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Food Insecurity and Hunger Among Older Adults

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Handbook of Clinical Nutrition and Aging

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Abstract

Meeting nutritional needs is necessary for optimal health across the lifespan and especially for older adults [1, 2]. However, it is not always feasible to access the foods needed to obtain desirable health outcomes. Therefore, it is important to understand what factors enable, constrain, or are associated with individuals’ ability to access and consume healthful foods. This is especially true for older adults who may be susceptible to irreversible changes in their diet as they encounter illnesses and changes in their eating behaviors with advancing age [3, 4]. Food (in)security is a helpful construct in trying to understand forces that may promote or impede how people obtain and consume nutrition

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References

  1. Chernoff R. Nutrition and health promotion in older adults. J Gerontol Ser A Biol Sci Med Sci. 2001;56 suppl 2:47–53.

    Article  Google Scholar 

  2. Sharkey JR. Diet and health outcomes in vulnerable populations. Ann N Y Acad Sci. 2008;1136(1):210–7.

    Article  PubMed  Google Scholar 

  3. Roberts Sb FPHMB, et al. COntrol of food intake in older men. JAMA. 1994;272(20):1601–6.

    Article  PubMed  Google Scholar 

  4. MacIntosh C, Morley JE, Chapman IM. The anorexia of aging. Nutrition. 2000;16(10):983–95.

    Article  CAS  PubMed  Google Scholar 

  5. Food security: World Health Organization; 2012 [updated October 12, 2012; cited 2012 October 13]. Available from: http://www.who.int/trade/glossary/story028/en/

  6. Holben D. Position of the American Dietetic Association: food insecurity in the United States. J Am Diet Assoc. 2010;110(9):1368–77.

    Article  PubMed  Google Scholar 

  7. Anderson S. Core indicators of nutritional state for difficult-to-sample populations. J Nutr. 1990;120 Suppl 11:1559–600.

    Google Scholar 

  8. Food insecurity in the US: measurement: United States Department of Agriculture: Economic Research Service; 2012 [cited 2012]. Available from: http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/measurement.aspx#.UV35bKKG3eA

  9. Lee JS, Frongillo Jr EA. Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol Ser B Psychol Sci Soc Sci. 2001;56(2):S94–9.

    Article  CAS  Google Scholar 

  10. Lee JS, Frongillo EA. Nutritional and health consequences are associated with food insecurity among U.S. elderly persons. J Nutr. 2001;131(5):1503–9.

    CAS  PubMed  Google Scholar 

  11. Food insecurity in the US: history and background: United States Department of Agriculture: Economic Research Service; 2012 [cited 2012]. Available from: http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/history-background.aspx#.UV35naKG3eA

  12. National Research Council. Food insecurity and hunger in the United States. An assessment of the measure. Washington, DC: The National Academies Press; 2006.

    Google Scholar 

  13. Food insecurity in the US: definitions of food insecurity: United States Department of Agriculture: Economic Research Service; 2012 [cited 2012]. Available from: http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security.aspx#.UV33YKKG3eA

  14. Food insecurity in the US: frequency of food insecurity: United States Department of Agriculture: Economic Research Service; 2012 [cited 2012]. Available from: http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/frequency-of-food-insecurity.aspx#.UV341aKG3eA

  15. Hamm MW, Bellows AC. Community food security: background and future directions. J Nutr Educ Behav. 2003;35(1):37–43.

    Article  PubMed  Google Scholar 

  16. Gottlieb R, Fisher A. Community food security and environmental justice: Searching for a common discourse. Agric Hum Values. 1996;13(3):23–32.

    Article  Google Scholar 

  17. Haering SA, Syed SB. Community food security in United States cities: a survey of the relevant scientific literature. Baltimore, MD: Johns Hopkins Center for a Livable Future; 2009. Available from: http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-center-for-a-livable-future/research/clf_publications/pub_rep_desc/CFS_USA.html

  18. Cohen B, Andrews M, Kantor L. Community food security assessment toolkit. USDA Economic Research Service, 2002 Contract No.: E-FAN-02-013.

    Google Scholar 

  19. The Food Assistance National Input-Output Multiplier (FANIOM) Model and Stimulus Effects of SNAP. United States Department of Agriculture, 2010 Contract No. 103.

    Google Scholar 

  20. Cunnyngham K. State trends in supplemental nutrition assistance program eligibility and participation among elderly individuals. Washington, DC: Mathematical Policy Research; 2010.

    Google Scholar 

  21. Tanumihardjo SA, Anderson C, Kaufer-Horwitz M, Bode L, Emenaker NJ, Haqq AM, et al. Poverty, obesity, and malnutrition: an international perspective recognizing the paradox. J Am Diet Assoc. 2007;107(11):1966–72.

    Article  PubMed  Google Scholar 

  22. Brown KE. Nutritional assistance: additional efficiencies could improve services to older adults. Washington, DC: Government Accountability Office; 2011.

    Google Scholar 

  23. Committee on Nutrition Services for Medicare B, Food and Nutrition B. The role of nutrition in maintaining health in the nation’s elderly: evaluating coverage of nutrition services for the medicare population. Washington, DC: The National Academies Press; 2000.

    Google Scholar 

  24. FAO, WFP, IFAD. The state of food insecurity in the world 2012. Economic growth is necessary but not sufficient to accelerate reduction of hunger and malnutrition. Rome, Italy: Food and Agriculture Organization; 2012.

    Google Scholar 

  25. Morley JE. Undernutrition in older adults. Fam Pract. 2012;29 Suppl 1:i89–93.

    Article  PubMed  Google Scholar 

  26. Chubinsky J, Carrozza MA. Obesity and food insecurity. In: Ludke RL, Obermiller PJ, Couto RA, editors. Appalachian health and well-being. Lexington, KY: University Press of Kentucky; 2012. p. 149–66.

    Google Scholar 

  27. Institute of Medicine. Hunger and obesity: understanding a food insecurity paradigm: workshop summary. Washington, DC: The National Academies Press; 2011.

    Google Scholar 

  28. Jensen GL, Mirtallo J, Compher C, Dhaliwal R, Forbes A, Grijalba RF, et al. Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. J Parenteral Enteral Nutr. 2010;34(2):156–9.

    Article  Google Scholar 

  29. Waters DL, Baumgartner RN. Sarcopenia and obesity. Clin Geriatr Med. 2011;27(3):401–21.

    Article  PubMed  Google Scholar 

  30. Kamp BJ, Wellman NS, Russell C. Position of the American Dietetic Association, American Society for Nutrition, and Society for Nutrition Education: food and nutrition programs for community-residing older adults. J Nutr Educ Behav. 2010;42(2):72–82.

    Article  PubMed  Google Scholar 

  31. Ziliak JP, Gunderson C. Food insecurity among older adults. Washington, DC: AARP; 2011.

    Google Scholar 

  32. Dean WR, Sharkey JR. Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: an individual-level analysis. Social Sci Med. 2011;72(9):1454–62.

    Article  Google Scholar 

  33. Coleman-Jensen A, Nord M, Andrews M, Carlson S. Household food security in the United States in 2011. Washington, DC: USDA, Economic Research Service; 2012.

    Google Scholar 

  34. Brown KE. Older Americans act: more should be done to measure the extent of unmet need for services. Washington, DC: Government Accountability Office; 2011.

    Google Scholar 

  35. Ziliak J, Gundersen C, Haist M. The consequences causes future of senior hunger in America. Special report by the University of Kentucky Center for Poverty Research for the Meals on Wheels Association of America. Lexington, KY: University of Kentucky Center for Poverty Research; 2008. p. 2008.

    Google Scholar 

  36. Ziliak J, Gundersen C. Senior hunger in the United States: differences across states and rural and urban areas. Special report. Lexington, KY: University of Kentucky Center for Poverty Research; 2009.

    Google Scholar 

  37. Ziliak JP, Gundersen C. Multigenerational families and food insecurity. Lexington, KY: University of Kentucky Center for Poverty Research; 2012.

    Google Scholar 

  38. Nelson K, Cunningham W, Andersen R, Harrison G, Gelberg L. Is food insufficiency associated with health status and health care utilization among adults with diabetes? J Gen Intern Med. 2001;16(6):404–11.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  39. Sullivan AF, Clark S, Pallin DJ, Camargo Jr CA. Food security, health, and medication expenditures of emergency department patients. J Emerg Med. 2010;38(4):524–8.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Food Nutrition Board IoM. Nutrition and healthy aging in the community: workshop summary. Washington, DC: The National Academies Press; 2012.

    Google Scholar 

  41. Locher JL, Ritchie CS, Robinson CO, Roth DL, Smith West D, Burgio KL. A multidimensional approach to understanding under-eating in homebound older adults: the importance of social factors. Gerontologist. 2008;48(2):223–34.

    Article  PubMed Central  PubMed  Google Scholar 

  42. Payette H, Coulombe C, Boutier V, Gray-Donald K. Weight loss and mortality among free-living frail elders: a prospective study. J Gerontol A Biol Sci Med Sci. 1999;54(9):M440–5.

    Article  CAS  PubMed  Google Scholar 

  43. Janssen I. Influence of sarcopenia on the development of physical disability: the Cardiovascular Health Study. J Am Geriatr Soc. 2006;54(1):56–62.

    Article  PubMed  Google Scholar 

  44. Yang Y, Brown CJ, Burgio KL, Kilgore ML, Ritchie CS, Roth DL, et al. Undernutrition at baseline and health services utilization and mortality over a 1-year period in older adults receiving medicare home health services. J Am Med Direct Assoc. 2011;12(4):287–94.

    Article  Google Scholar 

  45. Newman AB, Yanez D, Harris T, Duxbury A, Enright PL, Fried LP, et al. Weight change in old age and its association with mortality. J Am Geriatr Soc. 2001;49(10):1309–18.

    Article  CAS  PubMed  Google Scholar 

  46. Ritchie CS, Burgio KL, Locher JL, Cornwell A, Thomas D, Hardin M, et al. Nutritional status of urban homebound older adults. Am J Clin Nutr. 1997;66(4):815–8.

    CAS  PubMed  Google Scholar 

  47. Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. N Engl J Med. 2010;363(1):6–9.

    Article  CAS  PubMed  Google Scholar 

  48. Statistics FIFoA-R. Older Americans 2012: key indicators of well-being. In: statistics. Washington, DC: GPO; 2012.

    Google Scholar 

  49. Barrett A, Schimmel J. Multiple service use among OAA Title III Program participants. Washington, DC: Mathematical Policy Research; 2010.

    Google Scholar 

  50. Food insecurity in the US: community food security: United States Department of Agriculture: Economic Research Service; 2012 [cited 2012]. Available from: http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/community-food-security.aspx#.UV35_aKG3eA

  51. Dover SE, Buys DR, Allocca S, Locher JL. Farmers’ market produce delivery program for mitigating nutritional risk in older adults. J Hunger Environ Nutr. 2013;8(1):106–8.

    Article  Google Scholar 

  52. Johnson MA, Dwyer JT, Jensen GL, Miller JW, Speakman JR, Starke-Reed P, et al. Challenges and new opportunities for clinical nutrition interventions in the aged. J Nutr. 2011;141(3):535–41.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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Correspondence to David R. Buys PhD, MSPH .

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Buys, D.R., Locher, J.L. (2015). Food Insecurity and Hunger Among Older Adults. In: Bales, C., Locher, J., Saltzman, E. (eds) Handbook of Clinical Nutrition and Aging. Nutrition and Health. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1929-1_9

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  • DOI: https://doi.org/10.1007/978-1-4939-1929-1_9

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