Transcript Nutrition and Aging

Nutrition and Aging
Lisa Killinger, DC
Year 3
Unique Nutritional Needs
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Similar Food Pyramid but…
Add Calcium, Vit. D, and B12 supplements
Add 6 glasses of water per day (not coffee)
Less calories: 1,200-1,600/day
More nutrient dense food
Visit: www.nal.usda.gov/fnic/
etext/00023.html
For “Food Pyramids” for
many cultures and ages.
Cool site!
Other important concepts...
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Fiber, of course
Whole grains, vegetables, and fruits
Mediterranean diet???
Fish replaces meat 2-3 times/week (Good
evidence that fish consumption protects
from strokes)
• Olive oil instead
Get in the Zone...
• Balance, moderation of carbs, fats, proteins
• Mixed evidence pro/con for high protein diets
• Personal experience is pretty convincing!
(Look around Palmer and you will see!)
• Key is maintaining fiber, minerals and
vitamins (Increase your veggies)
Nutrition, The BIGGER Picture
• Issues surrounding pt’s nutrition potential:
– Poverty-1 in 10 of elderly pts are poor
– Physical limitation-getting to the store, cooking
– Oral Health-Missing teeth or poorly fitting
dentures
– Depression-life threatening!
– Vision-Can’t cook or read labels
– Education-Poor choices
Solutions….
• Poverty: Meals on Wheels-hot & delivered
• Physical limitations: Assessment;
Strength/ROM exercises/buddy system
• Oral Health-Screening; Referral for dental
care
• Vision-Screening; Referral for vision care
• Depression-Screening; referral for
supportive care
Primary Recommendations:
(Evidence-based)
• Drink Water-It’s free!
• Take supplements, or focus on nutrient
dense foods with CA++, B and D vitamins
• Vitamins A, E, and C (antioxidants)
• More “live” foods (veggies); if teeth are OK
• Juicers are our friends
• Balance, moderation (watch fat intake)
Dieting and the Elderly
• Diets tend to decrease muscle mass
• If weight is regained, fatty tissue is gained
• Dieting for weight reduction is to be
recommended ONLY along with physical
activity (moderate, sustainable)
• Think nutrient dense
• Water and fiber
Colon Cancer Prevention
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1 in 17 people get colon cancer in the US
55,000 deaths/year in US alone
Almost all colon cancer is in people over 50
High fat, low fiber diet, & alcohol increase
risks
• RECOMMEND: low fat, high fiber, drug
free
(Am. Cancer Soc. 1999. Colon CA)
Fiber: How to get 30 gms/Day
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9-10 g: Canned beans (chili or kidney)
7-9 g: Popcorn
5-7 g: Seeded berries
4-12 g: Wheat bran cereals
4 g: WW or buckwheat pasta/pancakes
3 g: Whole wheat breads, bagels, etc.
3-4 g: Dried fruits
3-5 g: Raw fruits and veggies