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Background and Objectives: It was established that eating experience may affect patients emotionally. Acknowledging the role and understanding the basis of patients’ emotions in their food consumption may assist in identifying their nutritional status as well as their satisfaction with foodservice. To date, there are limited studies focusing on patients’ food-related emotional experiences. Hence the present study sought to explore the issue using a qualitative approach. Methods: The study was conducted in three Malaysian public hospitals, two of which from rural and one from urban areas. Information about aspects of the hospital food experience was gathered using semi-structured interview method. A total of 29 patients who felt well enough to provide information about the hospital food were identified with the help of the head nurses. Patients were recruited based on the concept of data saturation. The interview was implemented based on Critical Incident Technique (CIT), which enables systematic extraction of information from the wealth of data in the stories told by the interviewees about things which have happened to them. Data were analysed using content analysis method. Findings: Patients were found toexperience emotions including frustration, interest, enjoyment, hostility, shame, boredom, sadness, anger, surprise and satisfaction in relation to food provision. The frequency of incidents eliciting negative emotions (56.7%) was higher than that of positive incidents (43.3%). Frustration, interest, and enjoyment were the most frequently reported emotions. Conclusions: Our study highlights emotion as an important aspect of patients’ food consumption, and lays a ground for incorporation of food-related emotion into hospital services and patient management research. Our study also indicated the CIT to be effective and credible in elucidating hidden patients’ emotions, which encourages its application in future relevant studies.

This paper explores the emotions elicited, in relation to food consumption and the relationship between emotions and food provision attributes (food attributes, familiarity of food, feeling cared by staff, rights to choose and eating environment). The study took place in 3 Malaysian public hospitals, where a total of 29 patients were interviewed from each class (1st, 2nd and 3rd class) wards. The Critical Incident Technique (CIT) was incorporated with content analysis to analyse the data. A total of 180 incidents were analysed quantitatively, where more negative incidents (n= 102, 56.7%) in comparison to positive incidents (n=78, 43.3%) were identified. Chi-square analysis indicated that there is a relationship between the incidents that elicited positive or negative emotions and food provision factors. The findings provided understanding about elicitation of emotions, and established emotion as a powerful factor on their food consumption.

[Resumo] [Abstract]

A alimentação dos mais velhos tem sido alvo de investigação nas últimas décadas, especialmente no que se refere ao estado nutricional e ao consumo de alimentos. Embora os determinantes biológicos, psicológicos, pessoais e económicos da escolha de alimentos sejam bem conhecidos, a relação com o ambiente cultural tem sido menos explorada. As regras culturais determinam a sequência diária e semanal das refeições, o tempo e tipo de refeição, o que constitui uma refeição, o que é considerado uma verdadeira refeição, e distingue ainda uma refeição de uma merenda. O objetivo deste estudo foi compreender as refeições em idade sénior numa população de idosos Portugueses, focando as diferenças ao longo do ciclo de vida, usando uma abordagem qualitativa. A nossa investigação incluiu 80 idosos portugueses a viver na comunidade. Verificou-se que a abundância ou as dificuldades económicas na infância apresentam um impacto positivo ou negativo na visão que os idosos têm sobre as suas refeições no passado e no presente. As experiências na vida adulta (migração, casamento, ter filhos, trabalho, doença) influenciaram as rotinas diárias, incluindo a alimentação, para homens e mulheres. As refeições ao longo da vida são definidas por papéis relacionados com o sexo e a descontinuidade nos relacionamentos. Assim, a presença de novas relações e circunstâncias de vida irá refletir-se em novos desafios nas atividades domésticas. Na velhice, estar sozinho e isolado era um importante determinante dos hábitos alimentares. A perda do parceiro foi a situação mais reportada, estando associada a comer sozinho e a menos satisfação com as refeições. Ter o apoio da família ou de uma instituição especializada era essencial para as rotinas diárias com as refeições. Compreender o significado de refeições na velhice pode ser muito útil para o desenvolvimento de melhores estratégias para esta população. Food in later life has been the focus of research in the past decades, especially in what refers to nutritional status and food consumption. Although biological, psychological, personal and economic determinants in food choice are well known, the relationship with the cultural environment has been less explored. Cultural rules determine daily and weekly sequence of meals, time and type of meal, what constitutes a meal, what is considered a proper meal, and distinguish a meal event from a snack. The purpose of this study was to understand meals in the later life of Portuguese older people, focusing on the differences in the life cycle through a qualitative approach. Our research involved 80 Portuguese older people, free living in the community. We found that an easy childhood or the economic constraints in early childhood had a positive or negative impact in older people view of meals in past and present. The experiences in adult life (migration, marriage, having children, labour, disease) influenced daily routines, including eating, for both men and women. Meals across life were defined by gendered roles and discontinuity in relationships. Therefore, the presence of new relationships or life conditions will reflect in new challenges in domestic activities. In older age, being alone or isolated was an important determinant for eating habits. The loss of partner was the most reported situation, which was linked to eating alone and less satisfaction with meals. Having support from family or a specialized institution is central to the daily routines with meals. Understanding the meaning of meals in later life can be very useful in order to develop appropriate strategies for this population.

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[resumo] [abstract]

Purpose The aim of this study is to investigate older people’s perceptions, across eight European countries (the UK, Denmark, Germany, Poland, Portugal, Spain, Sweden and Italy), towards functional foods. Design/methodology/approach The repertory grid method was used to elicit reasons underlying preferences of five yoghurts with different functional properties and two conventional ones. Findings Familiarity was the key driver in products’ separation. For the Italian case, as well as the Spanish, Portuguese, Danish and Swedish the first principal axis could be interpreted as novel-common axis, whilst it was not in the UK, Germany and Poland. Research limitations/implications Behavioural intention to buy functional yoghurts was more strongly predicted and moderated by single item perceived need (PN) than single item affective and/or cognitive attitude (AA, CA), even though PN, AA and CA could be consistently assessed within the same latent measure (in all countries but Denmark). Nevertheless, beliefs/attitudes towards a novel category of products such as functional foods may be reasonably keeping moving. Originality/value In this study, preference instructions pertaining to beneficial and imagery attributes, revealed idiosyncratic properties associated with functional yoghurts across eight European samples of older people.

BMI differentiation and obesity incidence in relation to food patterns of Polish older people were analysed. The research included 422 people aged 65+ years. 21 food patterns were separated by the factor analysis. On the basis of the self-reported body mass and height, the BMI and percentages of overweight or obese people were calculated. The increase of the BMI and overweight and obesity incidence for both sexes was unequivocally connected with eating rye. The increase of the BMI and overweight and obesity incidence depended among women on consuming pork meat and alcoholic beverages. For men the increase in eating dairy products was connected with the overweight incidence increase. The role of fruit and vegetables needs to be explained in further studies.

BMI differentiation and obesity incidence in relation to food patterns of Polish older people were analysed. The research included 422 people aged 65+ years. 21 food patterns were separated by the factor analysis. On the basis of the self-reported body mass and height, the BMI and percentages of overweight or obese people were calculated. The increase of the BMI and overweight and obesity incidence for both sexes was unequivocally connected with eating rye. The increase of the BMI and overweight and obesity incidence depended among women on consuming pork raeat and alcoholic beverages. For men the increase in eating dairy products was connected with the overweight incidence increase. The role of fruit and vegetables needs to be explained in further studies.

Food patterns of Polish older people were separated and described. The research included 422 people aged 65+ years, living in 5 geographical locations. Participants of the study were selected in quota sampling. Criteria for recruitment included sex, age (65-^74 or 75+ years) and family status (living alone or living with other people). Respondents were asked questions about consumption of 55 food products. The factor analysis allowed for separating 21 food patterns. They included from 1 to 3 groups of products, intake of which was mutually dependant. Big number of separated food patterns and small number of products fonning joint food patterns speak in advocacy of relatively small reciprocal relationship between different food items consumed by the seniors in Poland.

[Resumo] [Abstract]

Objectives: To determine (i) the extent to which recommended lifestyle healthy behaviors are adopted and the existence of positive attitudes to health; (ii) the relative influence of socio-demographic variables on multiple healthy lifestyle behaviors and positive attitudes to health; (iii) the association between healthy lifestyle behaviors and positive attitudes to health. Design: two distinct healthy behavioral measures were developed: (i) healthy lifestyles based on physical activity, no cigarette smoking, no/moderate alcohol drinking, maintaining a "healthy" weight and having no sleeping problems and (ii) positive health attitudes based on having positive emotional attitudes, such as: self-perceived good health status, being calm, peaceful and happy for most of the time, not expecting health to get worse and regular health check-ups. A composite healthy lifestyle index, ranging from 0 (none of behaviors met) to 5 (all behaviors met) was calculated by summing up the individual's scores for the five healthy lifestyle items. Afterwards, each individual's index was collapsed into three levels: 0-2 equivalent to 'level 1' (subjectively regarded as 'too low'), a score of 3 equivalent to 'level 2' ('fair') and 4-5 as 'level 3' satisfactory 'healthy lifestyle' practices. The same procedure was applied to the positive health attitudes index. Multinomial logistic regression analyses by a forward selection procedure were used to calculate the adjusted odds ratio (OR) with 95% confidence interval (95% CI). Participants: a multi-national sample consisting of 638 older Europeans from 8 countries, aged 65-74 and 75+, living alone or with others. Results and conclusions: maintaining a "healthy" weight was the most frequently cited factor in the healthy lifestyles index and therefore assumed to be the most important to the older Europeans in the study; positive attitudes to health were relatively low; participants achieved a 'satisfactory' level for healthy lifestyles index (level 3) more frequently than a satisfactory level for positive attitudes to health; having a satisfactory 'healthy lifestyle' was directly related to having a satisfactory level of positive attitudes to health based on the positive health attitudes index; income and geographical location in Europe appeared to be key predictors for meeting both the recommended healthy lifestyle factors in the index and having positive health attitudes however, the composition and nature of the study sample should be taken into consideration when considering the impact of the location on healthy lifestyles and attitudes to health across Europe. Objectives: To determine (i) the extent to which recommended lifestyle healthy behaviors are adopted and the existence of positive attitudes to health; (ii) the relative influence of socio-demographic variables on multiple healthy lifestyle behaviors and positive attitudes to health; (iii) the association between healthy lifestyle behaviors and positive attitudes to health. Design: two distinct healthy behavioral measures were developed: (i) healthy lifestyles based on physical activity, no cigarette smoking, no/moderate alcohol drinking, maintaining a "healthy" weight and having no sleeping problems and (ii) positive health attitudes based on having positive emotional attitudes, such as: self-perceived good health status, being calm, peaceful and happy for most of the time, not expecting health to get worse and regular health check-ups. A composite healthy lifestyle index, ranging from 0 (none of behaviors met) to 5 (all behaviors met) was calculated by summing up the individual's scores for the five healthy lifestyle items. Afterwards, each individual's index was collapsed into three levels: 0-2 equivalent to 'level 1' (subjectively regarded as 'too low'), a score of 3 equivalent to 'level 2' ('fair') and 4-5 as 'level 3' satisfactory 'healthy lifestyle' practices. The same procedure was applied to the positive health attitudes index. Multinomial logistic regression analyses by a forward selection procedure were used to calculate the adjusted odds ratio (OR) with 95% confidence interval (95% CI). Participants: a multi-national sample consisting of 638 older Europeans from 8 countries, aged 65-74 and 75+, living alone or with others. Results and conclusions: maintaining a "healthy" weight was the most frequently cited factor in the healthy lifestyles index and therefore assumed to be the most important to the older Europeans in the study; positive attitudes to health were relatively low; participants achieved a 'satisfactory' level for healthy lifestyles index (level 3) more frequently than a satisfactory level for positive attitudes to health; having a satisfactory 'healthy lifestyle' was directly related to having a satisfactory level of positive attitudes to health based on the positive health attitudes index; income and geographical location in Europe appeared to be key predictors for meeting both the recommended healthy lifestyle factors in the index and having positive health attitudes however, the composition and nature of the study sample should be taken into consideration when considering the impact of the location on healthy lifestyles and attitudes to health across Europe.