Transcript Fighting Muscle Mass Loss

International Council
on Active Aging
Theme Day: “Eat Healthy, Stay Strong”
Module Guide: Overview of Malnutrition,
Fighting Muscle Mass Loss, Science &
Good Nutrition, Community Nutrition
Resources
Introduction
●—
Health and wellness become priorities as you age
●—
Remaining active supports your mental and physical health
●N
—utritional health plays a critical role in maintaining strength for your favorite
activities and in helping combat illnesses
Module Overview
Modules detail important nutrition issues for healthy aging and
to stay strong:
Module 1:
Module 2:
Module 3:
Module 4:
Fighting Muscle
Mass Loss
Overview of
Malnutrition
Science & Good
Nutrition
Community
Nutrition Resources
• How frequently do you exercise?
Fighting
Muscle Mass
Loss
How Strong Are You?
• Are you often out of breath walking
in your home?
• Do you find it difficult to carry your
groceries?
Fighting Muscle Mass Loss
• Starting at age 40, adults lose on average 8% of muscle mass
each decade, and the rate of loss increases to 15% per decade
after age 70.
• Malnutrition can accelerate process and cause greater losses
• Muscles make up 50-60% of your body weight
• Muscles have a role beyond movement and helping with
balance
• Your muscles are protein powerhouses!
• Healthy muscles are essential to your physical strength, organ
function, skin integrity, immunity, and wound healing
• You lose muscle mass up to 3X faster with illness or injury
Fighting Muscle Mass Loss
• New AARP poll of Americans 50+ found
1 in 2 wished they had more
strength/energy to participate in
activities they enjoy
• Over 1/3rd reported being hospitalized,
of these top concerns were:
•
Loss of strength (40%)
•
Muscle loss (21%)
Fighting Muscle Mass Loss
Know
the
Signs
Know
the
Signs
• Weakness
• Decelerated walking speed
• Less strength
• Unintentional weight loss
• Exhaustion
• Low physical activity
• Body pain and cramps
SeekMedical
MedicalAttention
Attention
Seek
• Talk to your doctor or Registered Dietitian Nutritionist (RDN) if
you have signs of muscle loss
• Ask about how exercise and nutrition can help fight muscle mass
loss
Fighting Muscle Mass Loss
Protein and a special ingredient called HMB can work together to help you:
• Preserve and protect muscle – which may allow you to:
• Regain strength and energy
• Remain active and independent
• Maintain lean body mass for strength and mobility
• Support recovery from illness, injury and surgery
HMB comes from the amino acid leucine, a building block of protein
• HMB is found in small amounts in some foods, but it’s difficult to get enough HMB from your regular diet
alone
• Using oral nutrition supplements can help ensure you get protein and special ingredients like HMB
• In combination, protein and HMB can help fight muscle loss
• —
What does malnutrition mean to you?
• W
— hat does malnutrition look like to
you?
Overview of
Malnutrition
What Do You Know About
Malnutrition?
• H
—ave you ever discussed malnutrition
with your physician or dietitian?
• If so, what diet changes were
recommended?
Overview of Malnutrition
What is Malnutrition?
Malnutrition is caused by a lack of proper nutrition, which can be due to:
(1) not having enough to eat
(2) not eating enough of the right foods
(3) being unable to digest, absorb, or transport food properly
(4) having increased nutrient needs or
(5) a combination of these factors
•
Over time malnutrition results in loss of fat stores and/or muscle stores
•
Malnutrition can occur in people who are underweight, overweight, or obese
Overview of Malnutrition
What are the Signs?
Two important signs of malnutrition are:
1. Unintentional weight loss
2. Lack of appetite
You may be diagnosed with malnutrition if you have 2 or more of the following
characteristics:
•
•
•
•
•
•
Weight loss over time
Loss of muscle mass
Insufficient food intake compared with nutrition requirements
Loss of fat mass
Fluid accumulation
Measurably diminished grip strength
Overview of Malnutrition
What You Can Do
Eat (even though you may not feel hungry)
•
Eat 5 or 6 small meals during the day
•
Eat a bigger meal earlier in the day
•
Have easy, convenient meals and nutritious snacks on hand
•
Eat nutrient-rich foods, such as low-fat yogurt, cheese, and nuts
•
Make food taste good again by adding herbs and spices to restore flavor
Have food ready
•
Prepare and freeze extra servings
•
Carry single-serving packages of healthy snacks, such as dried fruits, nuts, peanut butter
and crackers, or granola bars
Overview of Malnutrition
What You Can Do
Eat right!
•
Try to eat at least 5 ounces of lean meat, poultry or fish each day
•
Include 1.5 cups of colorful fruits and 2 cups of vegetables each day—fresh, frozen or canned
•
Choose low-fat milk, yogurt and cheese (adults need 3 servings of dairy a day)
•
Make sure at least half of your bread, cereal, pasta or rice servings are whole grains
•
Consider oral nutritional supplements like Ensure® and/or Enlive®
Talk to your doctor
•
Talk to your doctor about your nutritional intake and what your body needs to recover if you
have been sick or hospitalized
Science & Good Nutrition
The body requires important nutrients as
you age to support overall health and
muscle strength
• 9 out of 10 aging adults fail to meet key
nutrient intake levels recommended for a
healthy and active life
• People tend to eat less food as they age—
particularly high-quality, protein-rich foods—
and their bodies don’t process nutrients as
efficiently
Good Sources of Protein
Protein is in every part of your body and plays a major role in:
building, repairing and maintaining tissues, making important hormones and
enzymes, transporting nutrients
After age 50, you can’t process protein as well as when you were young
Tuna (6 oz)
40 grams
Edamame (1 cup)
17 grams
Fish (6 oz)
40 grams
Greek Yogurt (170 gm)
17 grams
Chicken (4 oz)
35 grams
Cottage Cheese (1/2 cup)
14 grams
Lean Red Meat (4 oz)
35 grams
Black beans (1/2 cup)
14 grams
Tofu (1/2 cup, firm)
20 grams
Eggs (2 large)
12 grams
Enlive®, Ensure® (8 oz)
20 grams
Milk (1 cup)
8 grams
Science & Good Nutrition
There is a growing body of research showing the role nutrition plays in
our health and in helping fight muscle mass loss and malnutrition…
•
A new NOURISH study builds on this research
•
Showed nutrition’s role for adults aged 65 + who were in the hospital and malnourished,
while recovering from a heart or lung disease
•
Results: showed no significant differences between the two groups for the primary
composite endpoints
•
The study group who consumed a specialized oral nutrition supplement with protein
(20g), HMB, and Vitamin D – was associated with a significant (50%) reduction in 90-day
mortality
Community Nutrition Resources &
Education for Older Adults
National Academy on an Aging Society
Survey:
• The majority of family caregivers reported
that the older adult in their care does not
use any community nutrition resources
• Family caregivers wish more older adults in
their care were using community
nutritional resources
Community Nutrition Resources &
Education for Older Adults
AARP Foundation
• Food insecurity among older adults
remains a serious problem, and it is getting
worse
• Community nutrition resources are
available to help
Community Nutrition Resources &
Education for Older Adults
Food Programs
• Supplemental Nutrition Assistance Program (SNAP): http://www.fns.usda.gov/snap/eligibility
• Senior Farmers’ Market Nutrition Program: http://www.fns.usda.gov/sfmnp/senior-farmers-marketnutrition-program-sfm
• Commodity Supplemental Food Program: http://www.fns.usda.gov/csfp/eligibility-how-apply
• Emergency Food Assistance Program: http://www.fns.usda.gov/tefap/eligibility-and-how-apply
Community-Based Programs
• Meals on Wheels: http://www.mealsonwheelsamerica.org/?gclid=CL-qu4u-9csCFQcKaQod8zADzg
• Senior Center Meal Programs: https://www.ncoa.org/national-institute-of-senior-centers/tips-for-seniorcenters/what-you-dont-know-about-your-local-senior-center/
Community Nutrition Resources &
Education for Older Adults
Nutrition Tips
• ChooseMyPlate http://www.choosemyplate.gov/older-adults
• Tufts MyPlate for Older Adults http://hnrca.tufts.edu/myplate/
• DASH Eating Plan www.nhlbi.nih.gov/health/health-topics/topics/dash
• What’s on Your Plate? www.nia.nih.gov/health/publication/whats-your-plate
Nutrition Services
• National Council on Aging Toolkit ncoa.org/nutritiontools
• Registered Dietitian Nutritionist eatright.org/find-an-expert
• Area Agency on Aging Office eldercare.gov/Eldercare.NET/Public/Index.aspx
• Medicare Nutrition Therapy Services medicare.gov/coverage/nutrition-therapy-services.html
• Reimbursement Coverage for Oral Nutrition Supplements: http://pathwayreimbursement.com/
Get linked to
community
resources today!
Support for this
program
provided by:
2016