Department of Agricultural Sciences, University of Naples Federico II - Via Università 100, 80055 - Portici (Naples), Italy.
Department of Agricultural Sciences, University of Naples Federico II - Via Università 100, 80055 - Portici (Naples), Italy.
Food Res Int. 2022 Aug;158:111476. doi: 10.1016/j.foodres.2022.111476. Epub 2022 Jun 11.
Population aging, the epidemiological transition, and associated lifestyle changes are among the major drivers of the increased incidence and prevalence of non-communicable diseases. Preparing for change is essential to ensure progress towards achieving the goals outlined in the 2030 Agenda for Sustainable Development. The first step for health care providers is to build specific programs or interventions that guide healthy long-term food choices during old age. Thus, identifying and understanding the specific factors that influence the food choices of elderly adults and how these factors limit or encourage food consumption is imperative. The current review aimed to identify how personal, social, cultural, psychological, situational and intrinsic/extrinsic aspects of food guide or hinder the dietary choices of independent elderly individuals (aged 65 years and older) towards both healthy and unhealthy food choices. The search strategy followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Thirty-seven papers satisfied the screening. Results are schematized through the Mojet model by framing all potential drivers that guide the independent elderly respectively to make healthy and less healthy choices in their diet. Findings revealed that food choices of independent older adults are shaped by a multitude of factors and sub-factors that may serve to promote or limit the desire and ability to consume a healthy food. Situational, socio-demographic, and psychological factors were the most investigated in the analysed literature, albeit with different aspects and dimensions. Future studies should extend the analysis including multiple factors and evaluate possible interactions between different dimensions. A research agenda provided insights for scholars and policymakers interested in further investigating the factors that influence food choices of this target group.
人口老龄化、流行病学转变以及相关的生活方式变化是导致非传染性疾病发病率和患病率上升的主要因素之一。为了确保在实现 2030 年可持续发展议程目标方面取得进展，做好应对变化的准备至关重要。医疗保健提供者的第一步是制定具体的方案或干预措施，指导老年人长期健康饮食。因此，确定和理解影响老年人食物选择的具体因素，以及这些因素如何限制或鼓励食物消费，是至关重要的。本综述旨在确定个人、社会、文化、心理、情境和内在/外在因素如何指导或阻碍独立老年人（年龄在 65 岁及以上）对健康和不健康食物的选择。搜索策略遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 协议。符合筛选标准的论文有 37 篇。结果通过 Mojet 模型进行了概括，该模型分别为独立老年人提供了所有潜在的驱动因素，以指导他们在饮食中做出健康和不太健康的选择。研究结果表明，独立老年人的食物选择受到多种因素和子因素的影响，这些因素可能促进或限制他们对健康食品的渴望和能力。在分析文献中，情境、社会人口统计学和心理因素是研究最多的因素，尽管它们具有不同的方面和维度。未来的研究应扩展分析，包括多个因素，并评估不同维度之间可能存在的相互作用。为有兴趣进一步研究影响这一目标群体食物选择的因素的学者和政策制定者提供了研究议程。
