The food consumption patterns and perceptions of dietary advice of older people

Background Prevention policies do not have an upper age limit, and as the o verwhelming majority of older people continue to reside in the community th ere is a growing role for community dietetics and primary care team members in the promotion of healthy eating. Method The multi-method project ascertained the dietary beliefs and practic es of older people residing in high-income, low-income and rural localities of Scotland. One hundred and fifty-two people aged 75 years and over were interviewed using a semistructured interview schedule and 24-h food recall questionnaire. Results All analysis of the food recall questionnaire demonstrated that the diets of the elderly appear to differ little from the Scottish population as a whole. In all groups there was an under consumption of fruits and vege tables reported, Findings from the interviews demonstrated that dietary bel iefs were found to he firmly rooted in childhood and lifetime experiences. Participants defined healthy eating as 'proper meals','proper foods', and a variety of foods eaten in moderation. These definitions were based upon th e consumption of fresh foods which would be considered healthy. Changing an d conflicting advice on health and nutrition was contrasted with personal e xperiences. Few knew of the role of the dietitian or community dietitian. Conclusions This study demonstrates a contrast between stated beliefs and a ctual consumption patterns. Access to food, and the cost and quality of foo ds impacted upon food practices. The role of the community dietitian should be promoted. Advice on healthy eating must work with contemporary practice s and beliefs building upon positive aspects of diet and eating and involvi ng the food industry, retail sector and health services.