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Food insecurity is associated with an unhealthy lifestyle score in middle- and older-aged adults: findings from the EPIPorto cohort

Isabel Maia (), Andreia Oliveira and Ana Cristina Santos
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Isabel Maia: Universidade do Porto
Andreia Oliveira: Universidade do Porto
Ana Cristina Santos: Universidade do Porto

Food Security: The Science, Sociology and Economics of Food Production and Access to Food, 2023, vol. 15, issue 3, No 6, 671 pages

Abstract: Abstract The association of food insecurity with the combined effect of lifestyles is still limited. This study evaluated the association between food insecurity and a lifestyle score in middle- and older-aged adults. A cross-sectional study (2013–2016) was performed among 595 individuals (≥ 50 years) from the EPIPorto cohort (Porto, Portugal). Food security status was assessed using the US Household Food Security Survey Module: Six-Item Short Form. Information on fruit and vegetable consumption (F&V), physical activity (PA) practice, tobacco smoking, and alcohol consumption were included in a lifestyle score. Those with F&V one drink of alcoholic beverages in women, and > two in men were assigned with one point; all the others had nil points. The score could range from 0 to 4, and was further categorised into three categories. Food insecurity was positively associated with an unhealthy lifestyle profile (OR = 2.272; 95%CI:1.079–4.782), independently of the adjustment variables. Analysing each lifestyle component, food insecurity was associated with low PA practice (OR = 2.365; 95%CI:1.020–5.485). Individuals from food insecure households were more likely to have an unhealthy lifestyle profile. Public health strategies should be developed among food insecure individuals to promote healthy lifestyles.

Keywords: Food insecurity; Lifestyles; Adults; EPIPorto (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s12571-023-01366-4

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