What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK.
What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK.
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DOI：
10.1017/s1368980017001203
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发表时间：
2017-10
影响因子：
3.2
通讯作者：
Robinson S
中科院分区：
文献类型：
--
作者：
Bloom I;Lawrence W;Barker M;Baird J;Dennison E;Sayer AA;Cooper C;Robinson S
探讨对英国一群社区居住的老年人饮食的影响。通过与老年人进行焦点小组讨论收集数据；对讨论进行录音，逐字抄录，并对抄本进行专题分析。英国赫特福德郡。参与者有目的地从赫特福德郡队列研究中取样，重点是那些在1998-2001年和2011年两个时间点评估饮食的人。92名参与者（47%为女性，74-83岁）和11个焦点小组。确定了与食物选择有关的一些与年龄有关的因素，包括终生的食物经验、退休、丧亲之痛和医疗状况，以及环境因素（如交通）。个体对这些影响的反应似乎存在差异，表明其他潜在因素可能介导年龄相关因素对饮食的影响。关于“坚持下去”、“不放弃”的动机、不想被视为“老”的讨论，以及韧性和应对策略的例子，都表明了调解心理因素的重要性。此外，关于社会活动和孤立、社区精神和孤独的讨论表明，社会参与对饮食的影响很重要。促进老年人健康饮食的干预措施应考虑到影响饮食的潜在心理和社会因素，这些因素可能介导与年龄有关的因素的影响。
To explore influences on diet in a group of community-dwelling older adults in the UK. Data were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically. Hertfordshire, UK. Participants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points – 1998-2001 and 2011. Ninety-two participants took part (47% women; 74-83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussion about “keeping going”, being motivated to “not give up”, not wanting to be perceived as “old”, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet. Interventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.