Influence of environmental factors on food intake among nursing home residents: a survey combined with a video approach.
Influence of environmental factors on food intake among nursing home residents: a survey combined with a video approach.
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DOI：
10.2147/cia.s135937
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发表时间：
2017
影响因子：
3.6
通讯作者：
Bruyère O
中科院分区：
文献类型：
--
作者：
Buckinx F;Reginster JY;Morelle A;Paquot N;Labeye N;Locquet M;Adam S;Bruyère O
除了众所周知的生理因素外，影响健康的饮食行为似乎还受到各种环境因素的影响。本研究的目的是通过原始视频方法评估环境对疗养院食物摄入的影响。在疗养院用餐期间的环境的感知进行了评估的居民和两组志愿者谁要么在老年医学领域的工作，或谁不工作在老年医学领域。首先，随机抽样的居民回答了一个自我管理的问卷调查，涉及不同的指标（即，噪音，空间，舒适度，光线，气味，膳食的满意度，膳食的味道，膳食的介绍，服务和设置）。第二，两个独立的小组，一个包括在老年医学领域工作的人（即专家），另一个包括对老年医学没有特别兴趣的人（即非专家），被要求回答一份关于他们在观看了每个养老院午餐视频后对环境的看法的问卷。然后，通过精确的食物称重法测量居民的食物摄入量。共有88名居民从9个不同的养老院，18名专家和45名非专家回答了问卷。本研究强调，一方面，在调整混杂变量后，居民对食物供应量的感知是与食物消费相关的唯一单一因素（P=0.003）。另一方面，专家和非专家没有发现任何环境因素似乎与居民的食物摄入量显着相关。我们的研究结果强调，在养老院环境中，环境因素对居民的食物摄入量的影响有限，除了他们自己对服务量的看法。这一因素的相关性值得进一步研究。
In addition to the well-known physiological factors, dietary behavior that affects health seems to be influenced by a wide variety of environmental factors. The aim of this study was to assess, by means of an original video approach, the influence of the environment on food intake in nursing homes. The perception of the environment during meals in nursing homes was evaluated by residents and by two groups of volunteers who either work in the field of geriatrics, or who do not work in the field of geriatrics. First, a random sample of residents answered a self-administered questionnaire related to different indicators (ie, noise, space, comfort, light, odors, perceived satisfaction of meals, taste of meals, presentation of meals, service and setting). Second, two separate panels, one including the people who work in the field of geriatrics (ie, experts) and one including the people who have no particular interest in geriatrics (ie, nonexperts), were asked to answer a questionnaire on their perception of the environment after having watched a video of the lunch in each nursing home. Then, the food intake of the residents was measured by a precise food-weighing method. A total of 88 residents from nine different nursing homes, 18 experts and 45 nonexperts answered the questionnaires. This study highlighted that, on the one hand, after adjustment on confounding variables, the perception of the quantity of food served by the residents is the only single factor associated with food consumption (P=0.003). On the other hand, experts and nonexperts did not perceive any environmental factor that seems to be significantly associated with residents’ food intake. Our results highlighted that, in a nursing home setting, environmental factors have limited influence on the food intake of the residents, with the exception of their own perception of the quantity served. The relevance of this factor deserves further investigation.