ArticleScientific reports2025
A qualitative study of facilitators and barriers to healthy eating among older adults in China based on nutritional literacy and the capability opportunity motivation behaviour model.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Preferences for nutrition education delivery among low-income older adults.Annals of medicine · 2026Article
- Food and nutrition literacy and proactive health behavior among patients with gastric ulcer: a profile analysis of nutrition awareness and a cross-sectional mediation comparison.Frontiers in public health · 2026Article
- Experiences and Needs Regarding Anti-Inflammatory Dietary Management in Sarcopenia Care: A Qualitative Study from a Multi-Stakeholder Perspective.Clinical interventions in aging · 2026Article
- Sustainable taste: a conceptual integration of sensory, sociocultural, and structural dimensions for interdisciplinary research and practice.Frontiers in nutrition · 2026Review
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Abstract
Nutritional literacy is a crucial determinant of healthy dietary behaviors, particularly for older adults who face increased risks of malnutrition and chronic diseases. This study integrates Nutbeam's health literacy framework and the COM-B model (Capability, Opportunity, Motivation-Behavior) to explore factors influencing nutritional literacy and dietary behaviors among older adults in China. A qualitative study was conducted with 20 participants aged 60 years or older, recruited using purposive sampling from Jiangsu Province. Semi-structured interviews were conducted from October to November 2024. Data were analyzed thematically following Braun and Clarke's framework, using NVivo software for data organization. Functional nutritional literacy relied on trusted sources such as healthcare providers and family, but participants faced challenges with food labels and online information. Interactive literacy was fostered through family discussions and community programs, though generational gaps and health limitations posed barriers. The COM-B model highlighted capabilities in dietary adjustments, limited access to affordable healthy foods, and strong motivation driven by health goals and family encouragement as determinants of dietary behavior. Improving functional, interactive, and critical nutritional literacy through tailored interventions is vital. Policies to enhance digital inclusion, lower healthy food costs, and strengthen community resources can support healthier dietary behaviors and contribute to successful aging.
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