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Public Health Nutrition Programs for the Elderly: Epidemiological Basis

  • Nutrition, Obesity and Diabetes (L Falque-Madrid and H Florez, Section Editors
  • Published:
Current Geriatrics Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The aim of this review is to check the epidemiological foundations for the design and conceptualization of global healthy aging public policies with an emphasis in Latin America and the Caribbean.

Recent Findings

The differences in ages and abilities within the elderly group and the inequalities in the economic, behavioral, personal, social, health care, and environmental determinants influence their life expectancy and especially the expectation of healthy life. Overall, the poorest die and get sick earlier and the majority of deaths in low-income countries occurred before the age of 70. Accessing protection programs without being isolated is a challenging barrier faced by those who have limited resources to cope with decreased functionality and loss of autonomy.

Summary

In Latin America as well as in other regions, reaching the objectives of sustainable development requires the active participation of those over 60. Guaranteeing the coverage of basic needs, as well as access to universal and sustainable social, nutritional, legal, health care, and environmental protection systems, is key within the framework of a specific public policies for the elderly population.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance

  1. WHO. World report on ageing and health. Geneva, Switzerland 260p. 2015a. Available at: http://www.who.int/ageing/publications/world-report-2015/en/. Accessed 3 Feb 2018.

  2. Varela Pinedo LF. Salud y calidad de vida en el adulto mayor. Rev Peru Med Exp Salud Publica. 2016;33(2):199–201. https://doi.org/10.17843/rpmesp.2016.332.2196.

    Article  PubMed  Google Scholar 

  3. United Nations. Office of the High Commissioner for Human Rights. International covenant on social, cultural and economic rights. Available at: http://www.ohchr.org/EN/ProfessionalInterest/Pages/CESCR.aspx. Accessed 6 Mar 2018.

  4. UNFPA and HelpAge International. Ageing in the Twenty-First Century: A Celebration and a Challenge. London: United Nations Population Fund, New York and HelpAge International; 2012. Available at: https://www.unfpa.org/sites/default/files/pub-pdf/Ageing%20report.pdf. Accessed 3 Feb 2018

    Google Scholar 

  5. WHO. Elder abuse. Fact sheet. Media Centre. Updated January 2018. Available at: http://www.who.int/mediacentre/factsheets/fs357/en/ Accessed 5 Feb 2018.

  6. UN-DESA. World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248. New York, 2017. Available at: https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf. Accessed 15 Feb 2018.

  7. World Bank. Data. World development indicators. Population ages 65 and above (% of total). 2016. Available at: https://data.worldbank.org/indicator/SP.POP.65UP.TO?end=2016&start=1960&view=chart. Accessed 2 Feb 2018.

  8. NU. ECLAC. Social Panorama of Latin America 2016. 272p. Santiago, 2017. Available at: http://repositorio.cepal.org/bitstream/handle/11362/41599/4/S1700566_en.pdf. Accessed 4 Feb 2018.

  9. CELADE-CEPAL: Envejecimiento provocará caída de la población de América Latina y el Caribe hacia 2060. Comunicado de prensa, Chile, 22 de junio de 2017. Available at: https://www.cepal.org/es/comunicados/cepal-envejecimiento-provocara-caida-la-poblacion-america-latina-caribe-2060. Accessed 11 Feb 2018.

  10. NU. ECLAC. Social Panorama of Latin America 2017. 193p. Santiago, 2018. Available at: http://repositorio.cepal.org/bitstream/handle/11362/42717/1/S1800001_en.pdf. Accessed 10 Feb 2018.

  11. Foster L, Walker A. Active and successful aging: a European policy perspective. Gerontologist. 2015;55(1):83–90. https://doi.org/10.1093/geront/gnu028.

    Article  PubMed  Google Scholar 

  12. WHO. The world health report. Adult health at risk: slowing gains and widening gaps. Chapter 1: Global Health: today's challenges. Adult health at risk: slowing gains and widening gaps. 2003. Available at: http://www.who.int/whr/2003/chapter1/es/index3.html. Accessed 3 Feb 2018.

  13. WHO. Life expectancy increased by 5 years since 2000, but health inequalities persist. Media centre. 19 May 2016a. News Release. Available at: http://www.who.int/mediacentre/news/releases/2016/health-inequalities-persist/en/. Accessed 3 Feb 2018.

  14. OPS. La salud de las personas adultas mayores en Costa Rica. Organización Panamericana de la Salud, Ministerio de Salud, Consejo Nacional del Adulto Mayor. San José, C.R. Serie Análisis de Situación de Salud 2004; 56 (12). 16p. Disponible en: http://www.bvs.sa.cr/php/situacion/adulto.pdf. Consultado el 10 de Febrero de 2018.

  15. Valdés Badilla P, et al. Relación entre índices antropométricos de salud con el consumo de alimentos en adultos mayores físicamente activos. Nutr Hosp. 2017;34(5):1073–9.

    PubMed  Google Scholar 

  16. CEPAL. El envejecimiento y las personas de edad. Indicadores para América Latina y el Caribe. Separata. Chile, 2010. Disponible en: https://www.cepal.org/celade/noticias/documentosdetrabajo/3/39343/Separata_Indicadores_Envejecimiento.pdf. Accessed: 11 Feb 2018.

  17. WHO. Ageing and health. Media centre. Fact sheet. N°404. September 2015b. Available at: http://www.who.int/mediacentre/factsheets/fs404/en/. Accessed 6 Feb 2018.

  18. WHO. Global status report on noncommunicable diseases 2010. Description of the global burden of NCDs, their risk factors and determinants. Geneva, Switzerland. 176p. 2011. Available at: http://www.who.int/nmh/publications/ncd_report2010/en/. Accessed 5 Feb 2018.

  19. WHO. Global status report on noncommunicable diseases 2014. Geneva, Switzerland. 298p. 2014b. Available at: http://www.who.int/nmh/publications/ncd-status-report-2014/en/. Accessed 5 Feb 2018.

  20. WHO. World health statistics 2017: monitoring health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization; 2017. Available at: http://apps.who.int/iris/bitstream/10665/255336/1/9789241565486-eng.pdf?ua=1. Accessed 11 Feb 2018

    Google Scholar 

  21. Mimiaga Hernández C. y Trujillo de los Santos Z. Nutrición y vejez. Ciencia Enero-Marzo, 2011:40–47.

  22. Sifontes Y. Nutrición pública: Del enfoque biomédico a la Ciencia centrada en poblaciones y sus determinantes. Tribuna del Investigador (revista en línea). 2009;10(1–2). Available at: http://www.tribunadelinvestigador.com/ediciones/2009/1-2/art-3/.Accessed 5 Feb 2018.

  23. Arbonés G, et al. Nutrición y recomendaciones dietéticas para personas mayores. Grupo de trabajo “Salud pública” de la Sociedad Española de Nutrición (SEN). Nutr Hosp. 2003;XVIII(3):109–37.

    Google Scholar 

  24. Khan SS, Singer BD, Vaughan DE. Molecular and physiological manifestations and measurement of aging in humans. Aging Cell. 2017;16(4):624–33. https://doi.org/10.1111/acel.12601.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  25. Mothers BDJP. Babies and disease in later life. 2nd ed. New York: Churchill Livingstone; 1998.

    Google Scholar 

  26. Gillman MW, Ludwig DS. How early should obesity prevention start? NEJM. 2013;369:2173–5.

    Article  PubMed  CAS  Google Scholar 

  27. • López Blanco M, Landaeta-Jiménez M, Herrera-Cuenca M, Sifontes Y. La Doble Carga de la Desnutrición y Obesidad en Venezuela. An Venez Nutr. 2014;27(1):77–87. This paper discusses the existence of the double burden of malnutrition phenomena in Venezuela.

    Google Scholar 

  28. Developmental Origins of Health and Disease International Society web page https://dohadsoc.org/about/ Accessed 5 Mar 2018.

  29. Rosero-Bixby L, Dow W. Predicting mortality with biomarkers: a population-based prospective cohort study for elderly Costa Ricans. Popul Health Metrics. 2012;1(1):11–8.

    Article  Google Scholar 

  30. •• Rehkopf D, et al. Longer leukocyte telomere length in Costa Rica’s Nicoya peninsula: a population-based study. Exp Gerontol. 2013;48(1):1266–73. This article discusses the influence of longer telomeres in the aging process in a population marked by longevity in Costa Rica.

    Article  PubMed  CAS  Google Scholar 

  31. Scommegna P, Lee M. Population reference bureau. Life expectancy gains and public programs for the elderly in Latin America and the Caribbean. Today’s. Res Aging. 2014;30:1–10.

    Google Scholar 

  32. •• Herrera-Cuenca M, Castro J, Mangia K, Correa MA. Are Social Inequities the Reason for the Increase in Chronic Non Communicable Diseases? A Systematic Review. J Diabetes Metab Disord Control. 2014;1(3):00017. https://doi.org/10.15406/jdmdc.2014.01.00017. This review summarizes the existing evidence on social gaps as determinants of chronic diseases.

    Article  Google Scholar 

  33. Leiton Espinoza ZE. El envejecimiento saludable y el bienestar: un desafío y una oportunidad para enfermería. Enfermería universitaria. 2016;13(3):139–41. https://doi.org/10.1016/j.reu.2016.06.002.

    Article  Google Scholar 

  34. Bengoa JM, Sifontes Y, Machado V. Taller Bases para las guías alimentarias del anciano. Documento Base. En: Nutrición y envejecimiento. Fundación Cavendes/Universidad de Carabobo. Carabobo, Venezuela. pág. 157–202. 1998.

  35. PAHO. Healthy Aging & Non-Communicable Diseases Fact sheets 2012. Available at: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=17324&Itemid=270&lang=en Accessed 6 Feb, 2018.

  36. Universidad Católica Andrés Bello, Universidad Central de Venezuela, Universidad Simón Bolívar, Fundación Bengoa. Encuesta Nacional de Condiciones de Vida (ENCOVI) 2017 Capítulo Salud Available at: https://www.ucab.edu.ve/wp-content/uploads/sites/2/2018/02/ENCOVI.-Salud-2017.-21-de-febrero-2017.pdf. Accessed 5 Mar, 2018.

  37. FAO, IFAD, UNICEF, WFP and WHO. Food Security and Nutrition in the World 2017. Building resilience for peace and food security. Rome: FAO; 2017. p. 132. Available at: http://www.who.int/nutrition/publications/foodsecurity/state-food-security-nutrition-2017-fullreport-en.pdf?ua=1. Accessed 12 Feb, 2018

    Google Scholar 

  38. WHO. Obesity and overweight. Media centre Fact sheet, Reviewed February 2018. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/ Accessed 10 Feb, 2018. Antigua OMS 2017.

  39. Development Initiatives Global Nutrition Report 2017: Nourishing the SDGs., Bristol, 2017. 115 p. Available at: www.globalnutritionreport.org/the-report/. Accessed Feb 12, 2018.

  40. WHO. “Ageing well” must be a global priority. Media centre. News release. 6 November 2014a. Available at: http://www.who.int/mediacentre/news/releases/2014/lancet-ageing-series/en/. Accessed 10 Feb, 2018.

  41. United Nations. Segunda Asamblea Mundial sobre el Envejecimiento. Declaración Política y Plan de Acción Internacional de Madrid sobre el Envejecimiento. 2002. Available at: https://social.un.org/ageing-working-group/documents/mipaa-sp.pdf. Accessed 5 Feb 2018.

  42. CEPAL/UNFPA. Seguridad Económica y Pobreza en la Vejez: Tensiones, Expresiones y Desafíos para Políticas. Huenchuan S y Guzmán JM. Reunión de Expertos sobre Población y Pobreza en América Latina y el Caribe 14 y 15 de Noviembre 2006. Santiago, Chile. Mimeografiado. Available at: https://www.cepal.org/celade/noticias/paginas/5/27255/huenchuan_guzman.pdf. Accessed 11 Feb 2018.

  43. HealthyPeople.gov 2020 Topics and objectives. Available at: http://www.healthypeople.gov/2020/topics-objectives. Accessed 5 Mar 2018.

  44. Roche ATK. Promoting Older Adult Nutrition In: Edelstein S editor. Nutrition in Public Health Jones & Barlett Learning Burlington, MA; 2018. pp. 253–268.

  45. Herrera-Cuenca M. Importance of Public Health Nutr Programs. In: Edelstein S editor. Nutrition in Public Health Jones & Barlett Learning Burlington, MA; 2018. pp. 225–251.

  46. •• Academy of Nutrition and Dietetics. Position of the academy of nutrition and dietetics: individualized nutrition approaches for older adults: long-term care, post-acute care and other settings. J Acad Nutr Diet. 2018;118:724–35. This article address the updated elements for taking action on older adults individualized nutrition care that constitute the position of the Academy of Nutrition and Dietetics on this subject.

    Article  Google Scholar 

  47. Nutrition.gov Nutrition Elderly Program Available at: https://www.nutrition.gov/subject/food-assistance-programs/nutrition-programs-seniors. Accessed 5 Mar 2018.

  48. Bernal-Orozco MF, Vizmanos B, Celis de la Rosa AJ. La nutrición del anciano como un problema de salud pública. Antropo. 2008;16:43–55. Available at: www.didac.ehu.es/antropo. Accessed 16 Feb 2018

    Google Scholar 

  49. Ardill N. Equality and Human Rights Commission. Available at: https://www.cepal.org/sites/default/files/events/files/nony_ardill.pdf. Accessed 29 May, 2018.

  50. CEPAL-CELADE. Carta de San José. San José de Costa Rica, 8 al 11 de mayo de 2012. Available at: https://www.cepal.org/celade/noticias/paginas/1/44901/CR_Carta_ESP.pdf. Accessed 12 Feb 2018.

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Correspondence to Marianella Herrera-Cuenca.

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Marianella Herrera-Cuenca, Yaritza Sifontes, Maritza Landaeta- Jiménez, and Mike Contreras declare no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Nutrition, Obesity, and Diabetes

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Herrera-Cuenca, M., Sifontes, Y., Landaeta-Jiménez, M. et al. Public Health Nutrition Programs for the Elderly: Epidemiological Basis. Curr Geri Rep 7, 137–146 (2018). https://doi.org/10.1007/s13670-018-0244-2

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