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Five-day food intake in elderly female outpatients with Parkinson's disease, rheumatoid arthritis or stroke
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 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.
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2004 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 8, no 5, 414-421 p.Article in journal (Refereed) Published
Abstract [en]

AIM:

The aim of this study was to describe and analyse the intake of food, energy and selected nutrients in elderly outpatients, i.e. women with Parkinson's disease, rheumatoid arthritis or stroke.

SUBJECTS AND METHODS:

Sixty-three elderly women aged 64-88 years participated in the study. For assessing dietary intake, a repeated 24-h recall and an estimated food diary for three consecutive days were used.

RESULTS:

The mean age was 73.4 +/- 6.6 years. Mean reported daily energy intake was 6.4 +/- 1.7 MJ, i.e. lower than reference figures for all groups. However, looking at nutrient density, only intakes of vitamin E and folate were below recommended levels. The most frequently consumed food groups were bread, coffee, milk products, buns and cookies, and spreads.

CONCLUSION:

The reported energy intake among the elderly female outpatients was low. This might be explained by actual low intake and/or under-reporting. However, the intake of most vitamins and minerals, i.e. nutrient density, was adequate, with the exception of vitamin E and folate intake, which was below recommended levels. Food intake showed large variation and good diet composition, and there was a tendency towards high consumption of food items that are easily prepared and eaten.

Place, publisher, year, edition, pages
2004. Vol. 8, no 5, 414-421 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-89989PubMedID: 15359362OAI: oai:DiVA.org:uu-89989DiVA: diva2:161981
Available from: 2002-10-03 Created: 2002-10-03 Last updated: 2013-09-20Bibliographically approved
In thesis
1. Meals and Food in Older Women: Health Perceptions, Eating Habits, and Food Management
Open this publication in new window or tab >>Meals and Food in Older Women: Health Perceptions, Eating Habits, and Food Management
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim was to describe and explore the food-related work and eating habits of older community-dwelling women, with Parkinson’s disease, rheumatoid arthritis or stroke or without these diseases. The major focus is on health perceptions, eating habits and meal support. A theoretical framework based on cultural and health theories was adopted. A total of 91 women between 64 and 88 years were visited in their homes, a food survey was performed consisting of a 24h recall and an estimated three-day food diary was introduced. Seventy-two of the women also took part in qualitative interviews with an ethnographic approach. Approximately one week later, another 24h recall was carried out at a second visit, or for the non-disabled women by telephone. The analyses revealed that many women were influenced by the prevailing health message and tried to eat a healthy diet. It was also important to them to enjoy their preferred foods, but this gave some women a bad conscience, while others perceived their usual foods as wholesome to eat. Health promotion for older women needs to incorporate the women’s own cultural context, their perceptions of food-related health, and their wish to adhere to their usual habits. Women with disease, frailty and who had become alone reported simplified food-related work and poor eating habits. However, management of these duties was highly valued, and women strove to cook by themselves as long as possible when disability became a threat. This resulted in a trend towards less nourishing cooked meals for women with disabilities. Thus, many women with these diseases living at home need support with their meals. This has to be planned in collaboration with the woman and build on her cultural values. The help must be performed with respect for the woman’s sense of order, be given sufficient time, and acknowledge her self-determination.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2002. 77 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1188
Keyword
Medical sciences, rheumatoid arthritis, Older women, Parkinson’s disease, stroke, health perceptions, food habits, food-related work, food counselling, MEDICIN OCH VÅRD
National Category
Medical and Health Sciences
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-2638 (URN)91-554-5416-X (ISBN)
Public defence
2002-10-25, Institutionen för folkhälso- och vårdvetenskap, Aulan, Döbelnsgatan 2, Uppsala, 13:15
Opponent
Available from: 2002-10-03 Created: 2002-10-03Bibliographically approved
2. 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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Fjellström, ChristinaNydahl, Margaretha

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