Improving Nutrition in the Elderly
Malnutrition and Older AdultsWhile many people seem to focus their diets solely around trying to lose weight and prevent disease, the nutrition problems facing the elderly can be quite different. For many elders, it is not a matter of eating too much, but rather a matter of not getting enough. And this all comes at a time of life when getting adequate nutrition—including protein, fiber, hydration, vitamins, and minerals—is as important as ever. Adding to the problem is that many older people deal with a variety of chronic medical conditions. These conditions can contribute to poor nutrition and can also be worsened by poor nutrition. Contributing FactorsSeveral factors can cause malnutrition in older adults, including the following:
Practical TipsAlthough there are many reasons why older people may become malnourished, there are also many practical ways for dealing with the problem. If you or someone you care for is experiencing malnutrition or unintentional weight loss, the best first step is to see the doctor, who may be able to diagnose an underlying condition or alter a medicine regimen that may be contributing to the problem. A doctor can also provide a referral to a registered dietitian, who can design a personalized eating plan. In addition, here are some "everyday" tips for preventing malnutrition in older adults: Make Meals and Snacks Nutrient-denseThis means making nutrient-rich foods the focus of the meal. For example, instead of plain chicken broth, try a hearty chicken and vegetable soup. Casseroles, stews, and roasts are also good meal ideas. Add Extra Calories Without Extra VolumeFor people who have a small appetite, there are ways to boost nutrition without adding lots of extra food. For example:
Use Herbs and Spices When Preparing FoodsBecause many elders have diminished sense of taste and smell, making food as flavorful as possible is important. Try cooking with garlic and onion powder, salt-free seasoning blends, and fresh and dried herbs, such as basil, oregano, thyme, rosemary, and cilantro. Make Meals Colorful and AppealingInstead of regular mashed potatoes, try mashed sweet potatoes for a colorful and nutritious boost. Instead of plain buttered noodles, try pasta with a vibrant red tomato sauce. Serve Several Small Meals and Snacks (Instead of Three Big Ones)Older people with diminished appetites are often overwhelmed by large meals, so serving smaller, more frequent meals and snacks can help them feel less overwhelmed and more able to eat what they need. Do Not Fill Up on Non-nutritious ItemsFor people with a small appetite, it is important not to fill up on things like coffee, tea, and soft drinks, which can take the place of more nutritious items. Serve up a variety of foods. Research shows that elderly adults eat more when presented with a variety of foods to choose from. Here are some strategies to increase the variety on the table:
Make Mealtime Enjoyable and SocialWhen possible, invite friends or family over for meal times or visit community-based senior meal sites for social interaction during meals. Use Nutrition Supplements When NecessaryWhile a well-balanced diet is the best bet, some people may find it easier to sip a nutrition supplement drink than to eat a meal. But, talk to your doctor or dietician to see if this is something that you should do. Take Advantage of Services That Are AvailableMany communities offer a wide range of nutrition services for older adults, including community dining sites, home-delivered meals, and home visits with registered dietitians. Research shows that meal services, such as Meals on Wheels, can improve or help maintain nutritional status in seniors. Contact your local town or city hall, department of health, or community hospital to find out what services are available in your area. Administration on Aging American Dietetic Association Meals on Wheels Canadian Council on Food and Nutrition Dietitians of Canada Hollis JH, Henry CJ. Dietary variety and its effect on food intake of elderly adults. J Hum Nutr Diet. 2007;20:345-351. Keller HH. Meal programs improve nutritional risk: a longitudinal analysis of community-living seniors. J Am Diet Assoc. 2006;106:1042-1048. Rawson NE. Age-related changes in perception of flavor and aroma. Generations. 2003;27:20-26. Senior nutrition: the joy of eating well and aging well. Helpguide.org website. Available at: http://www.helpguide.org/life/senior_nutrition.htm. Accessed May 18, 2011. Last reviewed May 2011 by Brian Randall, MD |
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