Improving the Nutritional Quality of Charitable Meals for Homeless and Vulnerable Adults: A Mixed Method Study of Two Meals Services in a Large English City

Inadequate nutrition may contribute to poor health in homeless and vulnerable adults. Charitable meals are critical to this group’s nutrition. The nutrient content of charitable meals at 2 organizations was assessed. Ethnography investigated organizational practice; semistructured interviews explored influences on meal provision. Meals were adequate for energy and the majority of nutrients but exceeded thresholds of saturated fat, salt, and sugars and lacked vitamin D and selenium in both organizations. Organizations were constrained by budget, equipment, food donations, volunteer capabilities, and time. Organizational values influenced meal provision; strategies to reduce fat, salt, and sugar content may be resisted because of an ethos of hospitality and overprovision