PMID- 35059183 OWN - NLM STAT- MEDLINE DCOM- 20220317 LR - 20220317 IS - 2048-6790 (Electronic) IS - 2048-6790 (Linking) VI - 10 DP - 2021 TI - Low awareness of community-dwelling older adults on the importance of dietary protein: new insights from four qualitative studies. PG - e102 LID - 10.1017/jns.2021.92 [doi] LID - e102 AB - Meeting the recommended daily protein intake can be a challenge for community-dwelling older adults (CDOA). In order to understand why, we studied attitudes towards protein-rich products and healthy eating in general; identified needs and preferences, barriers and promotors and knowledge regarding dietary behaviour and implementation of high protein products. Attitudes towards protein-rich products and healthy eating were evaluated in focus groups (study 1, n 17). To gain insights in the needs and preferences of older adults with regard to meals and meal products (study 2, n 30), visual information on eating behaviour was assessed using photovoicing and verified in post-photovoice interviews. In studies 3 and 4, semi-structured interviews were conducted to identify protein consumption-related barriers, opportunities (n 20) and knowledge and communication channels (n 40), respectively. Risk of low protein intake was assessed using ProteinScreener55+ (Pro55+) in studies 2-4 (n 90). Focus groups showed that participants were unaware of potential inadequate dietary protein. Photovoicing showed that sixteen of thirty participants mainly consumed traditional Dutch products. In post-photovoice interviews, participants indicated that they were satisfied with their current eating behaviour. Barriers for adequate use of protein-rich products were 'lack of knowledge', 'resistance to change habits' and 'no urge to receive dietary advice'. Promotors were 'trust in professionals' and 'product offers'. Sixty-two percent had a low risk of low protein intake. CDOA feel low urgency to increase protein intake, possibly linked to low knowledge levels. A challenge for professionals would be to motivate older adults to change their eating pattern, to optimise protein intake. CI - (c) The Author(s) 2021. FAU - Linschooten, Joost O AU - Linschooten JO AUID- ORCID: 0000-0001-6832-3701 AD - Department of Food Science & Technology, HAS University of Applied Sciences, 's-Hertogenbosch, The Netherlands. FAU - Verwijs, Marije H AU - Verwijs MH AD - Department of Nutrition and Health, HAN University of Applied Sciences, Faculty of Health and Social Studies, Nijmegen, the Netherlands. FAU - Beelen, Janne AU - Beelen J AD - Department of Nutrition and Health, HAN University of Applied Sciences, Faculty of Health and Social Studies, Nijmegen, the Netherlands. AD - Sensory and Consumer Science, CSIRO Health and Biosecurity, North Ryde, NSW 2113, Australia. FAU - de van der Schueren, Marian A E AU - de van der Schueren MAE AD - Department of Nutrition and Health, HAN University of Applied Sciences, Faculty of Health and Social Studies, Nijmegen, the Netherlands. FAU - Roodenburg, Annet J C AU - Roodenburg AJC AD - Department of Food Science & Technology, HAS University of Applied Sciences, 's-Hertogenbosch, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211207 PL - England TA - J Nutr Sci JT - Journal of nutritional science JID - 101590587 RN - 0 (Dietary Proteins) SB - IM MH - Aged MH - *Dietary Proteins MH - Eating MH - Feeding Behavior MH - Humans MH - *Independent Living MH - Meals PMC - PMC8727701 OTO - NOTNLM OT - Attitude OT - Community-dwelling older adults OT - Protein OT - Qualitative studies OT - Undernutrition EDAT- 2022/01/22 06:00 MHDA- 2022/03/18 06:00 PMCR- 2021/01/01 CRDT- 2022/01/21 06:20 PHST- 2021/04/23 00:00 [received] PHST- 2021/09/27 00:00 [revised] PHST- 2021/10/09 00:00 [accepted] PHST- 2022/01/21 06:20 [entrez] PHST- 2022/01/22 06:00 [pubmed] PHST- 2022/03/18 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - S2048679021000926 [pii] AID - 10.1017/jns.2021.92 [doi] PST - epublish SO - J Nutr Sci. 2021 Dec 7;10:e102. doi: 10.1017/jns.2021.92. eCollection 2021.