{"id":29180,"date":"2024-02-27T12:12:19","date_gmt":"2024-02-27T12:12:19","guid":{"rendered":"https:\/\/research.reading.ac.uk\/research-blog\/?p=29180"},"modified":"2024-02-27T12:12:19","modified_gmt":"2024-02-27T12:12:19","slug":"millions-of-older-people-dont-get-enough-nutrients-how-to-spot-it-and-what-to-do-about-it","status":"publish","type":"post","link":"https:\/\/research.reading.ac.uk\/research-blog\/2024\/02\/27\/millions-of-older-people-dont-get-enough-nutrients-how-to-spot-it-and-what-to-do-about-it\/","title":{"rendered":"Millions of older people don\u2019t get enough nutrients \u2013 how to spot it and what to do about it"},"content":{"rendered":"<p>By 2050, approximately a quarter of the UK population is\u00a0<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/articles\/overviewoftheukpopulation\/january2021\">expected to be over the age of 65<\/a>. With this in mind, the World Health Organization (WHO) has put \u201c<a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/decade-of-healthy-ageing\/decade-proposal-final-apr2020-en.pdf?sfvrsn=b4b75ebc_28\">healthy ageing<\/a>\u201d on its agenda. This means finding ways to maintain health, wellbeing and functional ability in order to have a good quality of life and enjoy the later years.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-29184 size-large\" src=\"https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/2024\/02\/drink-7016918_1280-1024x642.jpg\" alt=\"Hands of older person holding a glass of milk\" width=\"640\" height=\"401\" srcset=\"https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/2024\/02\/drink-7016918_1280-1024x642.jpg 1024w, https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/2024\/02\/drink-7016918_1280-300x188.jpg 300w, https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/2024\/02\/drink-7016918_1280-768x482.jpg 768w, https:\/\/research.reading.ac.uk\/research-blog\/wp-content\/uploads\/sites\/72\/2024\/02\/drink-7016918_1280.jpg 1280w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>Everyone ages at a different rate \u2013 but there are some things that can influence how well we age, such as by making changes to the types of activity we do and the foods we eat.<\/p>\n<p>Older adults are\u00a0<a href=\"https:\/\/www.ageuk.org.uk\/globalassets\/age-uk\/documents\/reports-and-publications\/research-report-2019--one-step-at-a-time.pdf\">generally less physically active<\/a>\u00a0than they were when they were younger and because of this, their energy intake requirement may decrease. However, there is a difference between energy requirements and nutrient requirements, and nutrient requirements actually remain the same, if not increase, as we get older.<\/p>\n<p>This means we need to get more nutrients into less energy which can be tricky as\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4589891\/#:%7E:text=The%20physiological%20changes%20that%20occur,can%20contribute%20to%20declining%20appetite.\">older adults often have lower appetites<\/a>. This is why\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6971894\/\">scientists suggest<\/a>\u00a0that it may be necessary to enrich the food of older people to maintain the nutrient intake.<\/p>\n<h2>How to spot when someone isn\u2019t eating enough?<\/h2>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8399049\/\">Several studies have shown<\/a>\u00a0that undernutrition affects one in ten older people living independently at home. However, it affects five in ten older people living in nursing homes, and seven in ten older people in hospital.<\/p>\n<p>Being overweight, even obese,\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40520-023-02650-1\">does not protect<\/a>\u00a0against undernutrition. And when older adults lose weight, they lose muscle, meaning that they are more likely to lose their\u00a0<a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2022.892675\/full?&amp;utm_source=Email_to_authors_&amp;utm_medium=Email&amp;utm_content=T1_11.5e1_author&amp;utm_campaign=Email_publication&amp;field=&amp;journalName=Frontiers_in_Nutrition&amp;id=892675\">abilities to do daily tasks<\/a>.<\/p>\n<p>Weight loss in older adults is a key sign of malnutrition that needs to be addressed \u2013 but it can be easily missed, especially when many older adults associate the idea of thinness\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0195666319307603?casa_token=iU5UIdNwGDgAAAAA:I81EKDJ2T0oBsOsZunpPBk6uI-TcgiCr-5gPJE1tz4-Tq3w8pK4Yi_mv22AhVHHpRpiv1Bvz0RI\">with good health<\/a>. But clothing that\u2019s too loose or a watchstrap that floats on the wrist are all warning signs of undernourishment.<\/p>\n<p>Similarly, if someone you care for has started to say things like, \u201cOh, I don\u2019t want much food today, I\u2019m not hungry\u201d, \u201cI\u2019m not hungry, it\u2019s natural, I\u2019m getting older\u201d, or \u201cI\u2019d rather just have a biscuit to be honest,\u201d then these could be warning signs. An effective way to keep on top of this is regular weighing at least once per month which enables a quick response to potential indicators of malnutrition.<\/p>\n<h2>Getting more nutrients into less food<\/h2>\n<p>If people are eating small amounts of food, it is important to think about how to add more nutrients into it. A very effective technique, \u201cfortification\u201d is commonly done with pre-made products such as breakfast cereals, plant-based milk and bread in the UK.<\/p>\n<p>Fortification (adding foods, ingredients or nutrients into to existing foods or meals) is easy to do at home as well and can provide a flexible approach for older adults as it allows them to continue eating the foods that they most enjoy.<\/p>\n<p><iframe loading=\"lazy\" title=\"Food Fortification\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/kNu8auu3fuU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>For older adults in particular, protein is a very important nutrient, because of muscle loss (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4066461\/#:%7E:text=Sarcopenia%20has%20been%20defined%20as,decade%20of%20life%20%5B1%5D.\">sarcopenia)<\/a>\u00a0which is a natural part of ageing. This could be slowed down or even reversed by\u00a0<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/could-a-higher-protein-intake-lead-to-healthier-eating\">eating enough protein<\/a>\u00a0at regular intervals throughout the day. A few ways to increase protein include:<\/p>\n<p>\u2022 Adding dairy ingredients such as milk, high-protein yoghurt, Quark (soft cheese), milk powders, eggs and cheese into meals \u2013 even into simple foods like mashed potato.<\/p>\n<p>\u2022 Nuts are a great source of protein, try adding ground almonds to savoury or sweet meals (beware of nut allergies).<\/p>\n<p>\u2022 Soy protein can be a convenient and cost-effective option, either for vegetarians or to further fortify minced-meat meals.<\/p>\n<p>\u2022 Look in the sports section of supermarkets to find\u00a0<a href=\"https:\/\/www.sciencedirect.com\/topics\/agricultural-and-biological-sciences\/whey-powder#:%7E:text=Whey%20powders%20are%20characterized%20as,of%20products%20obtained%20from%20milk.\">whey protein<\/a>\u00a0powders. These are marketed to gym enthusiasts, but actually whey is one of the\u00a0<a href=\"https:\/\/www.mdpi.com\/2072-6643\/15\/15\/3424\">best proteins to stimulate muscle growth<\/a>. This versatile ingredient can be mixed into porridge before cooking or used it as a substitute for other powdered ingredients in baking.<\/p>\n<h2>Importance of physical activity and strength exercises<\/h2>\n<p>Physical activity and nutrition go hand-in-hand \u2013 both are equally important. As we age, being physically active becomes\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12603-021-1665-8?fbclid=IwAR3dJkeHjgcSrR9Xq5kBfN-HLrbpli8WcAnz7AeY5Nu9XcGCHEB07Sd2z1w\">even more essential<\/a>\u00a0as it helps to prevent disease, maintains independence, decreases risk of falls, improves cognitive function, mental health and sleep.<\/p>\n<p>Exercise can also\u00a0<a href=\"https:\/\/academic.oup.com\/ageing\/article\/48\/4\/476\/5423796?login=false\">combat isolation and loneliness<\/a>\u00a0which has also been\u00a0<a href=\"https:\/\/www.bda.uk.com\/resource\/loneliness-and-malnutrition.html\">linked to decreased appetite<\/a>\u00a0in older adults. Often strength training gets ignored when we think of being active but to keep independence and prevent falls, older adults should do varied physical activity that emphasises balance and strength training at moderate or greater intensity on three or more days a week.<\/p>\n<p>Ultimately, it\u2019s essential to contact a doctor or dietician with any worries or concerns about malnutrition or unintentional weight loss. There are, however,\u00a0<a href=\"https:\/\/www.futurelearn.com\/courses\/ageing-well-nutrition-and-exercise-for-older-adults\">some excellent resources<\/a>\u00a0to learn more about ageing healthily and maintaining a good quality of life in later years.<\/p>\n<p><span class=\"fn author-name\"><a href=\"https:\/\/research.reading.ac.uk\/food-systems-equality\/rachel-smith\/\">Rachel Smith<\/a> is a <\/span>Sensory and Consumer Scientist at the University of Reading. <span class=\"fn author-name\">Miriam Clegg is <\/span>Senior Lecturer in Human Nutrition at the University College Cork.<\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\/millions-of-older-people-dont-get-enough-nutrients-how-to-spot-it-and-what-to-do-about-it-221380\">The Conversation<\/a> under a Creative Commons Licence.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By 2050, approximately a quarter of the UK population is\u00a0expected to be over the age of 65. With this in mind, the World Health Organization (WHO) has put \u201chealthy ageing\u201d&#8230;<a class=\"read-more\" href=\"&#104;&#116;&#116;&#112;&#115;&#58;&#47;&#47;&#114;&#101;&#115;&#101;&#97;&#114;&#99;&#104;&#46;&#114;&#101;&#97;&#100;&#105;&#110;&#103;&#46;&#97;&#99;&#46;&#117;&#107;&#47;&#114;&#101;&#115;&#101;&#97;&#114;&#99;&#104;&#45;&#98;&#108;&#111;&#103;&#47;&#50;&#48;&#50;&#52;&#47;&#48;&#50;&#47;&#50;&#55;&#47;&#109;&#105;&#108;&#108;&#105;&#111;&#110;&#115;&#45;&#111;&#102;&#45;&#111;&#108;&#100;&#101;&#114;&#45;&#112;&#101;&#111;&#112;&#108;&#101;&#45;&#100;&#111;&#110;&#116;&#45;&#103;&#101;&#116;&#45;&#101;&#110;&#111;&#117;&#103;&#104;&#45;&#110;&#117;&#116;&#114;&#105;&#101;&#110;&#116;&#115;&#45;&#104;&#111;&#119;&#45;&#116;&#111;&#45;&#115;&#112;&#111;&#116;&#45;&#105;&#116;&#45;&#97;&#110;&#100;&#45;&#119;&#104;&#97;&#116;&#45;&#116;&#111;&#45;&#100;&#111;&#45;&#97;&#98;&#111;&#117;&#116;&#45;&#105;&#116;&#47;\">Read More ><\/a><\/p>\n","protected":false},"author":693,"featured_media":29184,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"__cvm_playback_settings":[],"__cvm_video_id":"","footnotes":""},"categories":[1785],"tags":[1722,2277,1986,1312,551,2587,2586],"class_list":["post-29180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agriculture-food-and-health","tag-diet","tag-feature","tag-food-fortification","tag-healthy-aging","tag-malnutrition","tag-protein","tag-weight-loss"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Millions of older people don\u2019t get enough nutrients \u2013 how to spot it and what to do about it - Connecting Research<\/title>\n<meta name=\"description\" content=\"Older adults are\u00a0generally less physically active\u00a0than they were when they were younger and because of this, their energy intake requirement may decrease. 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