Document Detail

The meaning of food and eating among home parenteral nutrition-dependent adults with intestinal failure: a qualitative inquiry.
MedLine Citation:
PMID:  21034881     Owner:  NLM     Status:  MEDLINE    
Using content and interpretative phenomenological analysis, we explored the meaning of food and eating from the perspective of adults receiving home parenteral nutrition (PN). The aim of this research was to obtain a deeper understanding of how issues related to food and eating influence quality of life (QOL). Semistructured telephone interviews were conducted between May 2006 and January 2007 with 24 adults with intestinal failure and home PN dependency. The analysis revealed themes relevant to eating behaviors, hunger and thirst, strategies for dining in restaurants, and a perception of wasting money because of malabsorbed food. Three patterns of eating emerged: eating for survival, eating for health benefits, and eating for socialization. A proposed model illustrates how these eating patterns are linked to QOL. Being able to eat and enjoy food is an important ingredient for good self-reported QOL. Measurements of QOL for this population may be enhanced with inclusion of a food and eating domain. The social and emotional context of food and mealtimes is an important component to address in the nutrition care plan for PN-dependent adults.
Marion F Winkler; Terrie Wetle; Carol Smith; Elizabeth Hagan; Julie O'Sullivan Maillet; Riva Touger-Decker
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  110     ISSN:  1878-3570     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1676-83     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
Rhode Island Hospital, and Alpert Medical School of Brown University, Providence, RI, USA.
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MeSH Terms
Attitude to Health
Eating / psychology*
Feeding Behavior / psychology
Food Habits / psychology*
Hunger / physiology
Middle Aged
Parenteral Nutrition, Home / adverse effects,  psychology*
Psychosocial Deprivation
Quality of Life*
Short Bowel Syndrome / psychology,  therapy*
Sickness Impact Profile
Social Behavior
Thirst / physiology
Time Factors

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