Abstract
Objectives
Social isolation has been shown to be a risk factor for inadequate diet among older adults living in Western Europe and North America. This article investigates whether socially isolated older adults (65+) living in Eastern Europe also experience an increased risk of dietary inadequacy.
Methods
The study used SHARE IV survey data collected in the Czech Republic (n = 2,867), Poland (n = 772), and Hungary (n = 1,353). Logistic regression models were estimated for each country separately to predict the likelihood of two proxies for dietary adequacy, having three meals a day and/or a serving of fruits or vegetables, by social isolation.
Results
Social isolation was associated with lower likelihood of having three meals a day among Czech older adults (OR 0.39) and with lower likelihood of having a daily serving of fruits or vegetables among Czech (OR 0.62) and Polish older adults (OR 0.35). No association between social isolation and either one of the outcomes was found in Hungary.
Conclusions
Socially isolated Eastern European older adults may be at a higher risk of dietary inadequacy, particularly in the Czech Republic and Poland.
Similar content being viewed by others
References
Abduladze, Frederic LM, Börsch-Supan A (2008) SHARE wave 4: innovations and methodology. Munich Center for the Economics of Aging, München
Börsch-Supan A, Hank K, Jürges H, Schröder M (2008) Longitudinal data collection in continental Europe : experiences from the Survey of Health, Ageing and Retirement in Europe (SHARE). Univ., Fak. für Volkswirtschaftslehre und Statistik, Mannheim
Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, Schaan B, Stuck S, Zuber S (2013) Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol 42(4):992–1001
Boylan S, Welch A, Pikhart H, Malyutina S, Pajak A, Kubinova R, Bragina O, Simonova G, Stepaniak U, Gilis-Januszewska A, Milla L, Peasey A, Marmot M, Bobak M (2009) Dietary habits in three Central and Eastern European countries: the HAPIEE study. BMC Public Health 9:439
Brownie S (2006) Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12(2):110–118
Büchner FL, Bueno-de-Mesquita HB, Ros MM, Overvad K, Dahm CC, Hansen L, Tjønneland A, Clavel-Chapelon F, Boutron-Ruault MC, Touillaud M, Kaaks R, Rohrmann S, Boeing H, Nöthlings U, Trichopoulou A, Zylis D, Dilis V, Palli D, Sieri S, Vineis P, Tumino R, Panico S, Peeters PHM, Van Gils CH, Lund E, Gram IT, Braaten T, Sánchez MJ, Agudo A, Larrañaga N, Ardanaz E, Navarro C, Argüelles MV, Manjer J, Wirfält E, Hallmans G, Rasmuson T, Key TJ, Khaw KT, Wareham N, Slimani N, Vergnaud AC, Xun WW, Kiemeney LALM, Riboli E (2010) Variety in fruit and vegetable consumption and the risk of lung cancer in the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomark Prev 19(9):2278–2286
Chima CS, Barco K, Dewitt MLA, Maeda M, Carlos Teran J, Mullen KD (1997) Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service. J Am Diet Assoc 97(9):975–978
Corkins MR, Guenter P, Dimaria-Ghalili RA, Jensen GL, Malone A, Miller S, Patel V, Plogsted S, Resnick HE (2014) Malnutrition diagnoses in hospitalized patients: United States, 2010. J Parenter and Enteral Nutr 38(2):186–195
Cornwell B, Schumm LP, Laumann EO, Graber J (2009) Social Networks in the NSHAP study: rationale, measurement, and preliminary findings. J Gerontol B Psychol Sci Soc Sci 64(SUPPL.1):i47–i55
Dean M, Raats MM, Grunert KG, Lumbers M (2009) Factors influencing eating a varied diet in old age. Public Health Nutr 12(12):2421–2427
ENHA (2013) Call for recognition of malnutrition as a critical health priority. http://www.irspen.ie/wp-content/uploads/2013/05/Call-to-Action-24th-May-20131.pdf. Accessed 7 July 2014
Griep MI, Mets TF, Vercruysse A, Cromphout I, Ponjaert I, Toft J, Massart DL (1995) Food odor thresholds in relation to age, nutritional, and health status. J Gerontol A Biol Sci Med Sci 50(6):B407–B414
Lauretani F, Semba RD, Bandinelli S, Dayhoff-Brannigan M, Giacomini V, Corsi AM, Guralnik JM, Ferrucci L (2008) Low plasma carotenoids and skeletal muscle strength decline over 6 years. J Gerontol Series A Biol Sci Med Sci 63(4):376–383
Lee JS, Frongillo EA (2001) Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. J Gerontol B Psychol Sci Soc Sci 56(2):S94–S99
Lee CJ, Templeton S, Wang C (1996) Meal skipping patterns and nutrient intakes of rural southern elderly. J Nutr Elder 15(2):1–14
Lesser S, Pauly L, Volkert D, Stehle P (2008) Nutritional situation of the elderly in Eastern/Baltic and Central/Western Europe—the AgeingNutrition project. Ann Nutr Metab 52(SUPPL. 1):62–71
Lim SL, Ong KCB, Chan YH, Loke WC, Ferguson M, Daniels L (2012) Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 31(3):345–350
Locher JL, Ritchie CS, Roth DL, Sen B, Vickers KS, Vailas LI (2009) Food choice among homebound older adults: motivations and perceived barriers. J Nutr Health Aging 13(8):659–664
McIntosh WA, Shifflett PA, Picou JS (1989) Social support, stressful events, strain, dietary intake, and the elderly. Med Care 27(2):140–153
Millen BE, Silliman RA, Cantey-Kiser J, Copenhafer DL, Ewart CV, Ritchie CS, Quatromoni PA, Kirkland JL, Chipkin SR, Fearon NA, Lund ME, Garcia RI, Barry PP (2001) Nutritional risk in an urban homebound older population the nutrition and healthy aging project. J Nutr Health Aging 5(4):269–277
Ness AR, Powles JW (1997) Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol 26(1):1–13
Quandt SA, Rao P (1999) Hunger and food security among older adults in a rural community. Hum Org 58(1):28–35
Rowell DS, Jackson TJ (2011) Additional costs of inpatient malnutrition, Victoria, Australia, 2003–2004. Eur J Health Econ 12(4):353–361
Sahyoun NR, Zhang XL, Serdula MK (2006) Barriers to the consumption of fruits and vegetables among older adults. J Nutr Elder 24(4):5–21
Sharkey JR (2002) The interrelationship of nutritional risk factors, indicators of nutritional risk, and severity of disability among home-delivered meal participants. Gerontologist 42(3):373–380
Steptoe A, Perkins-Porras L, Rink E, Hilton S, Cappuccio FP (2004) Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol 23(6):574–581
Sullivan DH, Bopp MM, Roberson PK (2002) Protein-energy undernutrition and life-threatening complications among the hospitalized elderly. J Gen Intern Med 17(12):923–932
Uchino Bert N (2004) Social support and physical health : understanding the health consequences of relationships. Yale University Press, New Haven
Yen ST, Tan AK (2012) Who are eating and not eating fruits and vegetables in Malaysia? Int J Public Health 57(6):945–951
Acknowledgments
“This paper uses data from SHARE wave 4 release 1.1.1, as of March 28th 2013(doi:10.6103/SHARE.w4.111) or SHARE wave 1 and 2 release 2.6.0, as of November 29 2013 (doi:10.6103/SHARE.w1.260 and 10.6103/SHARE.w2.260) or SHARELIFE release 1, as of November 24th 2010 (doi:10.6103/SHARE.w3.100). The SHARE data collection has been primarily funded by the European Commission through the 5th Framework Programme (Project QLK6-CT-2001-00360 in the thematic programme Quality of Life), through the 6th Framework Programme (Projects SHARE-I3, RII-CT-2006-062193, COMPARE, CIT5- CT-2005-028857, and SHARELIFE, CIT4-CT-2006-028812) and through the 7th Framework Programme (SHARE-PREP, No 211909, SHARE-LEAP, No 227822 and SHARE M4, No 261982). Additional funding from the U.S. National Institute on Aging (U01 AG09740-13S2, P01 AG005842, P01 AG08291, P30 AG12815, R21 AG025169, Y1-AG-4553-01, IAG BSR06-11 and OGHA 04-064) and the German Ministry of Education and Research as well as from various national sources is gratefully acknowledged (see www.share-project.org for a full list of funding institutions).”
Author information
Authors and Affiliations
Corresponding author
Appendix
Appendix
See Table 5.
Rights and permissions
About this article
Cite this article
Kalousova, L. Social isolation as a risk factor for inadequate diet of older Eastern Europeans. Int J Public Health 59, 707–714 (2014). https://doi.org/10.1007/s00038-014-0582-6
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00038-014-0582-6