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Eating strategies – a qualitative study of how frail, home-dwelling older people in Denmark develop strategies to form meaningful eating situations

Published online by Cambridge University Press:  17 October 2017

TENNA JENSEN*
Affiliation:
Copenhagen Centre for Health Research in the Humanities (CoRe), Saxo Institute, Faculty of Humanities, University of Copenhagen, Denmark.
LIV GRØNNOW
Affiliation:
Copenhagen Centre for Health Research in the Humanities (CoRe), Saxo Institute, Faculty of Humanities, University of Copenhagen, Denmark.
ASTRID PERNILLE JESPERSEN
Affiliation:
Copenhagen Centre for Health Research in the Humanities (CoRe), Saxo Institute, Faculty of Humanities, University of Copenhagen, Denmark.
*
Address for correspondence: Tenna Jensen, University of Copenhagen, Saxo Institute, Karen Blixens Plads 8, 2300 Copenhagen S, Denmark E-mail: tennaje@hum.ku.dk

Abstract

This article analyses the strategies that frail, home-dwelling older people who receive food from public institutions develop and use during eating situations, to gain an insight into how older people mobilise resources in relation to eating. The analysis is based on semi-structured interviews and participant observation sessions with 25 home-dwelling frail older men and women, aged 72–101, who live in Copenhagen and receive food from the municipality. Like healthier older people, frail older Danes develop and use strategies to create acceptable eating situations. The strategies are linked to the arrangement of the eating situation, their former lives and experience with food and eating, and their perception of their own body. The focus on strategies enables insights into how frail older people manage to mobilise resources to create meaningful eating situations. However, even though they mobilise resources to create and maintain eating strategies, these are not all equally appropriate with regards to supporting a healthy nutritional status. The eating strategies used by frail older people and the resources they entail are key to their experience with eating. Focusing on these strategies is useful when developing public care initiatives as this will precipitate an awareness of the resources of this group and how these are activated and contribute to or detract from a healthy nutritional status and a high quality of life.

Type
Article
Copyright
Copyright © Cambridge University Press 2017 

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References

Ældrekommisionen. 1981. De ældres vilkår. Ældrekommissionens 2. delrapport. Socialministeriet, Copenhagen.Google Scholar
Andersson, J., Nydahl, M., Gustafsson, K., Sidenvall, B. and Fjellström, C. 2003. Meals and snacks among older self-managing and disabled women. Appetite, 41, 2, 149–60.Google Scholar
Anyanwu, U., Sharkey, J. R., Jackson, R. T. and Sahyoun, N. R. 2011. Home food environment of older adults transitioning from hospital to home. Journal of Nutrition in Gerontology and Geriatrics, 30, 2, 105–21.Google Scholar
Berg, P. and Tornstam, L. 1999. Body images among men and women of different ages. Ageing & Society, 19, 5, 629–44.Google Scholar
Clarke, L. H. and Bennett, E. 2013. You learn to live with all the things that are wrong with you: gender and the experience of multiple chronic conditions in later life. Ageing & Society, 33, 2, 342–60.Google Scholar
Conklin, A., Forouhi, I., Surtees, N. G., Wareham, P., Nicholas, J. and Monsivais, P. 2015. Gender and the double burden of economic and social disadvantages on healthy eating: cross-sectional study of older adults in the EPIC-Norfolk cohort. BMC Public Health, 22, 15, 692704.Google Scholar
Copenhagen Municipality 2004. Kostpolitik for ældre. Copenhagen Municipality, Copenhagen.Google Scholar
Copenhagen Municipality 2012 a. Appetit på livet 2012–2016. Mad og måltidspolitik for ældre i Københavns Kommune. Copenhagen Municipality, Copenhagen.Google Scholar
Copenhagen Municipality 2012 b. Ydelseskatalog for personlig og praktisk hjælp, træning og botilbud. Copenhagen Municipality, Copenhagen.Google Scholar
Edfors, E. and Westergren, A. 2012. Home-living elderly people's views on food and meals. Journal of Aging Research, 2012, 761291, 19.Google Scholar
Grøn, L. 2016. Old age and vulnerability between first, second and third person perspectives. Ethnographic explorations of aging in contemporary Denmark. Journal of Ageing Studies, 39, 2130.Google Scholar
Gustafsson, K., Andersson, I., Andersson, J., Nydahl, M., Sjödén, P. O. and Sidenvall, B. 2002. Associations between perceived cooking ability, dietary intake and meal patterns among older women. Scandinavian Journal of Nutrition, 46, 1, 31–9.Google Scholar
Gustafsson, K., Andersson, I., Andersson, J., Fjellström, C. and Sidenvall, B. 2003. Older women's perceptions of independence versus dependence in food-related work. Public Health Nursing, 20, 3, 237–47.Google Scholar
Gustafsson, K. and Sidenvall, B. 2002. Food-related health perceptions and food habits among older women. Journal of Advanced Nursing, 39, 2, 164–73.Google Scholar
Hansen, M. F., Nielsen, M. A., Biltz, C., Seidelin, W. and Almdal, T. 2008. Catering in a large hospital – does serving from a buffet system meet the patients’ needs? Clinical Nutrition, 27, 4, 666–9.Google Scholar
Irz, X., Fratiglioni, L., Kuosmanen, N., Mazzocchi, M., Modugno, L., Nocella, G., Shakersain, B., Traill, B. W., Xu, W. and Zanello, G. 2013. Sociodemographic determinants of diet quality of the EU elderly: a comparative analysis in four countries. Public Health Nutrition, 17, 5, 1177–89.Google Scholar
Jensen, P. F. 2015. Madservice i spændingsfeltet mellem stat, marked og videnskab. Unpublished MA paper, University of Copenhagen, Copenhagen.Google Scholar
Jespersen, A. P., Sandberg, M. and Mellemgaard, S. 2017. Kulturanalyse som refleksiv praksis. Kultur som praksis. Etnologiske perspektiver på individ og fællesskab, kultur og historie. Hans Reitzels Forlag, Copenhagen.Google Scholar
Keller, H. H. 2006. Meal programs improve nutritional risk: a longitudinal analysis of community-living seniors. Journal of the American Dietetic Association, 106, 7, 1042–8.Google Scholar
Klebak, A. 2014. Bedre mundhygiejne på plejecentre kan redde liv. Tandlægebladet, 12, 2 December.Google Scholar
Kofod, J. 2000. Du er dem du spiser sammen med – et brugerperspektiv på den offentlige måltidsservice. Fødevaredirektoratet, Copenhagen: Ministeriet for Fødevarer, Landbrug og Fiskeri.Google Scholar
Lundkvist, P., Fjellström, C., Sidenvall, B., Lumbers, M. and Raats, M. 2010. Management of healthy eating in everyday life among senior Europeans. Appetite, 55, 3, 616–22.Google Scholar
Madkulturen. 2015. Smag. Skønne Måltider til Alle Gamle. Hvidbog om nærende måltider med kulinarisk kvalitet. Madkulturen, University of Copenhagen, Copenhagen.Google Scholar
Mahler, M. and Sarvemäki, A. 2012. Appetite and falls: old age and lived experiences. International Journal of Qualitative Studies on Health and Well-being, 7, 1, 11540.Google Scholar
Maitre, I., Van Wymelbeke, V., Amand, M., Vigneau, E., Issanchou, S., Sulmont-Rossé, C. and Issanchou, C. 2014. Food pickiness in the older: relationship with dependency and malnutrition. Food Quality and Preference, 32, part B, 145–51.Google Scholar
Moss, S. Z., Moss, M. S., Kilbride, J. E. and Rubinstein, R. L. 2007. Frail men's perspectives on food and eating. Journal of Aging Studies, 21, 4, 314–24.Google Scholar
Munk, T., Beck, A. M., Holst, M., Rosenbom, E., Rasmussen, H. H., Nielsen, M. A. and Thomsen, T. 2014. Positive effect of protein-supplemented hospital food on protein intake in patients at nutritional risk: a randomised controlled trial. Journal of Human Nutrition and Dietetics, 27, 2, 122–32.Google Scholar
Nyberg, M., Olsson, V., Pajalic, Z., Örtman, G. and Andersson, H. S. 2015. Eating difficulties, nutrition, meal preferences and experiences among elderly: a literature overview from a Scandinavian context. Journal of Food Research, 4, 1, 2237.Google Scholar
Olin, A. Ö., Koochek, A., Ljungqvist, O. and Cederholm, T. 2005. Nutritional status, well-being and functional ability in frail elderly service flat residents. European Journal of Clinical Nutrition, 59, 2, 263–70.Google Scholar
Payette, H. and Shatenstein, B. 2005. Determinants of healthy eating in community-dwelling elderly people. Canadian Journal of Public Health, 96, 3, 2731.Google Scholar
Quandt, S. A., Vitolins, M. Z., DeWalt, K. M. and Roos, G. M. 1997. Meal patterns of older adults in rural communities: life course analysis and implications for undernutrition. Journal of Applied Gerontology, 16, 2, 152–71.Google Scholar
Rurik, I. 2006. Nutritional differences between elderly men and women. Annals of Nutrition and Metabolism, 50, 1, 4550.Google Scholar
Sahyoun, N. R. and Vaudin, A. 2014. Home-delivered meals and nutrition status among older adults. Nutrition in Clinical Practice, 29, 4, 459–65.Google Scholar
Shove, E. and Pantzar, M. 2006. Fossilisation. In Löfgren, O. and Wilk, R. (eds), Off the Edge – Experiments in Cultural Analysis. Museum Tusculanum, Copenhagen, 5963.Google Scholar
Sidenvall, B., Fjellström, C., Lumbers, M. and Raats, M. 2007. Food habits and foodwork: the life course perspective of senior Europeans. Food, Culture and Society, 10, 3, 367–87.Google Scholar
Sidenvall, B., Nydahl, M. and Fjellström, C. 2000. The meal as a gift – the meaning of cooking among retired women. Journal of Applied Gerontology, 19, 4, 405–23.Google Scholar
Sidenvall, B., Nydahl, M. and Fjellström, C. 2001. Managing food shopping and cooking: the experiences of older Swedish women. Ageing & Society, 21, 2, 151–68.Google Scholar
Sørbye, L. W. 2008. Unintended weight loss in the elderly living at home: the aged in Home Care Project (AdHOC). Journal of Nutrition, Health & Aging, 12, 1, 1016.Google Scholar
Sorensen, J., Holm, L., Kondrup, J. and Bom, M. 2012. Food for patients at nutritional risk: a model of food sensory quality to promote intake. Clinical Nutrition, 31, 5, 637–46.Google Scholar
Sydner, Y. M. and Fjellström, C. 2005. Food provision and the meal situation in elderly care – outcomes in different social contexts. Journal of Human Nutrition & Dietetics, 18, 1, 4552.Google Scholar
Sydner, Y. M. and Fjellström, C. 2007. Illuminating the (non-)meaning of food: organization, power and responsibilities in public elderly care – a Swedish perspective. Journal of Foodservice, 18, 3, 119–29.Google Scholar
Torres, M., Féart, C., Samieri, C., Dorigny, B., Luiking, Y., Berr, C., Barberger-Gateau, P. and Letenneur, L. 2015. Poor nutritional status is associated with a higher risk of falling and fracture in elderly people living at home in France: the Three-City cohort study. Osteoporosis International, 26, 8, 2157–64.Google Scholar
Vesnaver, E., Keller, H. H., Payette, H. and Shatenstein, B. 2012. Dietary resilience as described by older community-dwelling adults from the NuAge study ‘If there is a will – there is a way!Appetite, 52, 2, 730–8.Google Scholar
Wikby, K. and Fägerskiöld, A. 2004. The willingness to eat. Scandinavian Journal of Caring Sciences, 18, 2, 120–7.Google Scholar