Perceived Supports and Barriers to Optimal Nutrition and Physical Activity in a Cohort of Vermont Older Adults: A Convergent Parallel Mixed-Methods Study.

The purpose of this study was to identify supports and barriers that impacted nutrition status and physical activity in Vermont's older adults before and during the COVID-19 pandemic. Using a convergent parallel mixed-methods design guided by the socio-ecological model, older Vermonters participated in surveys and focus groups. Quantitative and qualitative strands were analyzed separately and merged during final analysis. Data from 52 participants (70 years + 6.2; 75% female) indicate 31% at risk for falls and malnutrition and 14% food insecure. Thematic analysis revealed Vermont has many food programs, but getting information to those in need is a barrier. Vermont's rurality supported older adults' ability to stay active before and during the COVID-19 lockdown; however, they are eager for additional opportunities to be active in their communities. Findings highlight the need to connect older adults with local resources and empower them to advocate for their communities.