scholarly journals Vitamin D Status of a Low-Income Elderly Community in South Africa

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 172-172
Author(s):  
Wilna Oldewage-Theron ◽  
Christa Grobler
Keyword(s):  
South Africa ◽  
Vitamin D ◽  
Food Insecurity ◽  
Low Income ◽  
Joint Pain ◽  
Dietary Diversity ◽  
The Elderly ◽  
Vitamin D Insufficiency ◽  
Convenience Sample ◽  
Dairy Consumption

Abstract Objectives Previous studies in the same elderly community found poverty, food insecurity and a double burden of malnutrition (iron, zinc and vitamin A deficiencies and chronic non-communicable diseases), however, a paucity of data exists about vitamin D insufficiency/deficiency for South African elderly. The present study aimed to evaluate the prevalence of vitamin D insufficiency/deficiency among the elderly and its relationship to food insecurity, dietary diversity and common symptoms associated with vitamin D deficiency (VDD). Methods This was a quantitative, cross-sectional study in a convenience sample of 79 independently living elderly voluntarily attending an elderly care center in Sharpeville, South Africa. Measurements included socio-demographic (age, gender) and health (symptoms of VDD), physical activity-, dietary diversity- and food insecurity (validated household food insecurity access score) data, as well as 25-hydroxyvitamin D (25[OH]D3) levels ascertained by electrohemiluminescence immunoassay. The respondents were divided into VDD (<25 nmol/L), vitamin D insufficiency (VDI) (≥25 < 50 nmol/L) and vitamin D adequate (VDA) (≥50 nmol/L) groups. IBM SPSS Software, version 26.0 was used for descriptive and inferential statistical analyses. Results VDD and VDI was observed in 3.8% and 32.9% of elderly respectively. Of the total sample, 11.4% were moderately and 21.5% severely food insecure. The mean(±SD) dietary diversity score was 5.88(±3.95). Only 3.8% of the elderly were not physically active. Significant differences were observed between the VDA, VDI and VDD groups for gender (P = 0.004), age (P = 0.011), back/joint pain (P = 0.035), and the dairy food group diversity score (P = 0.008). No other significant differences were observed. Conclusions Vitamin D insufficiency/deficiency is a problem in these elderly community and associated with back/joint pain that may result in impaired functionality/mobility that can exacerbate food access and food insecurity. This study further supports the importance of dairy consumption to prevent VDI and VDD. Funding Sources National Research Foundation (South Africa).

scholarly journals Food insecurity among Finnish private sector service workers and food pantry clients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Erkkola ◽  
L Uusitalo ◽  
K Puputti ◽  
T Saari ◽  
P Jallinoja ◽  
...  
Keyword(s):  
Private Sector ◽  
Food Insecurity ◽  
Low Income ◽  
Perceived Health ◽  
Resource Scarcity ◽  
Considerable Proportion ◽  
Convenience Sample ◽  
Service Workers ◽  
Food Pantry ◽  
Sector Service

Abstract Background There is a paucity of comparable quantitative data on the prevalence and predictors of food insecurity in high-income countries. We applied the Household Food Insecurity Access Scale (HFIAS) to assess food insecurity among i) the Service Union United members; female-dominated, low-income employees of the Finnish private service sector, and ii) a convenience sample of Finnish food pantry clients. Methods The HFIAS classification was based on 9 validated questions capturing respondents' perceptions on food scarcity and behavioural responses to food insecurity due to lack of resources during the past month. The resulting indicator categorized respondents as food secure, and mildly, moderately and severely food insecure. We performed cross-tabulations and regression models to assess if education, housing, self-perceived health, income, and resource scarcity associated with levels of food insecurity. In addition, gender, age, and self-perceived disadvantage were assessed among the food pantry clients. Results Among the service workers (n = 6 573, 6% of those invited), 35% were food secure, 29% mildly or moderately food insecure, and 36% severely food insecure. The respective proportions were 28%, 26%, and 46% among the 129 food pantry clients. All assessed variables were associated to food insecurity status in the service workers (p < 0.01 for all). Among the food pantry clients, men (OR 1.60; 95% CI 1.09 − 4.80) and homeless/tenants in community rental units (OR 7.12; 95% CI 2.42 − 20.95) were most likely to experience severe food insecurity. Conclusions Alongside the food pantry clients the majority of the service workers demonstrated some degree of food insecurity, with a considerable proportion being severely food-insecure. This predominantly low-income group is subject to rapid changes in the labour market and social security systems. The data demonstrated that well-known SES indicators and self-perceived health are linked to food insecurity. Key messages Severe food insecurity was common among predominantly low-income private sector service workers and food pantry clients. Food insecurity is linked to SES indicators and wellbeing.

scholarly journals Enhancing Social Support System for Improving Food Security Among the Elderly Headed Household in Communal Areas of Zimbabwe

2013 ◽  
Vol 2 (3) ◽  
pp. 46 ◽  
Author(s):  
Kefasi Nyikahadzoi ◽  
Byron Zamasiya ◽  
George Alex Muchinako ◽  
Charles Dziro
Keyword(s):  
Social Capital ◽  
Food Security ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
The Elderly ◽  
Farm Income ◽  
Positive Contribution ◽  
Cross Sectional ◽  
Communal Areas ◽  
Food Insecurity Access

The study sought to establish factors that contribute towards food security among elderly headed households and then seek ways of enhancing them. The study was conducted in Mudzi District in Mashonaland East Province of Zimbabwe. Data was collected from wards 11, 12 and 16. The study used cross sectional household data collected using a structured questionnaire. Two measures of food security are used; namely household food insecurity access score and household dietary diversity score. The results showed that food insecurity access score was statistically higher for elderly headed household when compared to those headed by younger people. The study revealed that social capital, remittances, and off farm income generating projects can increase the elderly headed household’s likelihood of being food secure. The study also showed that public assistance is not making a positive contribution towards food security of elderly headed household. This paper argues that it is important for government and civil society to promote social capital and support channels of remittances to elderly headed households in communal areas.

scholarly journals Considerations for the design of nutrition-sensitive production programmes in rural South Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
S. L. Hendriks ◽  
A. Viljoen ◽  
D. Marais ◽  
F. A. M. Wenhold ◽  
A. M. McIntyre ◽  
...  
Keyword(s):  
South Africa ◽  
At Risk ◽  
Food Insecurity ◽  
Crop Production ◽  
Dietary Diversity ◽  
Leafy Vegetables ◽  
Green Leafy Vegetables ◽  
Populations At Risk ◽  
Dark Green ◽  
Home Consumption

Abstract Background Very little has been researched about the efficacy, effectiveness, feasibility, sustainability and impact of food-based approaches on the diets and nutritional status of populations at risk of hunger and food insecurity. This study contributes knowledge about the impact of food-based approaches on the diets of populations at risk of hunger and food insecurity in four of the poorest rural communities in South Africa. The study investigated the consumption and production patterns of rural households (278 in summer and 280 in winter) in four sites in the poorest municipalities in South Africa. Methods A multistage stratified random sampling technique was applied to identify the communities and sample households for the quantitative survey and qualitative assessments. Qualitative and quantitative data were collected between 2013 and 2015 through focus group discussions (FGDs), key informant interviews and the two-round panel survey to cover both the summer and winter seasons at each site. Results Home gardening led to a significant positive increase in the consumption of white roots and tubers, dark green leafy vegetables, orange-coloured fruit and other fruit in the 24 h prior to the survey. Participation in a community garden led to significant increases in the consumption of dark green leafy vegetables and other vegetables. School gardening did not demonstrate any statistical relationships with the consumption of foods from the crop-related food groups. Crop production improved dietary diversity. Selling produce and irrigation showed a stronger improvement in dietary diversity. Seasonality affected the availability of fresh fruit and vegetables for home consumption in winter. Conclusions Producing beyond that solely for home consumption has greater benefits for dietary diversity and a consumption-smoothing effect during the post-harvest period. Politicians and the scientific community should recognise the role that household and small-scale crop production plays in supporting household consumption and the provision of essential micronutrients despite constraints and disincentives. Production and education programmes should focus on strengthening existing good consumption patterns and promoting the consumption of foods that can improve dietary diversity.

scholarly journals Self-Reported Food Insecurity and Depression among the Older Population in South Africa

Psych ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Ghose Bishwajit ◽  
Komlan Kota ◽  
Amos Buh ◽  
Sanni Yaya
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Regression Analysis ◽  
Food Security ◽  
Food Insecurity ◽  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Multivariable Regression

South Africa represents one of the most rapidly aging countries in sub-Saharan Africa with a rising burden of age-related psychological morbidities. Despite having one of the highest human development scores in the region, the country faces serious poverty and food insecurity related challenges. Previous studies have shown a positive association between food insecurity and poor mental health among the adult population, however there is no systematic evidence on this association among the elderly population in an African setting. In the present study, we aimed to address this research gap by analyzing cross-sectional data (n = 931) on the over-50 population (>50 years) from the SAGE (Study on global AGEing and adult health) Well-Being of Older People Study (WOPS) of the World Health Organization, conducted between 2010 and 2013. The outcome variable was perceived depression and the explanatory variables included several sociodemographic factors including self-reported food insecurity. The independent associations between the outcome and explanatory variables were measured using multivariable regression analysis. Results showed that close to a quarter of the population (22.6%, 95% CI = 21.4, 24.7) reported having depression in the last 12 months, with the percentage being markedly higher among women (71.4%). In the multivariable regression analysis, self-reported food insecurity was found to be the strongest predictor of depression among both sexes. For instance, severe food insecurity increased the odds of depression by 4.805 [3.325, 7.911] times among men and by 4.115 [2.030, 8.341] times among women. Based on the present findings, it is suggested that national food security programs focus on promoting food security among the elderly population in an effort to improve their mental health status. Nonetheless, the data were cross-sectional and the associations can’t imply causality.

scholarly journals Nutrihealth Study: Seasonal Variation in Vitamin D Status Among the Slovenian Adult and Elderly Population

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1838 ◽  
Author(s):  
Maša Hribar ◽  
Hristo Hristov ◽  
Matej Gregorič ◽  
Urška Blaznik ◽  
Katja Zaletel ◽  
...  
Keyword(s):  
Vitamin D ◽  
Seasonal Variation ◽  
Vitamin D Deficiency ◽  
Elderly Population ◽  
Sun Exposure ◽  
Epidemiological Data ◽  
The Elderly ◽  
Vitamin D Insufficiency ◽  
Ultraviolet B ◽  
Vitamin D Status

Several studies conducted around the world showed substantial vitamin D insufficiency and deficiency among different population groups. Sources of vitamin D in the human body include ultraviolet B (UVB)-light-induced biosynthesis and dietary intake, but people’s diets are often poor in vitamin D. Furthermore, in many regions, sun exposure and the intensity of UVB irradiation during wintertime are not sufficient for vitamin D biosynthesis. In Slovenia, epidemiological data about vitamin D status in the population were investigated through a national Nutrihealth study—an extension to the national dietary survey SI.Menu (2017/18). The study was conducted on a representative sample of 125 adult (18–64 years) and 155 elderly (65–74 years old) subjects, enrolled in the study in different seasons. Their vitamin D status was determined by measuring the serum 25-hydroxy-vitamin D (25(OH)D) concentration. Thresholds for vitamin D deficiency and insufficiency were 25(OH)D levels below 30 and 50 nmol/L, respectively. Altogether, 24.9% of the adults and 23.5% of the elderly were found to be vitamin D deficient, while an insufficient status was found in 58.2% and 62.9%, respectively. A particularly concerning situation was observed during extended wintertime (November–April); vitamin D deficiency was found in 40.8% and 34.6%, and insufficient serum 25(OH)D levels were observed in 81.6% and 78.8%, respectively. The results of the study showed high seasonal variation in serum 25(OH)D levels in both the adult and elderly population, with deficiency being especially pronounced during wintertime. The prevalence of this deficiency in Slovenia is among the highest in Europe and poses a possible public health risk that needs to be addressed with appropriate recommendations and/or policy interventions.

scholarly journals Household Characteristics and Food Security in Low-Income Urban Areas of South Africa

2021 ◽  
Vol 6 (2) ◽  
pp. 263-276
Keyword(s):  
South Africa ◽  
Food Security ◽  
Food Insecurity ◽  
Low Income ◽  
Urban Areas ◽  
Household Head ◽  
Household Size ◽  
Binary Logistic Regression Model ◽  
Gauteng Province ◽  
Food Markets

In South Africa, food security at the household level is an issue still needing empirical attention. This study conducts an empirical analysis on the effect of household size, income of household head, gender of household head, location of the household, and distance from food markets on food security in the Gauteng Province of South Africa. A binary logistic regression model is estimated to analyze determinants of food security from 900 households randomly selected from three townships of Gauteng Province, South Africa. Data was collected using a survey questionnaire, with food security measured by the Household Food Insecurity Access Scale. This study shows that the income of the household head promotes food security while household size and location of the household contribute to food insecurity. Our results also show that the gender of the household head is essential in maintaining sustainable levels of food security. Furthermore, it was found that the distance from food markets neither makes households food secure nor insecure. This study validates that matriarchal households exhibited comparatively greater food security than male-headed households. The findings of this study are essential in formulating policy on food security in low-income areas.

scholarly journals Validation of the Whooley questions for antenatal depression and anxiety among low-income women in urban South Africa

2017 ◽  
Vol 23 ◽  
Author(s):  
Carina Marsay ◽  
Lenore Manderson ◽  
Ugasvaree Subramaney
Keyword(s):  
South Africa ◽  
Low Income ◽  
Cultural Context ◽  
Depression Scale ◽  
Antenatal Clinic ◽  
Stress Disorders ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Convenience Sample ◽  
Urban South

Background/objective: In South Africa, approximately 40% of women suffer from depression during pregnancy. Although perinatal depression and anxiety are significant public health problems impacting maternal and infant morbidity and mortality, no routine mental health screening programmes exist in the country. A practical, accurate screening tool is needed to identify cases in these busy, resource-scarce settings.Method: A convenience sample of 145 women between 22 and 28 weeks gestation was recruited from Rahima Moosa Hospital antenatal clinic in Johannesburg. All women completed a biographical interview, the Edinburgh Postnatal Depression Scale (EPDS), the Whooley questions and a structured clinical interview.Results: The results demonstrate the sensitivity and specificity of the Whooley questions and the EPDS in identifying depression, anxiety and stress disorders of varying severity. The importance of personal, social and cultural context in influencing the content and expression of these common perinatal conditions was also identified.Discussion and conclusion: The validity of the Whooley questions in the context of urban South Africa, and the importance of ensuring clinical interviews to supplement any screening tools, is emphasised.

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