Evidence map›Paper›PMID 41162741›Full record

ArticleEuropean geriatric medicine2025

Associations of food insecurity with geriatric syndromes in the economically deprived community-dwelling Chinese older adults: the mediating role of malnutrition risk.

Ka Yu Kwan, Mandy Ho, Pui Hing Chau, Chee Hon Chan, Raymond Lap Ming Tang, Paul Siu Fai Yip

Abstract read
In one paragraph

Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

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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

6 authors.

Ka Yu KwanSchool of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Mandy HoSchool of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Pui Hing ChauSchool of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China. phchau@graduate.hku.hk.ORCID http://orcid.org/0000-0003-0287-8020
Chee Hon ChanSchool of Governance and Policy Science, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Raymond Lap Ming TangHong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Paul Siu Fai YipHong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong Special Administrative Region, China.ORCID http://orcid.org/0000-0003-1596-4120

Funding

The Hong Kong Jockey Club Charities Trust CVPA-JCFAP2020820
6 · The paper itself

Abstract

purposeFood insecurity is a vital social determinant of health. Among the economically deprived community-dwelling Chinese older adults, we examined the associations between levels of food insecurity and (1) various types and (2) the number of geriatric syndromes, and investigated the mediating role of malnutrition risk in these relationships.

methodsA cross-sectional study was conducted. 281 older adults aged ≥ 65 years with household income < 75% of the population median and participating in a food assistance program evaluation study in Hong Kong were included. Secondary data on food insecurity, malnutrition risk, possible sarcopenia, frailty, falls, and visual and hearing impairment were analyzed.

resultsThe mean (SD) age was 75.5 (7.1) years and 80.4% were female. The mean (SD) food insecurity score was 0.79 (1.56). The majority (88.0%) had at least one geriatric syndrome. Logistic regressions showed that every one-point increase in the food insecurity score was significantly associated with a higher malnutrition risk [adjusted Odds Ratio (aOR): 1.94, 95% CI 1.48-2.55], possible sarcopenia (aOR: 1.41, 95% CI 1.15-1.74), falls (aOR: 1.33, 95% CI 1.11-1.61), and frailty (aOR: 1.26, 95% CI 1.02-1.56), and a 43% greater risk of having one additional geriatric syndrome (aOR: 1.43, 95% CI 1.23-1.66). The proportions of association mediated by malnutrition risk were 48.6% for possible sarcopenia, 50.0% for falls, 91.3% for frailty, and 90.5% for the number of geriatric syndromes.

conclusionFood insecurity was associated with geriatric syndromes, and malnutrition risk mediated these relationships. Tackling food insecurity may combat geriatric syndromes in the community through both its direct and indirect associations.

Indexed as

Food InsecurityMalnutritionPovertyAccidental FallsAgedAged, 80 and overCross-Sectional StudiesEast Asian PeopleFemaleFrailtyGeriatric AssessmentHong KongHumansMaleRisk FactorsSarcopeniaFood insecurityGeriatric syndromeMalnutritionMediationOlder adults

Identifiers

PMID41162741
PMCPMC12743659

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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.