TY - JOUR T1 - Gender Disparities in the Food Insecurity-Overweight and Food Insecurity-Obesity Paradox among Low-Income Older Adults. AU - Hernandez,Daphne C, AU - Reesor,Layton, AU - Murillo,Rosenda, Y1 - 2017/03/06/ PY - 2016/08/03/received PY - 2017/01/17/accepted PY - 2017/3/8/pubmed PY - 2017/7/28/medline PY - 2017/3/8/entrez KW - Aging adults KW - Food insecurity KW - Hunger KW - National Health Interview Survey KW - Obesity SP - 1087 EP - 1096 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 117 IS - 7 N2 - BACKGROUND: Obesity and obesity-related comorbidities are increasing among older adults. Food insecurity is a nutrition-related factor that coexists with obesity among low-income individuals. The majority of the research on the food insecurity-obesity paradox has been conducted on low-income mothers and children, with research lacking on large diverse samples of older adults. OBJECTIVE: The purpose of this study was to assess gender disparities in the association between food insecurity and overweight and obesity among low-income older adults. STUDY DESIGN: Cross-sectional 2011 and 2012 National Health Interview Survey data were used. Food insecurity status was determined by ≥3 affirmative responses on the 10-item US Department of Agriculture Food Security Scale (FSS). Body mass index (BMI) was calculated as outlined by the Centers for Disease Control and Prevention based on self-reported height and weight. PARTICIPANTS/SETTINGS: Adults included were low-income (≤1.99 federal poverty level [FPL]), older (aged ≥60 years), with a normal BMI (18.5) or greater who had complete data on FSS, BMI, and the following covariates: age, race or ethnicity, marital status, income, nativity status, physical activity, poor health status, health insurance coverage, problems paying medical bills or for medicine, and region of residency (N=5,506). STATISTICAL ANALYSES PERFORMED: Multivariate logistic regression models were stratified by gender to estimate the association between food insecurity and higher weight status. All models included covariates. RESULTS: In covariate-adjusted models, compared with low-income, food secure men, low-income, food-insecure men had 42% and 41% lower odds of being overweight and overweight or obese, respectively. Despite the high prevalence rate of obesity among low-income, food-insecure women, food insecurity was not significantly related to overweight, obesity, or overweight or obesity for older adult women in adjusted models. CONCLUSIONS: Food insecurity-overweight and -obesity paradox appears not to be present in older men. However, food insecurity and obesity coexist among low-income, older women. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/28268079/Gender_Disparities_in_the_Food_Insecurity_Overweight_and_Food_Insecurity_Obesity_Paradox_among_Low_Income_Older_Adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(17)30077-1 DB - PRIME DP - Unbound Medicine ER -