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dc.contributor.authorSmith, Lee
dc.contributor.authorLópez Sánchez, Guillermo F.
dc.contributor.authorShin, Jae Il
dc.contributor.authorKostev, Karel
dc.contributor.authorUnderwood, Benjamin R.
dc.contributor.authorOh, Hans
dc.contributor.authorSoysal, Pinar
dc.contributor.authorVeronese, Nicola
dc.contributor.authorSchuch, Felipe
dc.contributor.authorTully, Mark A.
dc.contributor.authorKoyanagi, Ai
dc.date.accessioned2024-04-09T23:22:10Z
dc.date.available2024-04-09T23:22:10Z
dc.date.issued2023
dc.identifier10.1007/s00394-023-03226-5
dc.identifier.issn14366207
dc.identifier.urihttps://hdl.handle.net/20.500.12728/10375
dc.description.abstractPurpose: To date, no study has investigated the association between food insecurity and subjective cognitive complaints (SCC). Thus, the aims of the present study were to examine this association among older adults in low- and middle-income countries (LMICs), and to identify the potential mediators in this association, given the importance of SCC in dementia risk among older people, and the projected particularly large increase in dementia in this setting. Methods: Cross-sectional, community-based, nationally representative data from the World Health Organization (WHO) Study on global AGEing and Adult Health (SAGE) collected between 2007 and 2010 were analyzed. Two questions on subjective memory and learning complaints in the past 30 days were used to create a SCC scale ranging from 0 (No SCC) to 100 (worse SCC). Past 12 month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable linear regression and mediation (Karlson–Holm–Breen method) analyses were conducted to assess associations. Results: Data on 14,585 individuals aged ≥ 65 years [mean (SD) age 72.6 (11.5) years; 55.0% females] were analyzed. Severe food insecurity (vs. no food insecurity) was associated with 9.16 (95% CI = 6.95–11.37) points higher mean SCC score. Sleep/energy (mediated% 37.9%; P < 0.001), perceived stress (37.2%; P = 0.001), and depression (13.7%; P = 0.008) partially explained the association between severe food insecurity and SCC. Conclusion: Food insecurity was associated with SCC among older adults in LMICs. Future studies should assess whether addressing food insecurity among older adults in LMICs can improve cognitive health. © 2023, The Author(s).es_ES
dc.description.sponsorshipNational Institute on Aging, NIA, (OGHA 04034785, R01-AG034479, R21-AG034263, Y1-AG-1005–01, YA1323–08-CN-0020); European Commission, ECes_ES
dc.language.isoenes_ES
dc.publisherSpringer Science and Business Media Deutschland GmbHes_ES
dc.subjectFood insecurityes_ES
dc.subjectLow- and middle-income countrieses_ES
dc.subjectOlder adultses_ES
dc.subjectSubjective cognitive complaintses_ES
dc.titleFood insecurity and subjective cognitive complaints among adults aged ≥ 65 years from low- and middle-income countrieses_ES
dc.typeArticlees_ES


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