TY - JOUR
T1 - Food insecurity and physical functioning in Boston area Puerto Rican older adults
AU - Kuehl, Lillian
AU - Lee, Jong Soo
AU - Dinesh, Deepika
AU - Na, Muzi
AU - Tucker, Katherine L.
AU - Palacios, Natalia
N1 - Funding Information:
Acknowledgements: This work was supported by the National Institutes of Health grants P01 AG023394 and P50 HL105185. Natalia Palacios receives funding from the National Institutes of Health grant R01 NS097723. The authors thank Esther Jennings for administrative support. Financial support: This work was supported by the National Institutes of Health (K.T., grant numbers P01 AG023394, P50 HL105185 and R01 AG055948) (N.P., grant number R01 NS097723). The National Institutes of Health had no role in the design, analysis or writing of this article. Authorship: L.K. performed the statistical analysis and wrote the article; J.S.L. supervised the statistical analysis and reviewed article drafts; D.D. assisted with data analysis and revising manuscript drafts; M.N. reviewed article drafts and contributed food security expertise; K.L.T. is the PI of the BPHRS, reviewed the analytical plan and study drafts; N.P. formulated the research question, deigned the study, supervise the statistical analysis and reviewed article drafts. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving research study participants were approved by the University of Massachusetts Lowell IRB. Written informed consent was obtained from all subjects.
Publisher Copyright:
© 2022 The Author(s).
PY - 2022/12/5
Y1 - 2022/12/5
N2 - Objective: Prior studies have found evidence of a relationship between food insecurity and functional limitations among older populations in the USA. Design: This is a longitudinal investigation of food security in relation to functional limitations, assessed as Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scores. Setting: The Greater Boston, MA area. Participants: 1461 Boston Puerto Rican Health study participants, predominantly (70.5 %) female and aged 57.1 years (sd ± 7.6) at baseline followed for 6.2 (sd ± 0.98) years. Results: In cross-sectional analysis at baseline, participants reporting severe food insecurity had greater functional limitations (higher ADL; β = 2.34; 95 % CI (1.48, 3.19)) and higher IADL (β = 1.17, 95 % CI (0.68, 1.65)) compared with food secure participants. In longitudinal linear mixed models, severely food insecure participants at baseline had greater functional limitations over 5 years, as assessed by ADL (β = 1.74; 95 % CI (0.95, 2.53); P < 0.001) and IADL (β = 0.93, 95 % CI (0.48, 1.38)) compared with food secure participants. However, baseline food security did not significantly alter the 5-year trajectory in ADL (P-interaction between baseline food security and time for ADL and IADL = 0.41 and 0.47, respectively). Conclusions: In this cohort of Boston area Puerto Rican adults, those who are food insecure had consistently higher ADL and IADL scores over time, compared with those who are food secure. Baseline food security did not appear to alter the trajectory in ADL or IADL score.
AB - Objective: Prior studies have found evidence of a relationship between food insecurity and functional limitations among older populations in the USA. Design: This is a longitudinal investigation of food security in relation to functional limitations, assessed as Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scores. Setting: The Greater Boston, MA area. Participants: 1461 Boston Puerto Rican Health study participants, predominantly (70.5 %) female and aged 57.1 years (sd ± 7.6) at baseline followed for 6.2 (sd ± 0.98) years. Results: In cross-sectional analysis at baseline, participants reporting severe food insecurity had greater functional limitations (higher ADL; β = 2.34; 95 % CI (1.48, 3.19)) and higher IADL (β = 1.17, 95 % CI (0.68, 1.65)) compared with food secure participants. In longitudinal linear mixed models, severely food insecure participants at baseline had greater functional limitations over 5 years, as assessed by ADL (β = 1.74; 95 % CI (0.95, 2.53); P < 0.001) and IADL (β = 0.93, 95 % CI (0.48, 1.38)) compared with food secure participants. However, baseline food security did not significantly alter the 5-year trajectory in ADL (P-interaction between baseline food security and time for ADL and IADL = 0.41 and 0.47, respectively). Conclusions: In this cohort of Boston area Puerto Rican adults, those who are food insecure had consistently higher ADL and IADL scores over time, compared with those who are food secure. Baseline food security did not appear to alter the trajectory in ADL or IADL score.
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U2 - 10.1017/S1368980022000301
DO - 10.1017/S1368980022000301
M3 - Article
AN - SCOPUS:85142034035
SN - 1368-9800
VL - 25
SP - 3520
EP - 3526
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 12
ER -
