Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)
Abstract Background Studies investigating the relationship between food insecurity and sleep among older populations are limited. This study aimed to cross-sectionally examine the associations between food sufficiency status and sleep outcomes in a nationally representative sample of older adults. M...
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Format: | Article |
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BMC
2024-02-01
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Series: | Nutrition Journal |
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Online Access: | https://doi.org/10.1186/s12937-024-00918-4 |
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author | Ashley C. Flores Christopher Sarpong Nan Dou Muzi Na |
author_facet | Ashley C. Flores Christopher Sarpong Nan Dou Muzi Na |
author_sort | Ashley C. Flores |
collection | DOAJ |
description | Abstract Background Studies investigating the relationship between food insecurity and sleep among older populations are limited. This study aimed to cross-sectionally examine the associations between food sufficiency status and sleep outcomes in a nationally representative sample of older adults. Methods Our study included 1,665 older adults (≥ 65 years), using data from the 2013 and 2014 National Health and Aging Trends Study (NHATS). Food insufficiency was determined via participants’ experience and utilization of food assistance programs (FAP). Sleep outcomes, including nighttime and total sleep hours, sleep latency, and sleep quality, were derived from self-reported data. Multivariable linear regression and logistic regression models were used to estimate the associations between food sufficiency status and sleep outcomes. Results In 2013–2014, 86.1% of older adults were classified as food sufficient without FAP, 9.85% as food sufficient with FAP, and 4.08% as food insufficient. Adjusting for sociodemographic characteristics, food sufficient older adults with FAP reported more total sleep hours (𝛽 = 0.31, 95% CI: -0.02, 0.64) than those participants who are food sufficient without FAP. Further adjusting for health factors, food sufficient participants with FAP had more nighttime sleep hours and greater total sleep hours compared to those participants food sufficient without FAP. Compared to those deemed as food sufficient without FAP, food sufficient participants with FAP had lower odds of having longer sleep latency (OR = 0.50, 95% CI: 0.28, 0.89), after further adjusting for physical function performance. Conclusions Among older adults, food sufficiency with FAP is associated with greater total sleep hours, greater nighttime sleep hours, and lower odds of longer sleep latency. Our findings may help inform nutrition food assistance programs targeting older populations. |
first_indexed | 2024-03-07T15:19:11Z |
format | Article |
id | doaj.art-9e51216920c04fd0b8b3124f7584a91d |
institution | Directory Open Access Journal |
issn | 1475-2891 |
language | English |
last_indexed | 2024-03-07T15:19:11Z |
publishDate | 2024-02-01 |
publisher | BMC |
record_format | Article |
series | Nutrition Journal |
spelling | doaj.art-9e51216920c04fd0b8b3124f7584a91d2024-03-05T17:45:57ZengBMCNutrition Journal1475-28912024-02-012311910.1186/s12937-024-00918-4Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS)Ashley C. Flores0Christopher Sarpong1Nan Dou2Muzi Na3Department of Nutritional Sciences, 108C Chandlee Laboratory, The Pennsylvania State University, University ParkDepartment of Biology, The Pennsylvania State UniversityDepartment of Nutritional Sciences, 108C Chandlee Laboratory, The Pennsylvania State University, University ParkDepartment of Nutritional Sciences, 108C Chandlee Laboratory, The Pennsylvania State University, University ParkAbstract Background Studies investigating the relationship between food insecurity and sleep among older populations are limited. This study aimed to cross-sectionally examine the associations between food sufficiency status and sleep outcomes in a nationally representative sample of older adults. Methods Our study included 1,665 older adults (≥ 65 years), using data from the 2013 and 2014 National Health and Aging Trends Study (NHATS). Food insufficiency was determined via participants’ experience and utilization of food assistance programs (FAP). Sleep outcomes, including nighttime and total sleep hours, sleep latency, and sleep quality, were derived from self-reported data. Multivariable linear regression and logistic regression models were used to estimate the associations between food sufficiency status and sleep outcomes. Results In 2013–2014, 86.1% of older adults were classified as food sufficient without FAP, 9.85% as food sufficient with FAP, and 4.08% as food insufficient. Adjusting for sociodemographic characteristics, food sufficient older adults with FAP reported more total sleep hours (𝛽 = 0.31, 95% CI: -0.02, 0.64) than those participants who are food sufficient without FAP. Further adjusting for health factors, food sufficient participants with FAP had more nighttime sleep hours and greater total sleep hours compared to those participants food sufficient without FAP. Compared to those deemed as food sufficient without FAP, food sufficient participants with FAP had lower odds of having longer sleep latency (OR = 0.50, 95% CI: 0.28, 0.89), after further adjusting for physical function performance. Conclusions Among older adults, food sufficiency with FAP is associated with greater total sleep hours, greater nighttime sleep hours, and lower odds of longer sleep latency. Our findings may help inform nutrition food assistance programs targeting older populations.https://doi.org/10.1186/s12937-024-00918-4NutritionHealthAgingSleep disparityNationally Representative DataNHATS |
spellingShingle | Ashley C. Flores Christopher Sarpong Nan Dou Muzi Na Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) Nutrition Journal Nutrition Health Aging Sleep disparity Nationally Representative Data NHATS |
title | Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) |
title_full | Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) |
title_fullStr | Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) |
title_full_unstemmed | Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) |
title_short | Food sufficiency status and sleep outcomes in older adults: the National Health and Aging Trends Study (NHATS) |
title_sort | food sufficiency status and sleep outcomes in older adults the national health and aging trends study nhats |
topic | Nutrition Health Aging Sleep disparity Nationally Representative Data NHATS |
url | https://doi.org/10.1186/s12937-024-00918-4 |
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