Nutritional Needs of Older Adults - Part 2

In part 2 of this series, we discuss some of the common nutritional challenges faced by our older adults.

HEALTHNUTRITIONAGINGOLDER ADULTSGERIATRICSWEIGHT MANAGEMENT

Dr. Dushani L. Palliyaguru

7/14/20242 min read

green and red fruit with green leaves
green and red fruit with green leaves

Decreased Appetite: Factors such as medication side effects, changes in taste and smell, and chronic illnesses can reduce appetite and food intake. Due to this, some older adults may prefer to eat smaller meals or eat less frequently.

Dental Issues: Problems with teeth and gums can make chewing difficult, limiting the ability to consume a variety of nutritious foods. This includes heart and brain-healthy foods like nuts which can result in poor nutritional intakes.

Chronic Diseases: Conditions like diabetes, heart disease, and hypertension require specific dietary modifications, which can complicate meal planning.

Economic Constraints: Limited income may restrict access to fresh, nutritious foods, leading to reliance on cheaper, less healthy options. According to the American Psychological Association, nearly 15% of American older adults live below the poverty line, which can have a direct bearing on accessing nutritious food on a regular basis.

Social Factors: Loneliness and social isolation can negatively impact eating habits and nutritional status. Older adults who live alone might not feel the need and inspiration to consume healthy meals due to stresses, depression and other situations.

In spite of these challenges, there are several strategies for improving nutrition in older adults. This requires planning and support from family members, caregivers, providers and their communities.

Balanced Diet: Emphasize a variety of foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats. Small, frequent meals can be more manageable and help maintain energy levels. For foods that cannot be easily chewed, one may consider mashing or crushing them or consuming them in liquid form.

Nutrient-Dense Foods: Focus on foods that provide a high amount of nutrients relative to their calorie content. Examples include leafy greens, berries, nuts, and fish. This includes avoiding calorie-dense, nutrition-limited foods that are processed and high in sugars.

Hydration: Encourage regular fluid intake through water, herbal teas, and soups. Monitoring hydration status is important, especially during hot weather or illness. Using reminder systems to drink water can be beneficial for older adults with memory concerns.

Supplements: Consider vitamin and mineral supplements when dietary intake may not be sufficient. Consult a healthcare provider to check baseline levels before starting any new supplements. It’s also important to check whether supplements may cross-react with any current medication in order to avoid unwanted side effects.

Accessible and Enjoyable Meals: Adapt meals to address dental issues by choosing softer foods or modifying textures. Engage in social activities that include shared meals to enhance the eating experience. Some agencies in your area may provide meal programs around social activities so check your local resources.

Regular Check-ups: Routine health check-ups can help monitor nutritional status and address any deficiencies or health issues early. Digital health technologies, e.g., apps and web tools can be utilized for tracking nutritional intakes, especially in older adults who are aging in place without regular monitoring and care.

Conclusion: Proper nutrition is fundamental for the health and well-being of older adults. By understanding their unique nutritional needs and addressing the challenges they face, caregivers and healthcare professionals can help older adults enjoy a healthier, more vibrant life. Implementing practical strategies to promote balanced, nutrient-dense diets can significantly impact their physical health, cognitive function, and overall quality of life.