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The partner in the plate: the association between changes in partnership status and protein consumption among older people in Europe

Published online by Cambridge University Press:  05 September 2022

Marta Pasqualini*
Affiliation:
Department of Methods and Models for Economy, Territory and Finance, University of Rome La Sapienza, Rome, Italy
Aïda Solé-Auró
Affiliation:
Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
Bruno Arpino
Affiliation:
Department of Statistics, Computer Science, Applications, University of Florence, Florence, Italy
*
*Corresponding author. Email: marta.pasqualini@uniroma1

Abstract

Experiencing a change in partnership status at older ages might have detrimental effects on an individual's habits, including eating behaviours. Prior studies presented evidence that widowhood is related to altered diets with a decrease in the amount of protein consumed, which is considered to be an important risk factor of frailty among older people. Using data from Waves 4–8 of the Survey of Health, Ageing and Retirement in Europe (N = 134,313), we investigate the association between stability and changes in partnership status and changes in the frequency of protein consumption at older ages. We also explore the potential moderating role played by changes in economic resources. Having never been married, being divorced and being widowed were significantly associated with a lower frequency of protein consumption among both men and women. The transition to widowhood was significantly associated with a reduction in the frequency of protein consumption, while this same association was not found in the transition to divorce. Subjective evaluation of economic resources did not moderate the relationship between changes in partnership status and frequency of protein consumption. In short, changes in eating behaviours after having experienced the loss of a partner due to widowhood might contribute to accounting for health differentials between those ageing alone and those with a partner.

Type
Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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References

Alcañiz, M, Riera-Prunera, MC and Solé-Auró, A (2020) When I retire, I'll move out of the city’: mental well-being of the elderly in rural vs. urban settings. International Journal of Environmental Research and Public Health 17, 2442.CrossRefGoogle Scholar
Baum, JI, KIM, IY and Wolfe, RR (2016) Protein consumption and the elderly: what is the optimal level of intake?. Nutrients 8, 359.CrossRefGoogle Scholar
Bennett, KM, Hughes, GM and Smith, PT (2003) ‘I think a woman can take it’: widowed men's views and experiences of gender differences in bereavement. Ageing International 28, 408424.CrossRefGoogle Scholar
Bolano, D and Arpino, B (2020) Life after death: widowhood and volunteering gendered pathways among older adults. Demographic Research 43, 581616.CrossRefGoogle Scholar
Börsch-Supan, A, Hank, K and Jürges, H (2005) A new comprehensive and international view on ageing: introducing the ‘Survey of Health, Ageing and Retirement in Europe’. European Journal of Ageing 2, 245253.CrossRefGoogle ScholarPubMed
Börsch-Supan, A, Brandt, M, Hunkler, C, Kneip, T, Korbmacher, J, Malter, F, Schaan, B, Stuck, S, Zuber, S on behalf of the SHARE Central Coordination Team (2013) Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). International Journal of Epidemiology 42, 9921001.CrossRefGoogle Scholar
Braithwaite, S and Holt-Lunstad, J (2017) Romantic relationships and mental health. Current Opinion in Psychology 13, 120125.CrossRefGoogle ScholarPubMed
Choi, YJ, Ailshire, JA and Crimmins, EM (2020) Living alone, social networks in neighbourhoods, and daily fruit and vegetable consumption among middle-aged and older adults in the USA. Public Health Nutrition 23, 3315.CrossRefGoogle ScholarPubMed
Conklin, AI, Forouhi, NG, Surtees, P, Khaw, KT, Wareham, NJ and Monsivais, P (2014) Social relationships and healthful dietary behaviour: evidence from over-50s in the EPIC cohort, UK. Social Science & Medicine 100, 167175.CrossRefGoogle ScholarPubMed
Davis, MA, Murphy, SP, Neuhaus, JM and Lein, D (1990) Living arrangements and dietary quality of older US adults. Journal of the American Dietetic Association 90, 16671672.CrossRefGoogle Scholar
Denton, M, Prus, S and Walters, V (2004) Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health. Social Science & Medicine 58, 25852600.CrossRefGoogle ScholarPubMed
Di Gessa, G, Bordone, V and Arpino, B (2020) Becoming a grandparent and its effect on well-being: the role of order of transitions, time, and gender. Journals of Gerontology: Series B 75, 22502262.CrossRefGoogle ScholarPubMed
Djundeva, M, Dykstra, PA and Fokkema, T (2019) Is living alone ‘aging alone’? Solitary living, network types, and well-being. Journals of Gerontology: Series B 74, 14061415.CrossRefGoogle Scholar
Gregório, MJ, Rodrigues, AM, Eusébio, M, Sousa, RD, Dias, S, André, B, Grønning, K, Coelho, PS, Mendes, JM, Graça, P, Espnes, GA, Branco, JC and Canhão, H (2017) Dietary patterns characterized by high meat consumption are associated with other unhealthy life styles and depression symptoms. Frontiers in Nutrition 4, 25.CrossRefGoogle ScholarPubMed
Grundy, EM and Tomassini, C (2010) Marital history, health and mortality among older men and women in England and Wales. BMC Public Health 10, 554.CrossRefGoogle ScholarPubMed
Haider, S, Grabovac, I, Drgac, D, Mogg, C, Oberndorfer, M and Dorner, TE (2020) Impact of physical activity, protein intake and social network and their combination on the development of frailty. European Journal of Public Health 30, 340346.CrossRefGoogle ScholarPubMed
Hanach, NI, McCullough, F and Avery, A (2019) The impact of dairy protein intake on muscle mass, muscle strength, and physical performance in middle-aged to older adults with or without existing sarcopenia: a systematic review and meta-analysis. Advances in Nutrition 10, 5969.CrossRefGoogle ScholarPubMed
Heuberger, R and Wong, H (2014) The association between depression and widowhood and nutritional status in older adults. Geriatric Nursing 35, 428433.CrossRefGoogle ScholarPubMed
Higgs, S (2015) Social norms and their influence on eating behaviours. Appetite 86, 3844.CrossRefGoogle ScholarPubMed
Johnson, CS (2002) Nutritional considerations for bereavement and coping with grief. Journal of Nutrition, Health and Aging 6, 171176.Google ScholarPubMed
Leij-Halfwerk, S, Verwijs, MH, van Houdt, SV, Borkent, JW, Guaitoli, PR, Pelgrim, T, Heymans, MW, Power, L, Visser, M, Corish, CA, de van der Schueren, MAE and MaNuEL Consortium (2019) Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: a systematic review and meta-analysis. Maturitas 126, 8089.CrossRefGoogle Scholar
Liu, H, Waite, L and Shen, S (2016) Diabetes risk and disease management in later life: a national longitudinal study of the role of marital quality. Journals of Gerontology: Series B 71, 10701080.CrossRefGoogle ScholarPubMed
Lyon, P and Colquhoun, A (1999) Home, hearth and table: a centennial review of the nutritional circumstances of older people living alone. Ageing & Society 19, 5367.CrossRefGoogle Scholar
Machón, M, Mateo-Abad, M, Vrotsou, K, Zupiria, X, Güell, C, Rico, L and Vergara, I (2018) Dietary patterns and their relationship with frailty in functionally independent older adults. Nutrients 10, 406.CrossRefGoogle ScholarPubMed
Maguire, ER and Monsivais, P (2015) Socio-economic dietary inequalities in UK adults: an updated picture of key food groups and nutrients from national surveillance data. British Journal of Nutrition 113, 181189.CrossRefGoogle ScholarPubMed
McLean, RR, Mangano, KM, Hannan, MT, Kiel, DP and Sahni, S (2016) Dietary protein intake is protective against loss of grip strength among older adults in the Framingham offspring cohort. Journals of Gerontology: Series A 71, 356361.CrossRefGoogle ScholarPubMed
Meltzer, AL, Novak, SA, McNulty, JK, Butler, EA and Karney, BR (2013) Marital satisfaction predicts weight gain in early marriage. Health Psychology 32, 824.CrossRefGoogle ScholarPubMed
Mendonça, N, Granic, A, Hill, TR, Siervo, M, Mathers, JC, Kingston, A and Jagger, C (2019) Protein intake and disability trajectories in very old adults: the Newcastle 85+ Study. Journal of the American Geriatrics Society 67, 5056.CrossRefGoogle ScholarPubMed
Moss, SZ, Moss, MS, Kilbride, JE and Rubinstein, RL (2007) Frail men's perspectives on food and eating. Journal of Aging Studies 21, 314324.CrossRefGoogle Scholar
Peña-Longobardo, LM, Rodríguez-Sánchez, B and Oliva-Moreno, J (2021) The impact of widowhood on wellbeing, health, and care use: a longitudinal analysis across Europe. Economics & Human Biology 43, 101049.CrossRefGoogle ScholarPubMed
Quandt, SA, McDonald, J, Arcury, TA, Bell, RA and Vitolins, MZ (2000) Nutritional self-management of elderly widows in rural communities. The Gerontologist 40, 8696.Google ScholarPubMed
Quashie, N, Arpino, B, Antczak, R and Mair, C (2021) Childlessness and health among older adults: variation across 5 outcomes and 20 countries. Journals of Gerontology: Series B 76, 348359.CrossRefGoogle ScholarPubMed
Revenson, TA, Griva, K, Luszczynska, A, Morrison, V, Panagopoulou, E, Vilchinsky, N and Hagedoorn, M (eds) (2016) Gender and caregiving: the costs of caregiving for women. In Caregiving in the Illness Context. London: Palgrave Pivot, pp. 4863.Google Scholar
Salehi, L, Eftekhar, H, Mohammad, K, Tavafian, SS, Jazayery, A and Montazeri, A (2010) Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran. Nutrition Journal 9, 19.CrossRefGoogle ScholarPubMed
Schmitz, A (2021) Gendered experiences of widowhood and depression across Europe: the role of loneliness and financial resources from a longitudinal perspective. Journal of Affective Disorders 280, 114120.CrossRefGoogle ScholarPubMed
Schütz, J and Franzese, F (2018) Meat consumption in old age: an exploration of country-specific and socio-economic patterns of eating habits of the European population. Munich Center for the Economics of Aging (MEA), Munich, SHARE Working Paper Series 32-2018.Google Scholar
Sidenvall, B, Nydahl, M and Fjellstrom, C (2001) Managing food shopping and cooking: the experiences of older Swedish women. Ageing & Society 21, 151168.CrossRefGoogle Scholar
Smith, KJ and Victor, C (2019) Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health. Ageing & Society 39, 17091730.CrossRefGoogle Scholar
Solé-Auró, A and Cortina, C (2019) Exploring the role of family ties on life satisfaction in later life in Europe. Zeitschrift für Familienforschung 31, 180198.Google Scholar
Stokes, JE and Moorman, SM (2018) Influence of the social network on married and unmarried older adults’ mental health. The Gerontologist 58, 11091113.CrossRefGoogle ScholarPubMed
Thomas, PA, Liu, H and Umberson, D (2017) Family relationships and well-being. Innovation in Aging 1, igx025.CrossRefGoogle ScholarPubMed
Twisk, JWR (2007) Applied Longitudinal Data Analysis for Epidemiology. A Practical Guide. Cambridge: Cambridge University Press.Google Scholar
Umberson, D, Crosnoe, R and Reczek, C (2010 a) Social relationships and health behavior across the life course. Annual Review of Sociology 36, 139157.CrossRefGoogle Scholar
Umberson, D, Pudrovska, T and Reczek, C (2010 b) Parenthood, childlessness, and well-being: a life course perspective. Journal of Marriage and Family 72, 612629.CrossRefGoogle ScholarPubMed
Umberson, D, Thomeer, MB and Williams, K (2013) Family status and mental health: recent advances and future directions. In Aneshensel CS, Phelan JC and Bierman A (eds), Handbook of the Sociology of Mental Health. Dordrecht, The Netherlands: Springer, pp. 405431.CrossRefGoogle Scholar
Umberson, D, Thomeer, MB, Reczek, C and Donnelly, R (2016) Physical illness in gay, lesbian, and heterosexual marriages: gendered dyadic experiences. Journal of Health and Social Behavior 57, 517.CrossRefGoogle ScholarPubMed
Van Jaarsveld, CH, Miles, A, Edwards, R and Wardle, J (2006) Marriage and cancer prevention: does marital status and inviting both spouses together influence colorectal cancer screening participation? Journal of Medical Screening 13, 172176.CrossRefGoogle ScholarPubMed
Vesnaver, E, Keller, HH, Sutherland, O, Maitland, SB and Locher, JL (2015) Food behavior change in late-life widowhood: a two-stage process. Appetite 95, 399407.CrossRefGoogle ScholarPubMed
Vesnaver, E, Keller, HH, Sutherland, O, Maitland, SB and Locher, JL (2016) Alone at the table: food behavior and the loss of commensality in widowhood. Journals of Gerontology: Series B 71, 10591069.CrossRefGoogle ScholarPubMed
Wolfe, RR (2012) The role of dietary protein in optimizing muscle mass, function and health outcomes in older individuals. British Journal of Nutrition 108, S88S93.CrossRefGoogle ScholarPubMed
Yu, J, Kahana, E, Kahana, B and Han, C (2021) Depressive symptoms among elderly men and women who transition to widowhood: comparisons with long term married and long term widowed over a 10-year period. Journal of Women & Aging 33, 231246.CrossRefGoogle ScholarPubMed
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