Factors Influencing Food Choices Among Older Adults in the Rural Western USA.

Nutrition is an essential component in promoting health and quality of life into the older adults years. The purpose of this qualitative research is to explore how the rural food environment influences food choices of older adults. Four focus groups were conducted with 33 older adults (50 years of age and older) residing in rural Montana communities. Four major themes related to factors influencing food choices among rural older adults emerged from this study: perception of the rural community environment, support as a means of increasing food access, personal access to food sources, and dietary factors. The findings from this current study warrant further research and promotion of specifically tailored approaches that influence the food choices of older adults in the rural western USA, including the developing and expanding public transportation systems, increasing availability of local grocers with quality and affordable food options, increasing awareness and decreasing stigma surrounding community food programs, and increasing nutrition education targeting senior health issues.

Placement of a take-out container during meal influences energy intake.

A growing body of research suggests that increased portion sizes are contributing to the rising rates of obesity. However, studies that focus on environmental cues to promote portion control are relatively limited. Thus, a randomized study was conducted in a controlled laboratory setting to determine if the presence of a take-out container, given at the start of a meal, would prompt experimental group participants to decrease the portion of food consumed and reduce energy intake. Outcomes were analyzed using descriptive statistics, independent t-tests, and analysis of covariance. Results showed that placing a take-out container with the test meal led to a significant difference in energy intake (p=0.000) when compared to the control group. Participants (n=25) who were given a take-out container with their test meal consumed an average of 90 kcal less than participants (n=25) who were not given the condition. These findings suggest that a to-go container may be utilized as an effective environmental cue for guiding consumers to control serving size when faced with over-sized portions at restaurants or other food outlets.