Evidence map›Paper›PMID 30935047›Full record

ArticleNutrients2019

Food Insecurity Is Associated with Mild Cognitive Impairment among Middle-Aged and Older Adults in South Africa: Findings from a Nationally Representative Survey.

Ai Koyanagi, Nicola Veronese, Brendon Stubbs, Davy Vancampfort, Andrew Stickley, Hans Oh, Jae Il Shin, Sarah Jackson, Lee Smith, Elvira Lara

Abstract read
In one paragraph

Article in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Mid- and long-term associations between food insecurity and sarcopenia.Aging clinical and experimental research · 2025
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  18. Food Insecurity and Dementia Risk in U.S. Older Adults: Evidence From the 2013-2021 Panel Study of Income Dynamics.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, 08830 Barcelona, Spain. a.koyanagi@pssjd.org.
Nicola VeroneseAging Branch, Neuroscience Institute, National Research Council, 35128 Padova, Italy. ilmannato@gmail.com.ORCID 0000-0002-9328-289X
Brendon StubbsPhysiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, UK. brendon.stubbs@kcl.ac.uk.
Davy VancampfortDepartment of Rehabilitation Sciences, KU Leuven, 3001 Leuven, Belgium. davy.vancampfort@kuleuven.be.ORCID 0000-0002-4592-8625
Andrew StickleyDepartment of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo 187-8553, Japan. amstick66@gmail.com.
Hans OhSchool of Social Work, University of Southern California, CA 90015, USA. hansoh@usc.edu.ORCID 0000-0002-8458-8723
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Yonsei-ro 50, Seodaemun-gu, C.P.O. Box 8044, Seoul 03722, Korea. SHINJI@yuhs.ac.ORCID 0000-0003-2326-1820
Sarah JacksonDepartment of Behavioural Science and Health, University College London, London WC1E 7HB, UK. s.e.jackson@ucl.ac.uk.ORCID 0000-0001-5658-6168
Lee SmithThe Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK. Lee.Smith@anglia.ac.uk.
Elvira LaraInstituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, 28029 Madrid, Spain. elvira.lara@uam.es.

Funding

Department of Health ICA-CL-2017-03-001
6 · The paper itself

Abstract

There are no studies on the association between food insecurity and mild cognitive impairment (MCI). Thus, cross-sectional, community-based data on individuals aged ≥50 years from the World Health Organization's Study on Global AGEing and Adult Health (SAGE) conducted in South Africa (2007⁻2008) were analyzed to assess this association. The definition of MCI was based on the National Institute on Ageing-Alzheimer's Association criteria. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable logistic regression analysis was conducted. The sample consisted of 3,672 individuals aged ≥50 years [mean (SD) age 61.4 (18.3); 56% females]. The prevalence of MCI was 8.5%, while 11.0% and 20.8% experienced moderate and severe food insecurity, respectively. After adjustment for potential confounders, moderate and severe food insecurity were associated with 2.82 (95%CI = 1.65⁻4.84) and 2.51 (95%CI = 1.63⁻3.87) times higher odds for MCI compared with no food insecurity, respectively. The OR for those aged ≥65 years with severe food insecurity was particularly high (OR = 3.87; 95%CI = 2.20⁻6.81). In conclusion, food insecurity was strongly associated with MCI among South African older adults. Future longitudinal research is required to assess whether addressing food insecurity may reduce risk of MCI and subsequent dementia.

Indexed as

AgedCognitive DysfunctionCross-Sectional StudiesFemaleFood SupplyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrevalenceRisk FactorsSouth AfricaSurveys and Questionnairesepidemiologyfood insecuritymild cognitive impairmentSouth Africa

Identifiers

PMID30935047
PMCPMC6521106

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.