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Meals and snacks among elderly self-managing and disabled women
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Domestic Sciences.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Domestic Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
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2003 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 41, no 2, 149-160 p.Article in journal (Refereed) Published
Abstract [en]

Aim. The aim of this study was to describe the frequency and distribution of self-managing and disabled elderly women's eating events, as well as to investigate which definition/names the women had given their different eating events and to categorise these into meals and snacks. An additional aim was to study the composition of meals and snacks, and analyse the nutritional significance of these eating events in terms of energy and macronutrients.

Subjects. Elderly women, both self-managing (n=139) and disabled (n=63; with Parkinson's disease, rheumatoid arthritis or stroke), aged 64–88 years, and living at home participated.

Methods. A repeated 24 h recall and an estimated food diary for three consecutive days were used.

Results. The eating events defined by the women that were categorised as meals contributed 74% of the total daily energy intake, while snacks contributed 22–23%. The meals that the women had defined as dinner, was the most energy dense meal. The frequency of eating events not defined by the women, was 30–34%, but contributed only 3–4% of the total daily energy intake. The disabled women had a significantly lower energy content in meals and most snacks, compared to the self-managing women.

Conclusion. The main conclusion was that elderly women still living at home had their meals distributed during the day and that these meals were characterised by individuality and flexibility.

Place, publisher, year, edition, pages
2003. Vol. 41, no 2, 149-160 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-89945DOI: 10.1016/S0195-6663(03)00052-7PubMedID: 14550312OAI: oai:DiVA.org:uu-89945DiVA: diva2:161890
Available from: 2002-09-12 Created: 2002-09-12 Last updated: 2013-09-20Bibliographically approved
In thesis
1. Older Women and Food: Dietary Intake and Meals in Self-Managing and Disabled Swedish Females Living at Home
Open this publication in new window or tab >>Older Women and Food: Dietary Intake and Meals in Self-Managing and Disabled Swedish Females Living at Home
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the present thesis was to study elderly self-managing and disabled women’s dietary intake and meals in relation to age, household structure (single-living or cohabitant), disability and cooking ability. The women were aged 64-88 years and living at home, in the mid-eastern part of Sweden. The self-managing women were randomly selected. The disabled women – suffering from Parkinson's disease, rheumatoid arthritis or stroke – were selected from patient records. A total of 139 self-managing and 63 disabled women participated. Two dietary assessment methods were used: a repeated 24-h recall and a three-day estimated food diary, providing dietary intake for five non-consecutive days. The results indicate that elderly women still living in their homes seem to manage a sufficient dietary intake despite disability and high age. The reported energy intakes in all groups of women were low, which might be explained by an actual low intake and/or under-reporting. The portion sizes seemed to be smaller in the highest age group, leading to lower intakes of some nutrients. Thus also the nutrient density of the food should be given greater consideration. The meal pattern was shown to be regular and the distribution of main meals and snacks was found to be satisfactory. Meals and snacks that were defined as such by the women themselves thus seem to be more significant from an energy and nutritional perspective. Perceived cooking ability co-varied with energy and nutrient intake as well as with meal pattern.

Further, a qualitative dietary assessment method, FBCE, was analysed. It was concluded that it must be supplemented with a dietary assessment method providing energy intake figures to ensure a sufficient intake, especially when studying groups at risk for low energy intake.

Furthermore, the aim was to perform a dropout analysis. When studying older women and food, a low participation rate might be expected since the most active, the very ill as well as the disabled tend to decline participation, but also since food is a gender issue. Food could, especially for women, be a sensitive area of discussion, even though older women seem to choose "healthy foods" and eat "proper meals".

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2002. 66 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 0282-7492 ; 117
Keyword
Domestic sciences, elderly, women, dietary intake, meals, self-managing, disabled, dietary assessment methods, participation rate, Hushållsvetenskap
National Category
Food Science
Identifiers
urn:nbn:se:uu:diva-2558 (URN)91-554-5382-1 (ISBN)
Public defence
2002-10-05, rum 107, Trädgårdsgatan 14, Uppsala, Uppsala, 13:15
Opponent
Available from: 2002-09-12 Created: 2002-09-12 Last updated: 2013-09-20Bibliographically approved

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Nydahl, MargarethaFjellström, Christina

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