Adherence or compliance means a process by which people with chronic disease bring into their every day life medical recommendations about nutritional management of disease. Older people experience this process in a particular way wich is coherent with the biological and social aspects of the old age. Giving that today sociodemographic changes are ocurring in Colombia and Latinoamerica involving poblacional ageing, it becomes an important issue thinking this aspects for institutions extend to academy and policy makers. Adherence has been widely studied using quantitative perspectives without the same proportion of qualitative research. To address this concern we developed a sistematic synthesis of qualitative research using meta-etnography as methodology and the Grade CerQual method to develop confidence recommendations. The findings reflects the social and everylife meanings of feeding and disease, wich influences the course of illness, the self management and the care habits that people develop to front disease. They also suggest the requeriment of involving an holistic perspective in the develop of nutritional and medical interventions in order to allow people make desirable choices to mantain their health and wellbeing status.