Articles

Nutrition for Elderly

by Eric Youle Smart Media Representative
"The
older you get, the less food you need" is a commonly quoted bit of
advice. This may be true if you just mean calories, because elderly
people usually do use less energy than they did when they were younger.
But when it comes to other nutrients, the elderly need just as many as
they ever did.”



So why is good nutrition for the elderly important?
Changes, in the workings of the body, that take place as it ages
impacts on the need for several essential nutrients. Decreased
metabolic rate, chronic disease, social conditions, and medicine intake
effect the nutritional needs of the elderly. Changes in basal
metabolism and reduced physical activity will reduce energy needs. Loss
of taste and smell allow the elderly to neglect their diets.
With an increasingly house bound lifestyle, often as a result of
institutional living decreases exposure to sunlight and thus reducing
the production of Vitamin D this occurs at just the time when the
skin’s ability to process the sunlight it receives has also diminished,
leaves many elderly deficient in Vitamin D.

Why do the elderly have poor diet?
1. Food is no longer as enjoyable because of declining taste and smell. Medication further impairs these senses.
2. Dentures or poor dental health make chewing difficult.
3. Arthritis, walking problems and lack of transportation make cooking and shopping difficult.
4. Loneliness and depression in the elderly cause a loss of appetite.
5. Much of the elderly population is on a fixed income and healthy food is often more expensive.
6. An elderly body no longer processes nutrients as well as it once
did. Their dietary needs change and the elderly often do not realise it.

Predictably the classical response is to reject the use of
nutritional supplements, in favour of changing the elderly diet to
predominantly consist of foods of high nutritional content.
As an ideal one can’t fault this approach, any more than the advice
that everyone should eat 5 to 10 (or is it 10 to 20) serves of raw
fruit and vegetables a day - even though it is obvious to blind Freddy
that virtually no one follows this advice for various reasons, I won’t
go into here.
But if one turns to the elderly one can see various problems with this approach.
A. The changes required imply changing a lifetimes eating and
cooking habits at a time when the person is at the least flexible part
of their life.
B. The suggested food with elevated nutritional value is
commensurately more expensive and its unlikely the elderly would in the
main see the merit of such expenditure.
C. Sourcing such foods may be outside the reach of their range of
mobility, although improved choices at their local store, would be an
assistance.
D. Many of the elderly have little or no say in their diet, being
dependant on external sources for prepared foods (no doubt often produced
under strict budgetary guidelines) hostel kitchens, Meals-on Wheels etc.

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About Eric Youle Senior     Smart Media Representative

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Joined APSense since, August 23rd, 2007, From Sunshine Coast, Australia.

Created on Dec 31st 1969 18:00. Viewed 0 times.

Comments

Tn Committed   
this is very good information i have taken care of mom and dad who are 85 and 82 and all you said i saw was true. they taste and likes and dislikes change over time. things they would eat before now taste bad to them. getting them to eat right is very hard. i believe medication has alot to do with it myself
Sep 24th 2007 19:23   
Darlene Isberg Senior   Internet User
I took care of both my father-in-law and mother to their end. What you outline is so true. I noticed however, that if you can get them interested in something - anything, their appetites seemed to improve. I also noticed that older people pay more attention to the fine details of anything. Maybe it is because they have the time to do so, however because of this the slightest thing could turn them off of what they eat. It was too soft, too hard, too sweet and so on. It really was a challenge. Of course we pamper to them to much as well and that encourages the attitute, which is really what all of this is about. I can't say how may times I heard, "What does it matter". I came to the conclusion they were concerned about their pending demise and felt it didn't matter what they did or did not do, it really didn't matter. And it doesn't. The die was set many years prior and they will have to endure whatever they brought on inadvertently or otherwise. Sadly, the only thing one can do is not repeat this procedure for themselves.
Aug 26th 2010 18:05   
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