@article{ref1,
title="Association between food insecurity and fall-related injury among adults aged ≥65 years in low- and middle-income countries: the role of mental health conditions",
journal="Archives of gerontology and geriatrics",
year="2021",
author="Smith, Lee and Shin, Jae Il and López-Sánchez, Guillermo F. and Veronese, Nicola and Soysal, Pinar and Oh, Hans and Grabovac, Igor and Barnett, Yvonne and Jacob, Louis and Koyanagi, Ai",
volume="96",
number="",
pages="104438-104438",
abstract="PURPOSE: We investigated the association between food insecurity and fall-related injury among older adults from six low- and middle-income countries (LMICs), and the extent to which this association is mediated by mental health. <br><br>METHODS: Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression analysis and mediation analysis were conducted to assess associations. <br><br>RESULTS: Data on 14,585 adults aged ≥65 years [mean (SD) age 72.5 (11.5) years; 54.9% females] were analyzed. After adjustment for potential confounders, severe food insecurity (versus no food insecurity) was associated with 1.95 (95%CI = 1.11-3.41) times higher odds for fall-related injury. Moderate food insecurity was not significantly associated with fall-related injury (OR = 1.34; 95%CI = 0.81-2.25). The mediation analysis showed that 37.3%, 21.8%, 17.7%, and 14.0% of the association between severe food insecurity and fall-related injury was explained by anxiety, sleep problems, depression, and cognition, respectively. <br><br>CONCLUSION: Severe food insecurity was associated with higher odds for injurious falls among older adults in LMICs, and a large proportion of this association may be explained by mental health complications. Interventions to improve mental health among those who are food insecure and a strong focus on societal and government efforts to reduce food insecurity may contribute to a decrease in injurious falls.<p /> <p>Language: en</p>",
language="en",
issn="0167-4943",
doi="10.1016/j.archger.2021.104438",
url="http://dx.doi.org/10.1016/j.archger.2021.104438"
}