scholarly journals OLDER ADULTS’ ATTITUDES TO FOOD AND NUTRITION: A QUALITATIVE STUDY

2016 ◽  
pp. 1-6
Author(s):  
J.E. Winter ◽  
S.A. McNaughton ◽  
C.A. Nowson
Keyword(s):  
Older Adults ◽  
Food Choices ◽  
Community Dwelling ◽  
Dietary Advice ◽  
Qualitative Research Design ◽  
Food Pattern ◽  
Dietary Restrictions ◽  
Daily Food ◽  
Potential Sources ◽  
Nutritional Needs

Objective: To explore the factors that influence food choices of older adults and identify potential sources of dietary advice. Design: A qualitative research design using semi-structured, one on one interviews. Setting: A general medical practice in Victoria, Australia. Participants: Twelve community dwelling adults aged 75 to 89 (mean 82.8 ± 4.4) years, 92% living alone and 92% female. Measurements: Interview questions addressed usual daily food pattern, shopping routines, appetite, importance of diet and potential sources of dietary advice or assistance. Results: Thematic analysis identified key themes influencing food choices were maintaining independence; value of nutrition; childhood patterns; and health factors. Dietary restrictions and concerns with weight gain were expressed, and although these were managed independently, the GP was identified as the first source of information if required. Conclusion: This sample of older adults placed high value on eating well as they age, however a number followed self-imposed dietary restrictions which have the potential to compromise their nutritional status as dietary requirements change. Further research is needed into how to communicate changing nutritional needs to this group.

scholarly journals Effectiveness and cost-effectiveness of personalised dietary advice aiming at increasing protein intake on physical functioning in community-dwelling older adults with lower habitual protein intake: rationale and design of the PROMISS randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040637
Author(s):  
Ilse Reinders ◽  
Hanneke A H Wijnhoven ◽  
Satu K Jyväkorpi ◽  
Merja H Suominen ◽  
Riikka Niskanen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Functioning ◽  
Protein Intake ◽  
Intervention Group ◽  
Community Dwelling ◽  
Dietary Advice ◽  
Control Group ◽  
Randomised Controlled ◽  
Community Dwelling Older Adults ◽  
Habitual Protein Intake

IntroductionShort-term metabolic and observational studies suggest that protein intake above the recommended dietary allowance of 0.83 g/kg body weight (BW)/day may support preservation of lean body mass and physical function in old age, but evidence from randomised controlled trials is inconclusive.Methods and analysisThe PRevention Of Malnutrition In Senior Subjects in the EU (PROMISS) trial examines the effect of personalised dietary advice aiming at increasing protein intake with or without advice regarding timing of protein intake to close proximity of usual physical activity, on change in physical functioning after 6 months among community-dwelling older adults (≥65 years) with a habitual protein intake of <1.0 g/kg adjusted (a)BW/day. Participants (n=264) will be recruited in Finland and the Netherlands, and will be randomised into three groups; two intervention groups and one control group. Intervention group 1 (n=88) receives personalised dietary advice and protein-enriched food products in order to increase their protein intake to at least 1.2 g/kg aBW/day. Intervention group 2 (n=88) receives the same advice as described for intervention group 1, and in addition advice to consume 7.5–10 g protein through protein-(en)rich(ed) foods within half an hour after performing usual physical activity. The control group (n=88) receives no intervention. All participants will be invited to attend lectures not related to health. The primary outcome is a 6-month change in physical functioning measured by change in walk time using a 400 m walk test. Secondary outcomes are: 6-month change in the Short Physical Performance Battery score, muscle strength, body composition, self-reported mobility limitations, quality of life, incidence of frailty, incidence of sarcopenia risk and incidence of malnutrition. We also investigate cost-effectiveness by change in healthcare costs.DiscussionThe PROMISS trial will provide evidence whether increasing protein intake, and additionally optimising the timing of protein intake, has a positive effect on the course of physical functioning after 6 months among community-dwelling older adults with a habitual protein intake of <1.0 g/kg aBW/day.Ethics and disseminationThe study has been approved by the Ethics Committee of the Helsinki University Central Hospital, Finland (ID of the approval: HUS/1530/2018) and The Medical Ethical Committee of the Amsterdam UMC, location VUmc, Amsterdam, the Netherlands (ID of the approval: 2018.399). All participants provided written informed consent prior to being enrolled onto the study. Results will be submitted for publication in peer-reviewed journals and will be made available to stakeholders (ie, older adults, healthcare professionals and industry).Trial registration numberClinicalTrials.gov Registry (NCT03712306).

An investigation of community-dwelling older adults' opinions about their nutritional needs and risk of malnutrition; a scoping review

2020 ◽  
Author(s):  
Patricia Dominguez Castro ◽  
Ciara ME. Reynolds ◽  
Sharon Kennelly ◽  
Aisling A. Geraghty ◽  
Karen Finnigan ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Community Dwelling ◽  
Nutritional Needs ◽  
Community Dwelling Older Adults

scholarly journals Food Choices During Pregnancy Periods In Pulau Godang Kari

2019 ◽  
Vol 5 (2) ◽  
pp. 96-100
Author(s):  
Vella Yovinna Tobing ◽  
Yati Afiyanti ◽  
Imami Nur Rachmawati
Keyword(s):  
Cultural Practices ◽  
Health Workers ◽  
Food Choices ◽  
Cultural Practice ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Dietary Restrictions ◽  
Birth Attendance ◽  
Nutritional Needs

Cultural practice of nutritional consumption during pregnancy can affect the quality of maternal and fetal health. Mothers need sufficient nutrients to be able to adapt of pregnancy changes. The growth and development of the fetus is depends on the mother. Some cultural practices believe that some types of food have a bad impact on both the mother and the fetus, so that the food is prohibited to be consumed during the pregnancy period. The purpose of the study was to explore the types of prohibited foods during pregnancy in Pulau Godang Kari, Kuantan Singingi. This is an ethnographic research was conducted on 15 informants consisting of pregnant women, families, midwife and traditioanl birth attendance. Data collection used direct observation, focus group discussions and interviews that are analyzed by using content analysis. Prohibition of certain types of food based on the type of food that was believed that the properties are not good, so it was believed to have a bad effect on the mother and fetus. The implementation of cultural practices related to dietary restrictions is still being carried out, because of the belief that something unwanted will happen if you choose to consume these foods. Therefore, health workers must be able to provide culturally sensitive health services, so they can provide alternative food choices to fulfill nutritional needs during pregnancy period

Changes in Motor Skills, Sensory Profiles, and Cognition Drive Food Selection in Older Adults With Preclinical Dysphagia

2020 ◽  
Vol 63 (8) ◽  
pp. 2723-2730
Author(s):  
Nicole Michele Etter ◽  
Aarthi Madhavan
Keyword(s):  
Older Adults ◽  
Cognitive Skills ◽  
Healthy Aging ◽  
Food Selection ◽  
Clinical Intervention ◽  
Patient Characteristics ◽  
Food Choices ◽  
Community Dwelling ◽  
Self Selection ◽  
Aging Adults

Purpose Self-selection and self-avoidance of certain foods is one possible indicator of preclinical (prior to any clinical intervention) dysphagia in healthy older adults. Self-selection of food choices is influenced by changes in a combination of factors, including neuromuscular, sensory, and individual patient characteristics. Changes to these factors occur both centrally or peripherally and can be part of typical, healthy aging. Alterations in motor, sensory, or cognitive skills may lead to self-imposed modifications to food choices and, therefore, highlight potential risk for dysphagia. Conclusions For effective screening and assessments procedures in healthy aging adults, the diagnosis of preclinical dysphagia will likely require a multifaceted assessment. A combination of assessment methods using objective and subjective measurements of neuromuscular, sensory, and individual patient factors, as well as knowledge of food avoidance, may provide insight for identifying community-dwelling older adults at risk for dysphagia and allow for earlier monitoring and intervention.

The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing

2018 ◽  
Vol 81 (11) ◽  
pp. 657-666 ◽  
Author(s):  
Fiona Mulholland ◽  
Jeanne Jackson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Sense Of Self ◽  
Community Dwelling ◽  
Mental Wellbeing ◽  
Occupational Identity ◽  
Anxiety And Depression ◽  
Structured Interviews ◽  
Occupational Science ◽  
Qualitative Research Design

Introduction As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes. Method A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis. Findings The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression. Conclusion The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.

Perceived Voice Disorders in Older Adults and Impact on Social Interactions

2021 ◽  
pp. 1-8
Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interactions ◽  
Social Engagement ◽  
Leisure Activities ◽  
Treatment Strategies ◽  
Voice Disorders ◽  
Community Dwelling ◽  
Vocal Performance ◽  
Older Individuals ◽  
Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

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