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López-Gil JF, Smith L, Tully MA, Álvarez-Pitti J, Gómez SF, Schröder H. Prevalence of daily family meals among children and adolescents from 43 countries. MATERNAL & CHILD NUTRITION 2024:e13706. [PMID: 39186933 DOI: 10.1111/mcn.13706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Revised: 06/19/2024] [Accepted: 07/08/2024] [Indexed: 08/28/2024]
Abstract
Prevalence studies about family meals, including large and representative samples of children and adolescents on this topic, are scarce. Therefore, the aim of this study was twofold: first, to determine the prevalence of daily family meals in large and representative samples of school-going children and adolescents from 43 countries, and second, to identify the sex, age, socioeconomic status (SES), family structure, immigrant status and parental labour market status inequalities associated with this prevalence. Using data from the 2017/2018 wave of the Health Behaviour in School-aged Children study, a total of 179,991 participants from 43 countries were involved in this cross-sectional study. Family meals were assessed by the following question: 'How often do you and your family usually have meals together?'. Participants had five different response options: 'every day', 'most days', 'about once a week', 'less often', and 'never'. The meta package was utilized for conducting a meta-analysis of single proportions, specifically applying the metaprop function. The analysis involved pooling the data using a random-effects model and presenting the outcomes through a forest plot generated using the inverse variance method. Moreover, we applied generalized linear mixed models to explore the relationships between the studied sociodemographic factors as fixed effects, country as a random effect and the status of daily family meals as an outcome. Overall, the prevalence of daily family meals was 49.12% (95% confidence interval [CI]: 45.00-53.25). A greater probability of having daily family meals was identified for children aged 10-12 years (61.55%; 95% CI: 57.44%-65.49%), boys (61.55%, 95% CI: 57.44%-65.49%), participants with high SES (64.66%, 95% CI: 60.65%-68.48%), participants with both parents at home (65.05%, 95% CI: 61.16%-68.74%) and those with both unemployed parents (61.55%, 95% CI: 57.44%-65.49%). In the present study, which included large representative samples of school-going children and adolescents from 43 countries, more than half of the participants did not have daily family meals.
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Affiliation(s)
| | - Lee Smith
- Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK
| | - Mark A Tully
- School of Medicine, Ulster University, Londonderry, UK
| | - Julio Álvarez-Pitti
- Cardiovascular Risk Unit, Hospital General Universitario, University of Valencia, Valencia, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBER Obn), Instituto de Salud Carlos III, Madrid, Spain
| | - Santiago F Gómez
- Gasol Foundation Europe, Barcelona, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
- Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute, Barcelona, Spain
- Nursing and Physiotherapy Department, University of Lleida, Lleida, Spain
| | - Helmut Schröder
- Gasol Foundation Europe, Barcelona, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
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Björnwall A, Colombo PE, Sydner YM, Neuman N. The impact of eating alone on food intake and everyday eating routines: A cross-sectional study of community-living 70- to 75-year-olds in Sweden. BMC Public Health 2024; 24:2214. [PMID: 39143537 PMCID: PMC11323640 DOI: 10.1186/s12889-024-19560-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 07/23/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Eating is fundamental not only to survival and health, but also to how humans organise their social lives. Eating together with others is often seen as the healthy ideal, while eating alone is highlighted as a risk factor for negative health outcomes, especially among older adults. This paper, therefore, investigates the relationship between the frequency and subjective experience of eating alone and food-related outcomes among 70- to 75-year-olds in Sweden. METHODS A survey was distributed to a nationally representative random sample of 1500 community-living in Sweden, aged 70-75 years. Two different constructs of eating alone (objective and subjective) were measured, along with the following food-related outcomes: a food index, intake of food groups, consumption of ready-made meals, number of main meals per day, and body mass index (BMI). RESULTS In total, 695 respondents were included in the final sample. A quarter of the respondents were categorised as eating alone, of which a small proportion reported that doing so bothered them. There were no associations between eating alone and food index scores, BMI, or intake frequencies of fruits and berries, or fish and shellfish. However, people eating alone were less likely to report eating three meals per day (OR: 0.53, CI: 0.37-0.76, p = 0.006), less likely to report higher intake frequencies of vegetables and snacks, sugary foods, and sweet drinks (adjusted OR: 0.68, CI: 0.48-0.95, p = 0.023 resp. OR: 0.59, CI: 0.43-0.81, p = 0.001), and more likely to report higher intake frequencies of ready-made meals (adjusted OR: 3.71, CI: 2.02-6.84, p < 0.001) compared to those eating together with others. The subjective experience of eating alone did not have an impact on food-related outcomes. CONCLUSION Eating alone or with others played a role in participants' food intake, and seemed to influence aspects of the organisation of everyday eating routines rather than overall dietary healthiness or weight status. Our findings add to the previous body of research on commensality, eating alone, and health among the older population, providing insights into the development of future health policies and research.
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Affiliation(s)
- Amanda Björnwall
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Uppsala, 751 22, Sweden.
| | - Patricia Eustachio Colombo
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, 171 77, Sweden
- Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| | - Ylva Mattsson Sydner
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Uppsala, 751 22, Sweden
| | - Nicklas Neuman
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Uppsala, 751 22, Sweden
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López-Gil JF, Ezzatvar Y, Ojeda-Rodríguez A, Galan-Lopez P, Royo JMP, Gaya AR, Agostinis-Sobrinho C, Martín-Calvo N. Is family meal frequency associated with obesity in children and adolescents? A cross-sectional study including 155 451 participants from 43 countries. Pediatr Obes 2024; 19:e13124. [PMID: 38798042 DOI: 10.1111/ijpo.13124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/04/2024] [Accepted: 04/15/2024] [Indexed: 05/29/2024]
Abstract
OBJECTIVE This study tried to examine the association between the frequency of family meals and excess weight using large and representative samples of children and adolescents from 43 countries. METHODS This cross-sectional study used data from the Health Behaviour in School-aged Children (HBSC), which included nationally representative samples of children and adolescents aged 10-17 years, involving a total of 155 451 participants (mean age = 13.6 years; standard deviation [SD] = 1.6; 51.4% girls). Family meal frequency was gauged through the following question: 'How frequently do you and your family typically share meals?' The possible responses were: 'never', 'less often', 'approximately once a week', 'most days' and 'every day'. The body weight and height of the participants were self-reported and utilized to calculate body mass index (BMI). Subsequently, BMI z-scores were computed based on the International Obesity Task Force criteria, and the prevalence of excess weight was defined as +1.31 SD for boys and + 1.24 SD for girls, with obesity defined as +2.29 SD for boys and + 2.19 SD for girls. Generalized linear mixed models were conducted to examine the associations between the frequency of family meals and excess weight or obesity. RESULTS The lowest predicted probabilities of having excess weight and obesity were observed for those participants who had family meals every day (excess weight: 34.4%, 95% confidence interval [CI] 31.4%-37.5%; obesity: 10.8%, 95% CI 9.0%-13.0%). CONCLUSIONS A higher frequency of family meals is associated with lower odds of having excess weight and obesity in children and adolescents.
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Affiliation(s)
| | - Yasmin Ezzatvar
- Department of Nursing, Universitat de València, Valencia, Spain
| | - Ana Ojeda-Rodríguez
- Lipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, Cordoba, Spain
- Department of Medical and Surgical Science, University of Cordoba, Cordoba, Spain
- Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain
- CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - Pablo Galan-Lopez
- Department of Communication and Education, Universidad Loyola Andalucía, Seville, Spain
| | | | - Anelise Reis Gaya
- Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Cesar Agostinis-Sobrinho
- Polytechnic Institute Of Guarda, Guarda, Portugal
- Health Research and Innovation Centre, Faculty of Health Science, Klaipeda University, Klaipėda, Lithuania
| | - Nerea Martín-Calvo
- Department of Preventive Medicine and Public Health, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
- Pathophysiology of Obesity and Nutrition, Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Madrid, Spain
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Shimizu A, Ikeda T, Miyaguni Y, Takeda S, Tamada Y, Aida J. Association between the incidence of functional disability and frequency of eating together among older adults living alone: a 6-year follow-up study from the Japan Gerontological Evaluation Study. Age Ageing 2024; 53:afae153. [PMID: 39041734 DOI: 10.1093/ageing/afae153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Indexed: 07/24/2024] Open
Abstract
OBJECTIVE This study aimed to determine whether the frequency of eating together is associated with the incidence of functional disability in older adults who live alone. METHODS This 6-year observational prospective cohort study utilised self-reported questionnaires. Data were drawn from the participants of the Japan Gerontological Evaluation Study project between 2016 and 2022. The participants were independent older adults aged ≥65 years living alone in Japan. The primary outcome was the incidence of functional disability during the follow-up period, with the self-reported frequency of eating together serving as the explanatory variable. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were estimated using Cox proportional hazards models after adjusting for confounders associated with incident functional disability. RESULTS Among the 7167 participants, the mean age at baseline was 75.3 ± 6.5 years and 69.2% were female. About, 12.8% of participants (n = 917) developed functional disabilities during the observation period. The incidence rates were 11.7% for 'every day', 11.3% for 'several times a week', 11.5% for 'several times a month', 12.7% for 'several times a year' and 19.0% for 'seldom'. The frequency of eating together 'seldom' was significantly associated with an increased incidence of functional disability (HR: 1.55, 95% CI: 1.10-2.18). CONCLUSION Among older adults living alone, infrequent eating together ('seldom') was identified as a risk factor for developing functional disability.
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Affiliation(s)
- Akio Shimizu
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu-City, Mie 514-8507, Japan
| | - Takaaki Ikeda
- Department of Health Policy Science, Graduate School of Medical Science, Yamagata University, Yamagata-City, Yamagata 997-8555, Japan
| | - Yasuhiro Miyaguni
- Department of Social Welfare, Nihon Fukushi University, Mihama-Cho, Aichi 470-3295, Japan
| | - Sho Takeda
- Health and Counseling Center, Osaka University, Toyonaka-City, Osaka 560-0043, Japan
| | - Yudai Tamada
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai-City, Miyagi 980-8575, Japan
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya-City, Aichi 466-8550, Japan
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-Ku, Tokyo 113-8510, Japan
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van der Heijden A, Wiggins S. Interaction as the foundation for eating practices in shared mealtimes. Appetite 2024:107585. [PMID: 38945367 DOI: 10.1016/j.appet.2024.107585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Revised: 06/26/2024] [Accepted: 06/28/2024] [Indexed: 07/02/2024]
Abstract
Mealtimes shared with other people define how, what, how much, and with whom we eat. On such occasions, whether in private or public spaces, and as formal or informal events, our eating practices are inseparable from our interactions with other people. In this Editorial for the Special Issue on Interactional approaches to eating together and shared mealtimes, we provide an overview of the interdisciplinary field of research on eating together and shared mealtimes to illustrate the breadth and depth of work that has been developed in this area to date. The overview is divided into three broad clusters of research that focus primarily on (1) cultural or societal aspects, (2) individual outcomes, or (3) interactional practices. Commonalities across these clusters are discussed, the need for more research across a greater global and cultural diversity of eating practices is highlighted, and the potential for interdisciplinary collaboration on research on eating together and shared mealtimes across diverse scientific disciplines is explored. The papers in this Special Issue showcase a sample of contemporary work from within the cluster of research on interactional practices, and a brief overview of these papers is discussed. Finally, it is argued that as a common area of interest, social interaction as the foundation of eating practices within shared mealtimes poses considerable potential for interdisciplinary collaboration across scientific disciplines, and between scientists, professionals, and participants from the study populations.
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Affiliation(s)
- Amy van der Heijden
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
| | - Sally Wiggins
- Department of Behavioural Sciences and Learning, Division of Psychology, Linköping University, Linköping, Sweden
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Campbell K, Peddie M, Ashton N, Ma’ia’i K, Russell-Camp T, Mann J, Camp J, Reynolds AN. Experiences and Acceptability of a Weight Loss Intervention for Diabetes (Diabetes Remission Clinical Trial-DiRECT) in Aotearoa New Zealand: A Qualitative Study within a Pilot Randomised Controlled Trial. Nutrients 2024; 16:1853. [PMID: 38931208 PMCID: PMC11206426 DOI: 10.3390/nu16121853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 06/10/2024] [Accepted: 06/11/2024] [Indexed: 06/28/2024] Open
Abstract
The Diabetes Remission Clinical Trial (DiRECT) demonstrated that substantial weight loss and remission from type 2 diabetes can be achieved with low-energy total diet replacement and behavioural support. However, the acceptability of the DiRECT intervention in diverse populations with strong cultural emphases on food and shared eating remains unclear. We conducted a qualitative study nested within a pilot randomised controlled trial of DiRECT in one Māori (the Indigenous people of New Zealand) primary care provider in Aotearoa New Zealand. Participants with type 2 diabetes or prediabetes, obesity, and a desire to lose weight were randomised to either dietitian-supported usual care or the dietitian-supported DiRECT intervention for twelve months. The DiRECT intervention included three months of total diet replacement, then food reintroduction and supported weight loss maintenance. At three and twelve months, semi-structured interviews explored the acceptability of DiRECT and participants' experiences of each intervention. Interview transcripts from 25 participants (aged 48 ± 10 years, 76% female, 78% Māori or Pacific) at three months and 15 participants at twelve months were analysed. Participants viewed their pre-enrolment selves as unhealthy people with poor eating habits and desired professional weight loss support. For DiRECT participants, the total diet replacement phase was challenging but well-received, due to rapid improvements in weight and health. Food reintroduction and weight loss maintenance each presented unique challenges requiring effective strategies and adaptability. All participants considered individualised and empathetic dietetic support crucial to success. Sociocultural factors influencing success were experienced in both interventions: family and social networks provided support and motivation; however, eating-related norms were identified as challenges. The DiRECT intervention was considered an acceptable approach to weight loss in participants with type 2 diabetes or prediabetes with strong cultural emphases on food and shared eating. Our findings highlight the importance of individualised and culturally relevant behavioural support for effective weight loss and weight loss maintenance.
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Affiliation(s)
- Kate Campbell
- Department of Medicine, University of Otago, Dunedin 9054, Aotearoa, New Zealand; (K.C.); (T.R.-C.); (J.M.); (J.C.)
- Department of Human Nutrition, University of Otago, Dunedin 9054, Aotearoa, New Zealand;
- Edgar Diabetes and Obesity Research Centre, Dunedin 9054, Aotearoa, New Zealand
| | - Meredith Peddie
- Department of Human Nutrition, University of Otago, Dunedin 9054, Aotearoa, New Zealand;
| | - Natalie Ashton
- Te Kāika Health, Caversham 9012, Aotearoa, New Zealand; (N.A.); (K.M.)
| | - Kim Ma’ia’i
- Te Kāika Health, Caversham 9012, Aotearoa, New Zealand; (N.A.); (K.M.)
| | - Takiwai Russell-Camp
- Department of Medicine, University of Otago, Dunedin 9054, Aotearoa, New Zealand; (K.C.); (T.R.-C.); (J.M.); (J.C.)
| | - Jim Mann
- Department of Medicine, University of Otago, Dunedin 9054, Aotearoa, New Zealand; (K.C.); (T.R.-C.); (J.M.); (J.C.)
- Edgar Diabetes and Obesity Research Centre, Dunedin 9054, Aotearoa, New Zealand
| | - Justine Camp
- Department of Medicine, University of Otago, Dunedin 9054, Aotearoa, New Zealand; (K.C.); (T.R.-C.); (J.M.); (J.C.)
- Edgar Diabetes and Obesity Research Centre, Dunedin 9054, Aotearoa, New Zealand
| | - Andrew N. Reynolds
- Department of Medicine, University of Otago, Dunedin 9054, Aotearoa, New Zealand; (K.C.); (T.R.-C.); (J.M.); (J.C.)
- Edgar Diabetes and Obesity Research Centre, Dunedin 9054, Aotearoa, New Zealand
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Bernardi E, Visioli F. Fostering wellbeing and healthy lifestyles through conviviality and commensality: Underappreciated benefits of the Mediterranean Diet. Nutr Res 2024; 126:46-57. [PMID: 38613923 DOI: 10.1016/j.nutres.2024.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 03/16/2024] [Accepted: 03/18/2024] [Indexed: 04/15/2024]
Abstract
Among the often-neglected features of healthy diets, such as the Mediterranean diet, is the preparation and sharing of food, which is (or was) done in a social environment governed by social rules rather than by time constraints. The act of eating is a daily human practice that is not limited to meeting nutritional and energy needs but also involves a constructed social dimension of sharing meals that is part of the process of human civilization and food cultures around the world. In this narrative review, we outline the importance of conviviality in steering part of the health effects of healthful diets, with special reference to the Mediterranean diet. Based on the available evidence, we suggest that public health initiatives (such as nudging to promote conviviality) to improve people's eating and living styles, reduce loneliness, and promote the sharing of meals could improve health. Interventions aimed at directly increasing/improving people's social relationships, networking, and conviviality can-directly and indirectly-improve both psychological well-being and general health.
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Affiliation(s)
- Elisabetta Bernardi
- Department of Biosciences, Biotechnologies and Environment, University of Bari "Aldo Moro" - Bari, Italy
| | - Francesco Visioli
- Department of Molecular Medicine, University of Padova, Italy; IMDEA-Food, Madrid, Spain.
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Le Moal F, Michaud M, Coveney J. Exploring unequal class logics of mealtime food socialisation. An ethnography of family meals in France and Australia. Appetite 2024; 195:107195. [PMID: 38160732 DOI: 10.1016/j.appet.2023.107195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 12/12/2023] [Accepted: 12/24/2023] [Indexed: 01/03/2024]
Abstract
Regular family mealtimes are occasions to model food consumption and have been associated with health and well-being benefits for children. This study aimed to investigate children's mealtime food socialisation in socially diverse households. Nine families from France and five from Australia were recruited, ranging from lower middle-class to upper-class positions, with children mostly between the ages of five to eight. The data is composed of the observations of 47 mealtimes and semi-directive interviews with both parents. The results showed that food socialisation and parents' understanding of children's taste development were linked to the household's social class position as well as to the temporal, cognitive and emotional resources parents possessed at mealtimes, in a similar manner across France and Australia. The more capital and resources the parents had, the more they were able to perform an intensive food socialisation style, which led them to prepare balanced menus and get children to eat the food served. The less capital and resources the parents had, the more they engaged in a hands-off food socialisation style, leading them to serve more child-oriented and less diverse menus. Importantly, all parents strived to serve healthy food, but limited resources prevented some of them from doing so. These food socialisation styles were also connected to the development of different social skills in children: with the intensive model, children were closely managed by their parents at the table but also learnt negotiation skills, whereas with the hands-off style, children learnt to be quite autonomous in their eating. The findings presented here contribute to Hays' intensive mothering concept and to Lareau's class-based parenting models. They also challenge Bourdieu's differentiation between a taste of necessity and a taste of luxury.
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Affiliation(s)
- Fairley Le Moal
- College of Nursing and Health Sciences of Flinders University, Australia; Centre Max Weber UM5283, France; Institut Paul Bocuse Research Centre, France.
| | | | - John Coveney
- College of Nursing and Health Sciences of Flinders University, Australia
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Yoo MY, Song HJ, Park KH, Seo YG, An HJ, Paek YJ, Noh HM. Relationship between Eating Alone and Handgrip Strength in Korean Older Adults. Nutrients 2024; 16:654. [PMID: 38474782 DOI: 10.3390/nu16050654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 02/19/2024] [Accepted: 02/23/2024] [Indexed: 03/14/2024] Open
Abstract
Sarcopenia is defined as an age-related decline in muscle mass, muscle strength, and physical performance. Eating alone has been linked to various health issues in older adults. This study investigated the relationship between eating alone and handgrip strength (HGS) in older adults using data from 7278 individuals (≥65 years) who participated in the 2014-2019 Korea National Health and Nutrition Examination Survey. HGS was measured using a digital grip strength dynamometer, relative HGS was calculated by dividing HGS by body mass index, and dynapenia was defined as an HGS < 28 kg for men and <18 kg for women. Multivariable logistic regression analysis showed that women who ate two meals alone were more likely to exhibit dynapenia than those who never ate alone (odds ratio [OR], 1.3; 95% confidence interval [CI], 1.03-1.77). If the groups that never ate alone or ate one meal alone were combined as the reference group, the probability of dynapenia was higher in the combined groups that ate two or three meals alone (OR, 1.25; 95% CI, 1.04-1.50). No association was observed between eating alone and dynapenia in men. This suggests that eating alone is a modifiable related factor of dynapenia in older women.
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Affiliation(s)
- Min Young Yoo
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Hong Ji Song
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Kyung Hee Park
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Young-Gyun Seo
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Hye-Ji An
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Yu-Jin Paek
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
| | - Hye-Mi Noh
- Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Republic of Korea
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Park NS, Jang Y, Chung S, Chiriboga DA, Haley WE. Relationship of Living and Eating Arrangements to Mental Distress Among Older Korean Immigrants: Gender Difference in the Mediating Role of Loneliness. Res Aging 2024; 46:153-166. [PMID: 37820385 DOI: 10.1177/01640275231206482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
This study examined how different living/eating arrangements were associated with loneliness and depressive symptoms among older Korean immigrants. We examined gender differences considering: (1) patterns of living/eating arrangements and their relations with loneliness and mental distress and (2) indirect effect of living/eating arrangements on mental distress through feeling lonely. Data were drawn from the Study of Older Korean Americans that surveyed older; Korean immigrants during 2017-2018 (N = 2150). Living/eating arrangements were classified in the combination of four categores. Using the PROCESS macro, we tested gender differences in the mediation effect of loneliness on the relationship between living/eating arrangements and mental distress while controlling for background/health characteristics and social connectedness-related variables. The mediating role of loneliness was manifested differentially between men and women. By administering simple measures of living/eating arrangements, practitioners could potentially identify key targets to improve social and mental well-being, particularly among older immigrants with limited resources.
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Affiliation(s)
- Nan Sook Park
- School of Social Work, University of South Florida, Tampa, FL, USA
| | - Yuri Jang
- Edward R. Roybal Institute on Aging, Suzanne Dworak-Peck School of Social Work, University of Southern California, California, CA, USA
- Department of Social Welfare, Ewha Womans University, Seoul, South Korea
| | - Soondool Chung
- Department of Social Welfare, Ewha Womans University, Seoul, South Korea
| | - David A Chiriboga
- Department of Child and Family Studies, University of South Florida, Tampa, FL, USA
| | - William E Haley
- School of Aging Studies, University of South Florida, Tampa, FL, USA
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Hemsley B, Almond B, Given F, Darcy S, L'Espoir Decosta P, Dann S, Carnemolla P, Freeman-Sanderson A, Debono D, Balandin S. Craving inclusion: a systematic review on the experiences and needs of people with disability eating out. Disabil Rehabil 2023:1-16. [PMID: 38146693 DOI: 10.1080/09638288.2023.2295006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 12/09/2023] [Indexed: 12/27/2023]
Abstract
Purpose: To systematically review the research relating to views and experiences of people with disability eating out in cafés, restaurants, and other settings; and identify factors that impede or enhance accessibility of eating out experiences, inform future inclusive research, and guide policy development.Materials and Methods: This study involved systematic search and review procedures with qualitative metasynthesis of the barriers to and facilitators for participation and inclusion in eating/dining-out activities. In total, 36 studies were included.Results: Most studies reviewed related to people with physical or sensory disability eating out, with few studies examining the dining experiences of adults with intellectual or developmental disability, swallowing disability, or communication disability. People with disability encountered negative attitudes and problems with physical and communicative access to the venue. Staff lacked knowledge of disability. Improvements in the design of dining spaces, consultation with the disability community, and staff training are needed.Conclusion: People with disability may need support for inclusion in eating out activities, as they encounter a range of barriers to eating out. Further research within and across both a wide range of populations with disability and eating out settings could guide policy and practice and help develop training for hospitality staff.
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Affiliation(s)
- Bronwyn Hemsley
- Graduate School of Health, University of Technology Sydney, Sydney, Australia
| | - Barbara Almond
- Graduate School of Health, University of Technology Sydney, Sydney, Australia
| | - Fiona Given
- Graduate School of Health, University of Technology Sydney, Sydney, Australia
| | - Simon Darcy
- The Business School, University of Technology Sydney, Sydney, Australia
| | | | - Stephen Dann
- Research School of Management, Australian National University, Canberra, Australia
| | | | | | - Deborah Debono
- School of Public Health, University of Technology Sydney, Sydney, Australia
| | - Susan Balandin
- Graduate School of Health, University of Technology Sydney, Sydney, Australia
- Deakin University, Geelong, Australia
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12
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Hanna K, Cross J, Nicholls A, Gallegos D. The association between loneliness or social isolation and food and eating behaviours: A scoping review. Appetite 2023; 191:107051. [PMID: 37802217 DOI: 10.1016/j.appet.2023.107051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 09/20/2023] [Accepted: 09/21/2023] [Indexed: 10/08/2023]
Abstract
Loneliness or social isolation and food/eating behaviours have important health consequences and there are rationales for why they could interact. Loneliness and dietary behaviours are recognised as health determinants and targets for interventions at individual, group and population levels. However, there are currently no research reviews investigating associations between these areas. This scoping review synthesized evidence investigating loneliness or social isolation and food/eating behaviours in people aged over 16 years in high-income countries. A systematic search of five databases from 2000 was conducted using predetermined search terms. Dissertation database and backwards citation searches were also conducted. Full text screening of 254 articles/theses resulted in inclusion of three qualitative and 26 quantitative studies, with eight conducted in COVID-19 lockdowns. Almost all studies reported a relationship between loneliness/social isolation and eating behaviours usually considered harmful such as low fruit and vegetable intake and lower diet quality. Qualitative research also supports the detrimental influence of loneliness or social isolation on eating. Study quality was considered, and interpretation and comparison of results was complicated by use of varying methods. Better awareness and understanding of the relationship between these complex aspects of health is needed to inform the development of interventions and practice of nutrition and mental health practitioners, policymakers, researchers and end-users.
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Affiliation(s)
- Katherine Hanna
- School of Exercise and Nutrition Sciences, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia.
| | - Jenna Cross
- School of Exercise and Nutrition Sciences, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia
| | - Amy Nicholls
- School of Exercise and Nutrition Sciences, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia
| | - Danielle Gallegos
- School of Exercise and Nutrition Sciences, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia; Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology (QUT), Graham St, South Brisbane, QLD, 4101, Australia
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13
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Middleton G, Golley RK, Patterson KA, Coveney J. Barriers and enablers to the family meal across time; a grounded theory study comparing South Australian parents' perspectives. Appetite 2023; 191:107091. [PMID: 37865298 DOI: 10.1016/j.appet.2023.107091] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 09/05/2023] [Accepted: 10/16/2023] [Indexed: 10/23/2023]
Abstract
Family meals are positively associated with numerous beneficial health and social outcomes. Current discourse however claims that parents are faced with numerous barriers when trying to bring the family together to share a meal. Solutions for overcoming barriers to a positive shared family meal are often individualistic and do not address the systemic pressures and burdens families have faced for decades. The aim of this study was to explore the systemic and novel barriers and enablers to shared family meals as experienced by families across time. To achieve this, a qualitative study informed by grounded theory was conducted. Parents of South Australian families were recruited and interviewed in the 1990s, and a new sample of parents were recruited and interviewed in 2020. Transcripts were analysed using grounded theory and comparative analysis methods. Thirty-two parents from 16 families were interviewed in the 1990s, and 22 parents from 10 families in 2020. Ten factors were identified presenting as either enablers or barriers to the family meal, depending on the context they were experienced. Barriers and enablers were largely consistent across time. Scheduling and flexibility, children's disruptions and children's independence, privileges required to have family meals and motivation and commitment to the family meal were identified as persistent enablers and barriers across time. These findings indicate that parents are faced with similar challenges they have been facing for decades and are still not being adequately supported to execute family meals regularly. Recognising that factors present as either barriers or enablers to the family meal provides us with opportunities to transform barriers to enablers and support families to have regular, meaningful family meals.
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Affiliation(s)
- Georgia Middleton
- Caring Futures Institute, Flinders University, Tarntanya, Adelaide, South Australia, Australia; College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia.
| | - Rebecca K Golley
- Caring Futures Institute, Flinders University, Tarntanya, Adelaide, South Australia, Australia; College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
| | - Karen A Patterson
- College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
| | - John Coveney
- Caring Futures Institute, Flinders University, Tarntanya, Adelaide, South Australia, Australia; College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
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14
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Middleton G, Golley RK, Patterson KA, Coveney J. The family meal, a ritual frozen in time; an Australian grounded theory study. Health Promot Int 2023; 38:daad124. [PMID: 37791593 PMCID: PMC10548410 DOI: 10.1093/heapro/daad124] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/05/2023] Open
Abstract
Family meals are recognized as an opportunity to promote the health of families. Popular discourse posits that changes to contemporary family life have made family meals harder to achieve and promotion of the 'traditional' family meal may be adding pressures to contemporary families. While research has been conducted on family meals over the last three decades, there is no explicit investigation of the experiences and practices of family meals over this time. Understanding the evolution of family meal practices across time is important for developing achievable expectations in relation to this ritual. Qualitative interviews were conducted with a diverse population of South Australian parents in the 1990s (n = 32) and with a separate population of parents in 2020 (n = 22) to gather their experiences of family meal practices. A comparative analysis, informed by grounded theory, was undertaken to identify similarities and differences in experiences across these two time periods. The results indicated stability in many family meal experiences across time, particularly in their value and significance in family life. Negotiations balancing time, cost, food preferences and responsibility persisted. The stability of family meal values and practices is important to consider when making recommendations, designing interventions and creating services targeting the family meal.
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Affiliation(s)
- Georgia Middleton
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
- College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
| | - Rebecca K Golley
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
- College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
| | - Karen A Patterson
- College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
| | - John Coveney
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
- College of Nursing and Health Sciences, Flinders University, Tarntanya, Adelaide, South Australia, Australia
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15
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Neuman N, Sandvik P, Lindholm NB, Bömer-Schulte K, Lövestam E. Food-related experiences and behavioral responses among people affected by chemosensory dysfunctions following COVID-19: A scoping review. Res Nurs Health 2023. [PMID: 37171788 DOI: 10.1002/nur.22315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 04/19/2023] [Accepted: 04/30/2023] [Indexed: 05/13/2023]
Abstract
A category of symptoms that became characteristic early in the first wave of the coronavirus disease 2019 (COVID-19) pandemic was chemosensory dysfunctions (alterations of smell and taste). Such symptoms substantially affect food and eating-cornerstones for both nutrition-related health outcomes and for quality of life. Based on this, this scoping review aimed to map out existing scientific literature on food-related experiences and related behavioral responses among people affected by chemosensory dysfunctions following COVID-19. A librarian-supported search of PsycInfo, PubMed, and Scopus for publications written in English (2020 to April 26, 2022) was conducted. Two authors searched for and screened publications and three others extracted and collated data. These are reported following the Preferred Reporting Items of Systematic reviews and Meta-Analyses extension for Scoping Reviews. Of 1169 hits, 9 publications were included in the review. The results are thematized as "Psychological and social aspects" and "Nutritional aspects," each with the subsections "Experiences" and "Behavioral responses." A great variety of food-related problems, nutritional and mental health effects, and implications for social life are identified. People affected by chemosensory dysfunctions following COVID-19 suffer, as evident both in stories from qualitative studies and in measurements of quality of life. The results impact all professions who are and may come to be involved in treating these patients, such as nurses, physicians, dietitians, and psychologists. With more knowledge about the dysfunctions' manifestation, duration, and impact on everyday life, multiprofessional teams need to collaborate in supporting patients medically, psychosocially, and nutritionally.
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Affiliation(s)
- Nicklas Neuman
- Department of Food Studies, Nutrition and Dietetics, Uppsala Biomedical Centre (BMC), Uppsala University, Uppsala, Sweden
| | - Pernilla Sandvik
- Department of Food Studies, Nutrition and Dietetics, Uppsala Biomedical Centre (BMC), Uppsala University, Uppsala, Sweden
| | - Ninni Bellini Lindholm
- Department of Food Studies, Nutrition and Dietetics, Uppsala Biomedical Centre (BMC), Uppsala University, Uppsala, Sweden
| | - Katharina Bömer-Schulte
- Department of Food Studies, Nutrition and Dietetics, Uppsala Biomedical Centre (BMC), Uppsala University, Uppsala, Sweden
| | - Elin Lövestam
- Department of Food Studies, Nutrition and Dietetics, Uppsala Biomedical Centre (BMC), Uppsala University, Uppsala, Sweden
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16
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Björnwall A, Mattsson Sydner Y, Koochek A, Neuman N. Perceptions and experiences of eating alone among community-living retired Swedes: Loss, routine and independence. Appetite 2023; 186:106570. [PMID: 37068550 DOI: 10.1016/j.appet.2023.106570] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 04/04/2023] [Accepted: 04/13/2023] [Indexed: 04/19/2023]
Abstract
The practice of eating together, commensality, is often considered as something positive in later life, particularly regarding peoples' nutritional status and psychosocial well-being. Eating alone, in contrast, is treated as a risk factor, although literature indicates that it is not necessarily something negative. Still, analyses that specifically target older peoples' varied experiences and notions of eating alone are scarce. This study has explored perceptions and experiences of eating alone among older people in Sweden, a country considered highly individualistic, yet with relatively low levels of loneliness in the older population. Semi-structured interviews were conducted with 20 community-living and retired Swedes, 70-90 years of age. A thematic analysis identified three themes: i) 'Eating alone as a manifestation of loss'; ii) 'Eating alone as an everyday routine'; and iii) 'Eating alone as independence and contentment'. General perceptions of eating alone were often related to the current living situation (e.g., cohabiting or single-living). One key finding was an identified tension between the idea of eating alone as something problematic among those living and eating with a partner and the practical experience of an uncomplicated routine among those living and eating alone. Eating together is discussed as a possible social need for many, but perhaps not for all. Some can feel content with eating alone or even enjoy it. Future studies should approach potential disadvantages of eating alone among older people as an open empirical question that is likely to depend on both the individual and the cultural context.
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Affiliation(s)
- Amanda Björnwall
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, 751 22, Uppsala, Sweden.
| | - Ylva Mattsson Sydner
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, 751 22, Uppsala, Sweden.
| | - Afsaneh Koochek
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, 751 22, Uppsala, Sweden.
| | - Nicklas Neuman
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, 751 22, Uppsala, Sweden.
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17
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Veen EJ, Wahlen S, Angelino L. Exploring everyday food provisioning: the teleoaffectivity of meal sharing. FOOD AND FOODWAYS 2023. [DOI: 10.1080/07409710.2023.2162200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Esther J. Veen
- Aeres University of Applied Sciences Almere, Almere, the Netherlands
| | - Stefan Wahlen
- Department of Consumer Research, Communication and Food Sociology, Justus-Liebig-Universität Giessen, Giessen, Germany
| | - Lian Angelino
- Wageningen University & Research, Wageningen, the Netherlands
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18
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Pereira-Castro MR, Pinto AG, Caixeta TR, Monteiro RA, Bermúdez XPD, Mendonça AVM. Digital Forms of Commensality in the 21st Century: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16734. [PMID: 36554616 PMCID: PMC9779162 DOI: 10.3390/ijerph192416734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 11/12/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
The social act of eating together has been influenced and mediated by technologies in recent decades. This phenomenon has been investigated in different academic fields, but the topic is still in an incipient dimension, and there is a lack of consensus regarding terminology and definitions. The study aimed to characterize the main scientific findings regarding digital forms of commensality in the 21st century and to identify possible relationships between these practices and public health. A scoping review was conducted to identify papers published in different languages between 2001 and 2021. A total of 104 publications that combined commensality and technology in all contexts were included. Most studies were qualitative; from the Design and Technology field; used social media and video platforms or prototypes/augmented reality gadgets; and used different terms to refer to digital forms of commensality, allowing the analysis of the construction of field definitions over time. The intersections with health were observed from impacts on family/community engagement, culinary skills development, and mental health and eating habits. These practices also structured specific social interactions, such as virtual food communities and commensality, during the COVID-19 pandemic. This paper indicates the consistent growth of these practices and recommends the development of future research for theoretically and longitudinally deeper evaluations of the impacts of these new ways of eating together, especially regarding their effects on human health.
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Affiliation(s)
- Maína Ribeiro Pereira-Castro
- Graduate Program in Collective Health, University of Brasília, Brasília 70910-900, Brazil
- Study Group in Communication, Culture, Technology, and Food—COMTELA, School of Education and Health Sciences, University Center of Brasília, Brasília 70790-075, Brazil
| | - Adriano Gomes Pinto
- Study Group in Communication, Culture, Technology, and Food—COMTELA, School of Education and Health Sciences, University Center of Brasília, Brasília 70790-075, Brazil
| | - Tamila Raposo Caixeta
- Residency Program in Public Health Policy Management, Fiocruz School of Government, Fiocruz, Brasília 70904-130, Brazil
| | - Renata Alves Monteiro
- Department of Nutrition, School of Health Sciences, University of Brasília, Brasília 70910-900, Brazil
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Middleton G, Patterson KA, Muir-Cochrane E, Velardo S, McCorry F, Coveney J. The Health and Well-being Impacts of Community Shared Meal Programs for Older Populations: A Scoping Review. Innov Aging 2022; 6:igac068. [PMID: 36588625 PMCID: PMC9795837 DOI: 10.1093/geroni/igac068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Indexed: 12/29/2022] Open
Abstract
Background and Objectives There are social and economic benefits to supporting individuals to live independently for as long as possible. Structured shared meal programs provide opportunities for older individuals to connect in their communities and likely impact their health and well-being. Research in this area has not been summarized in recent years. This scoping review was undertaken to explore the impact shared meal programs may have for older community-dwelling adults. Research Design and Methods Nine databases were systematically searched in 2020, and 5,996 unique studies were identified. Two independent reviewers screened titles, abstracts, and full text for inclusion. Reference lists of included papers were hand searched, and the search was updated in 2021. Eighteen studies were included in the final review. Results Studies were published between 1980 and 2021 and most were published in the United States. Most studies were cross-sectional, two adopted a qualitative design, one a cohort design. Significant associations were reported between shared meal programs and improved dietary intake; however, minimal improvements were reported for physical health measures. The programs had a positive impact on attendees' social networks and perceived well-being. Discussion and Implications Structured shared meal programs show promise in supporting the health and well-being of older adults in the community. They provide additional nutrition, opportunities for social connection, and are perceived to contribute to perceived well-being. More investigation is required to understand how these programs work to facilitate health and well-being, and how they can best be used to improve health outcomes for older populations.
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Affiliation(s)
- Georgia Middleton
- Address correspondence to: Georgia Middleton, BNutDiet (Hons), PhD, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Sturt Campus, GPO Box 2100, Adelaide, SA 5001, Australia. E-mail:
| | - Karen A Patterson
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Eimear Muir-Cochrane
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Stefania Velardo
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Fidelma McCorry
- Centre of Research Excellence in Translating Nutritional Science to Good Health, The University of Adelaide, Adelaide, South Australia, Australia
| | - John Coveney
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
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20
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Neuman N, Jörnvi A, Ek A, Nordin K, Eli K, Nowicka P. Children's experiences of meals after obesity treatment: a qualitative follow-up four years after a randomized controlled trial. BMC Pediatr 2022; 22:342. [PMID: 35701760 PMCID: PMC9199225 DOI: 10.1186/s12887-022-03387-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 05/25/2022] [Indexed: 11/10/2022] Open
Abstract
Background The practice of eating together, commensality, is rarely explored in the context of childhood obesity treatment. This is noteworthy given long-standing debates about the physical, psychosocial, and societal benefits of meals, especially family meals. Moreover, as children with obesity experience weight bias and stigma both within and outside the home, it is important to examine meals as a locus of social exchange around food and the body. Our study is based on the premises that eating together (i) matters and (ii) occurs in different environments with diverse social organization, where food-related interactions create varying arrangements of individuals, groups, their statuses, and their actions. Method The study explores children’s experiences of meals in different social contexts. Thirty-two children (age 8–10 years) living in Sweden were interviewed, 4 years after they entered an obesity intervention trial. Thematic analysis was applied to the data. Results We thematized three meal types, with each meal type having two subthemes: (i) “The family meal”, with “Shared routines, rituals, and rules” and “Individual solutions and choices”; (ii) “The school meal”, with “Rules and norms of the school” and “Strategies of the child”; and (iii) “The friend meal”, with “Handling food that was disliked” and “Enjoyment of food”. These three different meal types carried different experiences of and knowledge about how they were socially organized. Conclusions While the children spoke about the family and school meals as meaningful, the friend meal stood out as particularly positive. Contrary to our expectations, the children did not express experiences of weight bias or obesity stigma around meals, nor did they speak negatively about parental control of their food intake. Our findings, especially regarding the friend meal, have implications for further research into commensality and social influences on eating among children with obesity, from early childhood into adolescence.
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Affiliation(s)
- Nicklas Neuman
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Husargatan 3, 751 22, Uppsala, Sweden.
| | - Anna Jörnvi
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Husargatan 3, 751 22, Uppsala, Sweden
| | - Anna Ek
- Department of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, 141 57, Huddinge, Sweden
| | - Karin Nordin
- Department of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, 141 57, Huddinge, Sweden
| | - Karin Eli
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Husargatan 3, 751 22, Uppsala, Sweden.,School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK.,Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK
| | - Paulina Nowicka
- Department of Food Studies, Nutrition and Dietetics, Uppsala University, Box 560, Husargatan 3, 751 22, Uppsala, Sweden.,Department of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska Institutet, 141 57, Huddinge, Sweden
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21
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Cipriano-Crespo C, Medina FX, Mariano-Juárez L. Culinary Solitude in the Diet of People with Functional Diversity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063624. [PMID: 35329311 PMCID: PMC8952237 DOI: 10.3390/ijerph19063624] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/11/2022] [Accepted: 03/17/2022] [Indexed: 02/04/2023]
Abstract
This qualitative ethnographic study identifies how problems in the feeding process of a group of people with functional diversity influence different eating situations. The study, which was carried out in the Autonomous Community of Castilla La Mancha, Spain, is based on interviews conducted at the headquarters of the different participating associations for functionally diverse people, at the participants’ homes, and in public spaces. The study included 27 subjects aged between 18–75 years. Their functional diversity had caused significant changes in their sociability, particularly in contexts associated with food consumption. The analysis identified three main themes: social ghettoisation and culinary loneliness; stigma, shame, feeling like a burden, and loneliness; and exclusion or self-exclusion at the dining table. Our participants’ narratives underscored the importance of acknowledging the significance of changes in eating-related sociability due to functional diversity. For the study subjects, grief, loneliness, and shame contributed to disassociating food consumption from social celebrations, withdrawing from restaurant meals, or conversations while eating to avoid other people’s stares.
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Affiliation(s)
- Carmen Cipriano-Crespo
- Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain;
| | - Francesc-Xavier Medina
- Faculty of Health Sciences/Foodlab & Unesco Chair on Food, Culture, and Development, Universitat Oberta de Catalunya (UOC), 08018 Barcelona, Spain
- Correspondence:
| | - Lorenzo Mariano-Juárez
- Faculty of Nursing and Occupational Therapy, University of Extremadura, 10003 Caceres, Spain;
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22
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Nicolau i Torra N, Lemke M, Huisman G. Solo Dining at Home in the Company of ICT Devices. FRONTIERS IN COMPUTER SCIENCE 2022. [DOI: 10.3389/fcomp.2022.818650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The consumption of a solo meal is often subject to negative associations. Studies indicate that solo diners use information and communication technology (ICT) devices such as smartphones, to mitigate negative experiences such as boredom and loneliness, especially when dining in a public context. However, we know less about the motivation to use such devices and consequent meal experiences in a private context. For this exploratory qualitative study, we asked participants to fill out a cultural probe kit to capture their dining experience and use of ICT devices over a period of seven days. Once completed, the content was discussed with participants during a semi-structured interview. Data was analyzed using thematic analysis in a deductive and inductive form leading to four themes: (1) The experience of eating with others; (2) The use of electronic devices while eating; (3) The meaning of food; and (4) Relaxing features and influences. Participants indicated that eating alone can be a pleasurable experience that people enjoy and perceive as relaxing. ICT devices were named to play an essential part in the dining experience. The entertainment that devices provide can mitigate feelings of loneliness and uncomfortable silence when eating by oneself. We reflect on the findings and point out potential design avenues for future studies.
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23
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Bascuñan-Wiley N, DeSoucey M, Fine GA. Convivial Quarantines: Cultivating Co-presence at a Distance. QUALITATIVE SOCIOLOGY 2022; 45:371-392. [PMID: 35915819 PMCID: PMC9330930 DOI: 10.1007/s11133-022-09512-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/23/2022] [Indexed: 05/16/2023]
Abstract
Sociology's focus on sociality and co-presence has long oriented studies of commensality-the social dimension of eating together. This literature commonly prioritizes face-to-face interactions and takes physical proximity for granted. The onset of the COVID-19 pandemic in March 2020 largely halted in-person gatherings and altered everyday foodways. Consequently, many people turned to digital commensality, cooking and eating together through video-call technology such as Zoom and FaceTime. We explore the implications of these new foodways and ask: has digital commensality helped cultivate co-presence amidst pandemic-induced physical separation? If so, how? To address these questions, we analyze two forms of qualitative data collected by the first author: interviews with individuals who cooked and ate together at a distance since March 2020 and digital ethnography during different groups' online food events (e.g., happy hours, dinners, holiday gatherings, and birthday celebrations). Digital commensality helps foster a sense of co-presence and social connectedness at a distance. Specifically, participants use three temporally oriented strategies to create or maintain co-presence: they draw on pre-pandemic pasts and reinvent culinary traditions to meet new circumstances; they creatively adapt novel digital foodways through online dining; and they actively imagine post-pandemic futures where physically proximate commensality is again possible.
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Affiliation(s)
- Nicholas Bascuñan-Wiley
- Department of Sociology, Northwestern University, 1810 Chicago Avenue, IL 60208 Evanston, USA
| | - Michaela DeSoucey
- Department of Sociology & Anthropology, North Carolina State University, Campus Box 8107, 1911 Building, NC 27695 Raleigh, USA
| | - Gary Alan Fine
- Department of Sociology, Northwestern University, 1810 Chicago Avenue, IL 60208 Evanston, USA
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