants 1,2. J Nutr. 2010;140:304–10.
Berkowitz SA, Berkowitz TSZ, Meigs JB, Wexler DJ. Trends in food insecurity for adults with cardiometabolic disease in the United States: 2005-2012. PLoS One. 2017;12.
Mendy VL, Vargas R, Cannon-Smith G, Payton M, Enkhmaa B, Zhang L. Food insecurity and cardiovascular disease risk factors among Mississippi adults. Int J Environ Res Public Heal. 2018;15.
Inui T, Hanley B, Tee ES, Nishihira J, Tontisirin K, Van Dael P, et al. The role of micronutrients in ageing Asia: what can be implemented with the existing insights. Nutrients. 2021;13:2222.
Gao X, Scott T, Falcon LM, Wilde PE, Tucker KL. Food insecurity and cognitive function in Puerto Rican adults. Am J Clin Nutr. 2009;89:1197–203.
Na M, Dou N, Ji N, Xie D, Huang J, Tucker KL, et al. Food insecurity and cognitive function in middle to older adulthood: a systematic review. Am Soc Nutr. 2020;11:667–76.
Li S, Guo Y, Men J, Fu H, Xu T. The preventive efficacy of vitamin B supplements on the cognitive decline of elderly adults: a systematic review and meta-analysis. BMC Geriatr. 2021;21:367. https://doi.org/10.1186/s12877-021-02253-3.
Suh SW, Kim HS, Han JH, Bae J Bin, Oh DJ, Han JW, et al. Efficacy of vitamins on cognitive function of non-demented people: A systematic review and meta-analysis Nutrients 2020;12:1168.
Crawford C, Boyd C, Deuster PA. Dietary supplement ingredients for optimizing cognitive performance among healthy adults: a systematic review. J Altern Complement Med. 2021.
Gardener SL, Rainey-Smith SR. The role of nutrition in cognitive function and brain ageing in the elderly. Curr Nutr Rep. 2018;7:139–49.
Alloway TP, Alloway RG. Investigating the predictive roles of working memory and IQ in academic attainment. J Exp Child Psychol. 2010;106:20–9.
dos Santos IG, Salles-Costa R. Inverse association between social support and household food insecurity in a metropolitan area of Rio de Janeiro. Brazil Public Health Nutr. 2015;18:2925–33.
Temple JB. Severe and moderate forms of food insecurity in Australia: are they distinguishable? Aust J Soc Issues. 2008;43:649–68.
Davison KM, Marshall-Fabien GL, Tecson A. Association of moderate and severe food insecurity with suicidal ideation in adults: national survey data from three Canadian provinces. Soc Psychiatry Psychiatr Epidemiol. 2015;50:963–72.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function jama 1963;185:914–919.
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9 3_Part_1:179–86.
Wong JC, Scott T, Wilde P, Li Y-G, Tucker KL, Gao X. Food insecurity is associated with subsequent cognitive decline in the Boston Puerto Rican health study. J Nutr. 2016;146:1740–5.
Onadja Y, Atchessi N, Soura BA, Rossier C, Zunzunegui M-V. Gender differences in cognitive impairment and mobility disability in old age: a cross-sectional study in Ouagadougou. Burkina Faso Arch Gerontol Geriatr. 2013;57:311–8.
Tong M, Tieu L, Lee CT, Ponath C, Guzman D, Kushel M. Factors associated with food insecurity among older homeless adults: results from the HOPE HOME study. J Public Health (Bangkok). 2019;41:240–9.
Stickley A, Oh H, Shin J Il, Jackson S, Smith L, Lara E. Food Insecurity Is Associated with Mild Cognitive Impairment among Middle-Aged and Older Adults in South Africa: Findings from a Nationally Representative Survey. Ageing Nutr through Lifesp. 2020;:92.
Leung CW, Epel ES, Willett WC, Rimm EB, Laraia BA. Household food insecurity is positively associated with depression among low-income supplemental nutrition assistance program participants and income-eligible nonparticipants. J Nutr. 2015;145:622–7.
Bruening M, Dinour LM, Chavez JBR. Food insecurity and emotional health in the USA: a systematic narrative review of longitudinal research. Public Health Nutr. 2017;20:3200–8.
Fournet N, Roulin JL, Vallet F, Beaudoin M, Agrigoroaei S, Paignon A, et al. Evaluating short-term and working memory in older adults: French normative data. Aging Ment Heal. 2012;16:922–30. https://doi.org/10.1080/13607863.2012.674487.
Pliatsikas C, Veríssimo J, Babcock L, Pullman MY, Glei DA, Weinstein M, et al. Working memory in older adults declines with age, but is modulated by sex and education. Q J Exp Psychol. 2019;72:1308–27.
Pfeiffer HCV, Løkkegaard A, Zoetmulder M, Friberg L, Werdelin L. Cognitive impairment in early-stage non-demented Parkinson’s disease patients. Acta Neurol Scand. 2014;129:307–18.
Whitwell JL, Jones DT, Duffy JR, Strand EA, Machulda MM, Przybelski SA, et al. Working memory and language network dysfunctions in logopenic aphasia: a task-free fMRI comparison with Alzheimer’s dementia. Neurobiol Aging. 2015;36:1245–52.
Ritchie SJ, Bates TC, Deary IJ. Is education associated with improvements in general cognitive ability, or in specific skills? Dev Psychol. 2015;51:573.
Cagney KA, Lauderdale DS. Education, wealth, and cognitive function in later life. Journals Gerontol Ser B Psychol Sci Soc Sci. 2002;57:P163–72.
McGuire LC, Ford ES, Ajani UA. Cognitive functioning as a predictor of functional disability in later life. Am J Geriatr Psychiatry. 2006;14:36–42.
Barberger-Gateau P, Fabrigoule C. Disability and cognitive impairment in the elderly. Disabil Rehabil. 1997;19:175–93.