Study of food preferences of an elderly population receiving meals on wheels in Nottinghamshire

A survey of 900 meals on wheels (MOW) recipients (20% total client sample) in all areas of the county of Nottinghamshire (East Midlands of England with a population approximately one million) aimed to evaluate consumer food preferences in the existing MOW provision of both main and sweet courses. A self-completed questionnaire was administered by Nottinghamshire County Council Social Services Department in November 1992. A response rate of 52% allowed calculations of preference rating on a scale of 1 to 5 (poor to excellent) to be made for the seven districts and two city areas of the county. Overall for the whole county there was a distinctive pattern of main course preference, the most popular being the sliced meat courses but in different areas of the county and city of Nottingham there was a very big range in preference rating for various types of main meal provision. In a similar manner the sweet courses provided an overall distinctive preference pattern across the county with apple pie and ‘Blackwell’ tart achieving the highest grades. Across the various districts and areas of Nottingham, however, these preference ratings were very variable with some areas giving almost all dishes scores above average while others gave nearly all dishes scores below average. The reasons for these variations in food preference are not known in the various areas but if poor preference rating leads to low food intake then these elderly people are very likely to be at nutritional risk.