Opportunities and barriers for food intake in older age – a Norwegian perspective

  • Øydis Ueland Nofima, Osloveien 1, 1430 Ås, Norway
  • Ida Synnøve Grini Nofima, Osloveien 1, 1430 Ås, Norway
  • Ine Schillinger The Norwegian University of Life Science, Department of Chemistry, Biotechnology and Food Science (KBM), Ås, Norway
  • Paula Varela Nofima, Osloveien 1, 1430 Ås, Norway
Keywords: older adults, food consumption, appetite, food and health, food behaviour


Background: The ageing processes occur slowly over time and are often not detectable by the individual. Thus, preparing for dietary needs in later years should start at an earlier age than most people realise.

Objective: This study aims at better understanding what characterises food-related practices in active, home-living older adults, in order to identify food-related factors that act as barriers and those that promote healthy ageing.

Design: Three experiments were conducted: First, a web-based quantitative survey to collect information about home-living older adults’ food-related behaviours (67+ years, N = 1,005). Second, two focus groups with respondents 67–74 years (N = 7) and 75–84 years (N = 6) to elicit aspects not adequately covered in the survey. Third, 10 individual interviews to provide in-depth insights.

Results: Two distinct groups were identified in the survey; 67–79 years and 80+ years. The older age group experienced more barriers and restrictions in food intake and food-related behaviours compared to the younger group. Good taste, routines and social settings were important for appetite and food intake.

Discussion: Using a mixed-methods approach proved valuable for extracting information and a better understanding of what impacts on food-related aspects amongst older adults. Strategies for upholding a healthy food intake involve establishing daily routines and meeting arenas where older adults can socialise and eat food together.

Conclusion: This study confirmed that knowledge of older adults’ physical needs, barriers and abilities must be a part in preparation for a healthy diet.


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WHO. World report on ageing and health. Luxembourg: World Health Organization; 2015.

Meld. St. 15 (2017–2018). Leve hele livet. En kvalitetsreform for eldre. [Living the whole life. A quality reform for elderly]. Oslo: Ministry of Health and Care Services; 2018, p. 184.

Technopolis-group. The silver economy. London, UK: Oxford Economics; 2018. Report No.: ISBN 978-92-79-76905-4.

US Department of Health & Human Services. Healthy Aging. 2017. Retrieved 09/12/2021. Available from: https://www.hhs.gov/aging/healthy-aging/index.html

Doets EL, Kremer S. The silver sensory experience – a review of senior consumers’ food perception, liking and intake. Food Qual Pref 2016; 48: 316–32. doi: 10.1016/j.foodqual.2015.08.010

Giacalone D, Wendin K, Kremer S, Frost MB, Bredie WLP, Olsson V, et al. Health and quality of life in an aging population – food and beyond. Food Qual Pref 2016; 47: 166–70. doi: 10.1016/j.foodqual.2014.12.002

Grini IS, Bugge AB, Ueland Ø. Health-related factors influencing food choices of active home-living older adults in Norway. Norsk tidsskrift for ernæring 2020; 11(2): 14–20. doi: 10.18261/ntfe.18.2.3

Song X, Giacalone D, Johansen SMB, Frost MB, Bredie WLP. Changes in orosensory perception related to aging and strategies for counteracting its influence on food preferences among older adults. Trends Food Sci Tech 2016; 53: 49–59. doi: 10.1016/j.tifs.2016.04.004

Bloom I, Shand C, Cooper C, Robinson S, Baird J. Diet quality and sarcopenia in older adults: a systematic review. Nutrients 2018; 10(3): 308. doi: 10.3390/nu10030308

Gaffney-Stomberg E, Insogna KL, Rodriguez NR, Kerstetter JE. Increasing dietary protein requirements in elderly people for optimal muscle and bone health. J Am Gerontol Soc 2009; 57(6): 1073–9. doi: 10.1111/j.1532-5415.2009.02285.x

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48(1): 16–31. doi: 10.1093/ageing/afy169

Walston JD. Sarcopenia in older adults. Curr Opin Rheumatol 2012; 24(6): 623–7. doi: 10.1097/BOR.0b013e328358d59b

Calder PC, Carding SR, Christopher G, Kuh D, Langley-Evans SC, McNulty H. A holistic approach to healthy ageing: how can people live longer, healthier lives? J Hum Nutr Diet 2018; 31(4): 439–50. doi: 10.1111/jhn.12566

Laurent MR, Dedeyne L, Dupont J, Mellaerts B, Dejaeger M, Gielen E. Age-related bone loss and sarcopenia in men. Maturitas 2019; 122: 51–6. doi: 10.1016/j.maturitas.2019.01.006

Skully R. Essential nutrient requirements of the elderly. Nutr Dietary Suppl 2014; 2014: 59–68. doi: 10.2147/nds.S35381

Nordic Council of Ministers. Nordic Nutrition Recommendations 2012. Copenhagen: Nordic Council of Ministers; 2014. Report No.: Nord 2014:002.

Giezenaar C, Chapman I, Luscombe-Marsh N, Feinle-Bisset C, Horowitz M, Soenen S. Ageing is associated with decreases in appetite and energy intake-a meta-analysis in healthy adults. Nutrients 2016; 8(1): 28. doi: 10.3390/nu8010028

Pilgrim AL, Robinson SM, Sayer AA, Roberts HC. An overview of appetite decline in older people. Nurs Older People 2015; 27(5): 29–35. doi: 10.7748/nop.27.5.29.e697

Malafarina V, Uriz-Otano F, Gil-Guerrero L, Iniesta R. The anorexia of ageing: physiopathology, prevalence, associated comorbidity and mortality. A systematic review. Maturitas 2013; 74(4): 293–302. doi: 10.1016/j.maturitas.2013.01.016

Laguna L, Hetherington MM, Chen J, Artigas G, Sarkar A. Measuring eating capability, liking and difficulty perception of older adults: a textural consideration. Food Qual Pref 2016; 53: 47–56. doi: 10.1016/j.foodqual.2016.05.013

Ueland Ø, Altintzoglou T, Kirkhus B, Lindberg D, Rognså GH, Rosnes JT, et al. Perspectives on personalised food. Trends Food Sci Technol 2020; 102: 169–77. doi: 10.1016/j.tifs.2020.05.021

van der Pols-Vijlbrief R, Wijnhoven HA, Schaap LA, Terwee CB, Visser M. Determinants of protein-energy malnutrition in community-dwelling older adults: a systematic review of observational studies. Ageing Res Rev 2014; 18: 112–31. doi: 10.1016/j.arr.2014.09.001

de Castro JM. Age-related changes in the social, psychological, and temporal influences on food intake in free-living, healthy, adult humans. J Gerontol A-Biol 2002; 57(6): 368–77. doi: 10.1093/gerona/57.6.M368

Herman CP. The social facilitation of eating. A review. Appetite 2015; 86: 61–73. doi: 10.1016/j.appet.2014.09.016

Hughes G, Bennett KM, Hetherington MA. Old and alone: barriers to healthy eating in older men living on their own. Appetite 2004; 43(3): 269–76. doi: 10.1016/j.appet.2004.06.002

Nakata R, Kawai N. The ‘social’ facilitation of eating without the presence of others: self-reflection on eating makes food taste better and people eat more. Physiol Behav 2017; 179: 23–9. doi: 10.1016/j.physbeh.2017.05.022

Vesnaver E, Keller HH, Sutherland O, Maitland SB, Locher JL. Alone at the table: food behavior and the loss of commensality in widowhood. J Gerontol B-Psychol 2016; 71(6): 1059–69. doi: 10.1093/geronb/gbv103

Host A, McMahon AT, Walton K, Charlton K. Factors influencing food choice for independently living older people – a systematic literature review. J Nutr Gerontol Geriatr 2016; 35(2): 67–94. doi: 10.1080/21551197.2016.1168760

Grini IS, Bugge AB, Granli BS, Mortvedt HS, Honkanen P, Ueland Ø. Mat og måltider for aktive eldre. En studie av aktive eldres preferanser, prioriteringer og praksiser [Food and meals for active seniors – a study of active seniors’ preferences, priorities and practices.] Tromsø: Nofima; 2013. Report No.: 24. Norwegian.

Jönson H, Jönsson A. Baby boomers as future care users – an analysis of expectations in print media. J Aging Stud 2015; 34: 82–91. doi: 10.1016/j.jaging.2015.05.001

Beard JR, Pot AM, Peeters G. Implications of population ageing for societies and governments. In: Michel J-P, Beattie BL, eds. Oxford textbook of geriatric medicine. Oxford: Oxford University Press; 2017, pp. 77–81.

Sanderson WC, Scherbov S, Gerland P. Probabilistic population aging. PLoS One 2017; 12(6): e0179171. doi: 10.1371/journal.pone.0179171

van der Zanden LDT, van Kleef E, de Wijk RA, van Trijp HCM. Understanding heterogeneity among elderly consumers: an evaluation of segmentation approaches in the functional food market. Nutr Res Rev 2014; 27(1): 159–71. doi: 10.1017/s0954422414000092

Field K, Duizer LM. Food sensory properties and the older adult. J Texture Stud 2016; 47(4): 266–76. doi: 10.1111/jtxs.12197

Govindaraju T, Owen AJ, McCaffrey TA. Past, present and future influences of diet among older adults – a scoping review. Ageing Res Rev 2022; 77: 101600. doi: 10.1016/j.arr.2022.101600

Zantinge EM, van den Berg M, Smit HA, Picavet HS. Retirement and a healthy lifestyle: opportunity or pitfall? A narrative review of the literature. Eur J Public Health 2014; 24(3): 433–9. doi: 10.1093/eurpub/ckt157

Roininen K, Lähteenmäki L, Tuorila H. Quantification of consumer attitudes to health and hedonic characteristics of foods. Appetite 1999; 33(1): 71–88. doi: 10.1006/appe.1999.0232

Maitre I, Sulmont-Rosse C, Van Wymelbeke V, Cariou V, Bailly N, Ferrandi JM, et al. Food perception, lifestyle, nutritional and health status in the older people: typologies and factors associated with aging well. Appetite 2021; 164: 105223. doi: 10.1016/j.appet.2021.105223

Engelheart S, Brummer R. Assessment of nutritional status in the elderly: a proposed function-driven model. Food Nutr Res 2018; 62:366. doi: 10.29219/fnr.v62.1366

Olsen SO. Understanding the relationship between age and seafood consumption: the mediating role of attitude, health involvement and convenience. Food Qual Pref 2003; 14(3): 199–209. doi: 10.1016/s0950-3293(02)00055-1

Norwegian Directorate of Health. Utviklingen i norsk kosthold – 2021. [Development of the Norwegian diet]. Oslo: Norwegian Directorate of Health; 2021. Report IS-3031. Norwegian.

Statistics Norway. Health, care and social relations, survey on living conditions. 2019. Retrieved 03/01/2022. Available from: https://www.ssb.no/en/statbank/table/06181/

Liu Y, Olausson JO, Skonhoft A. Wild and farmed salmon in Norway – a review. Marine Policy 2011; 35(3): 413–8. doi: 10.1016/j.marpol.2010.11.007

Whitelock E, Ensaff H. On your own: older adults’ food choice and dietary habits. Nutrients 2018; 10(4): 413. doi: 10.3390/nu10040413

Kamphuis CB, de Bekker-Grob EW, van Lenthe FJ. Factors affecting food choices of older adults from high and low socioeconomic groups: a discrete choice experiment. Am J Clin Nutr 2015; 101(4): 768–74. doi: 10.3945/ajcn.114.096776

Aguilera JM, Park DJ. Texture-modified foods for the elderly: status, technology and opportunities. Trends Food Sci Technol 2016; 57: 156–64. doi: 10.1016/j.tifs.2016.10.001

Assad-Bustillos M, Tournier C, Septier C, Della Valle G, Feron G. Relationships of oral comfort perception and bolus properties in the elderly with salivary flow rate and oral health status for two soft cereal foods. Food Res Int 2019; 118: 13–21. doi: 10.1016/j.foodres.2017.11.057

Dean M, Raats MM, Grunert KG, Lumbers M, Food in later life T. Factors influencing eating a varied diet in old age. Public Health Nutr 2009; 12(12): 2421–7. doi: 10.1017/S1368980009005448

Elsner RJF. Changes in eating behavior during the aging process. Eat Behav 2002; 3(1): 15–43. doi: 10.1016/S1471-0153(01)00041-1

Giezenaar C, Trahair LG, Luscombe-Marsh ND, Hausken T, Standfield S, Jones KL, et al. Effects of randomized whey-protein loads on energy intake, appetite, gastric emptying, and plasma gut-hormone concentrations in older men and women. Am J Clin Nutr 2017; 106(3): 865–77. doi: 10.3945/ajcn.117.154377

Wong MMH, So WKW, Choi KC, Cheung R, Chan HYL, Sit JWH, et al. Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community. BMC Geriatr 2019; 19(1): 138. doi: 10.1186/s12877-019-1148-5

Andre B, Canhao H, Espnes GA, Rodrigues AMF, Gregorio MJ, Nguyen C, et al. Is there an association between food patterns and life satisfaction among Norway’s inhabitants ages 65 years and older? Appetite 2017; 110: 108–15. doi: 10.1016/j.appet.2016.12.016

Bailly N, Maitre I, Van Wymelbeke V. Relationships between nutritional status, depression and pleasure of eating in aging men and women. Arch Gerontol Geriatr 2015; 61(3): 330–6. doi: 10.1016/j.archger.2015.08.020

de Boer A, Ter Horst GJ, Lorist MM. Physiological and psychosocial age-related changes associated with reduced food intake in older persons. Ageing Res Rev 2013; 12(1): 316–28. doi: 10.1016/j.arr.2012.08.002

Bjorner T, Korsgaard D, Reinbach HC, Perez-Cueto FJA. A contextual identification of home-living older adults’ positive mealtime practices: a honeycomb model as a framework for joyful aging and the importance of social factors. Appetite 2018; 129: 125–34. doi: 10.1016/j.appet.2018.07.005

Grini IS, Nilsson A, Gonera A. Mathverdagen for den hjemmeboende eldre i 2030 – en brukersentrert tilnærming for å skape et mulighetsrom. [Food in 2030 for the elderly living at home – a user-centered approach to creating opportunities]. Ås: Nofima; 2020. Report No.: 30/2020. Norwegian.

Ramic E, Pranjic N, Batic-Mujanovic O, Karic E, Alibasic E, Alic A. The effect of loneliness on malnutrition in elderly population. Med Arh 2011; 65(2): 92–5.

Markovina J, Stewart-Knox BJ, Rankin A, Gibney M, de Almeida MDV, Fischer A, et al. Food4Me study: validity and reliability of Food Choice Questionnaire in 9 European countries. Food Qual Pref 2015; 45: 26–32. doi: 10.1016/j.foodqual.2015.05.002

Edfors E, Westergren A. Home-living elderly people’s views on food and meals. J Aging Res 2012; 2012: 761291. doi: 10.1155/2012/761291

Barragan R, Coltell O, Portoles O, Asensio EM, Sorli JV, Ortega-Azorin C, et al. Bitter, sweet, salty, sour and umami taste perception decreases with age: sex-specific analysis, modulation by genetic variants and taste-preference associations in 18 to 80 year-old subjects. Nutrients 2018; 10(10): 1539. doi: 10.3390/nu10101539

Bloom I, Lawrence W, Barker M, Baird J, Dennison E, Sayer AA, et al. What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK. Public Health Nutr 2017; 20(15): 2685–93. doi: 10.1017/S1368980017001203

Andersen SS. ‘I’m old, but I’m not old-fashioned’: mealtimes and cooking practices among Danish widows and widowers. Ageing Soc 2020: 42(6): 1360–1377. doi: 10.1017/s0144686x20001543

D’Amico D, Parrott MD, Greenwood CE, Ferland G, Gaudreau P, Belleville S, et al. Sex differences in the relationship between dietary pattern adherence and cognitive function among older adults: findings from the NuAge study. Nutr J 2020; 19(1): 58. doi: 10.1186/s12937-020-00575-3

Peura-Kapanen L, Jallinoja P, Kaarakainen M. Acceptability of convenience food among older people. Sage Open 2017; 7(1):NA. doi: 10.1177/2158244017698730

Nyberg M, Olsson V, Pajalic Z, Örtman G, Andersson HS, Blucher A, et al. Eating difficulties, nutrition, meal preferences and experiences among elderly. A literature overview from a Scandinavian context. J Food Res 2015; 4(1): 22–37. doi: 10.5539/jfr.v4n1p22

Robinson SM. Improving nutrition to support healthy ageing: what are the opportunities for intervention? Proc Nutr Soc 2018; 77(3): 257–64. doi: 10.1017/s0029665117004037

van der Pols-Vijlbrief R, Wijnhoven HAH, Molenaar H, Visser M. Factors associated with (risk of) undernutrition in communitydwelling older adults receiving home care: a cross-sectional study in the Netherlands. Public Health Nutr 2016; 19(12): 2278–89. doi: 10.1017/s1368980016000288

Payette H, Shatenstein B. Determinants of healthy eating in community-dwelling elderly people. Can J Public Health 2005; 96: S27–31. doi: 10.1007/BF03405198
How to Cite
Ueland Øydis, Grini I. S., Schillinger I., & Varela P. (2022). Opportunities and barriers for food intake in older age – a Norwegian perspective. Food & Nutrition Research, 66. https://doi.org/10.29219/fnr.v66.8628
Original Articles