237Diet and Lifestyle Changes in Overweight & Obese Residents in HSE Residential Care Sites for Older Persons, CHO 8 (Midlands Area)

Abstract

Background: Anecdotal evidence from HSE Residential Care Sites for Older Persons (RCS) in CHO 8 (Midlands Area) has raised concerns that overweight and obesity prevalence is rising amongst residents. This study aimed to qualitatively investigate the change in residents' diet and lifestyle patterns from pre to post admission to this setting. Methods: Semi structured interviews were carried out in 8 RCS with staff and overweight/obese residents. Staff and residents were asked about the residents' current eating, lifestyle and physical activity practices and residents were also asked how these compared to prior to admission. Interviews were audio recorded and transcripts were developed permitting theme generation. Results: Thirteen residents and 7 staff, chosen at random across the 8 RCS, were included in this study. Five significant themes related to the residents' eating and lifestyle patterns pre admission and currently were identified from the interviews with the residents: historical influences on diet and lifestyle choices, the importance of daily routine, psychological factors, health related factors and social engagement. The physical and social environment played an important role in current dietary choice and active behavior. The increased availability of food emerged as a substantial change to the residents' dietary pattern. Poor participation in leisure time physical activity prior to admission and the residents' desire to continue previous habits emerged as barriers to active behavior. Four additional themes emerged from discussions with RCS staff: the fear of weight loss, the effects of visitors bringing in food, accessibility of food via meal structures and staff training. Conclusion: There are changes in diet and lifestyle patterns in overweight/obese residents from pre to post admission to RCS in CHO 8 (Midlands Area). These changes should be considered when reviewing current nutrition and hydration policies in this care setting.