Key Points
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A lifestyle based on a healthy diet and regular physical activity delays the appearance of age-related changes and slows the development of chronic disease, morbidity, and disability.
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Age-related changes in nutrient requirements follow no general pattern but increase, decrease, or remain unchanged depending on the nutrient; at the same time energy needs continue to decline underscoring the importance of foods high in nutrient density.
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Both inappropriate weight gain and debilitating weight loss increase the risk of chronic disease and disability; loss of muscle leading to frailty and dependence can be prevented or reversed with strength training.
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Nutrient supplements may be needed as energy intake declines but recommendations should take into consideration individual needs, current medications, and food intake to prevent toxicity or dangerous interactions.
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Community nutrition programs providing congregate or home-delivered meals can help older individuals maintain appropriate intakes of important nutrients when loneliness, anorexia, limited resources, or disability make it difficult to obtain or prepare adequate and appropriate food.
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Suggested Further Reading
Centers for Disease Control and Prevention and the Merck Company Foundation. The State of Aging and Health in America 2007. Merck Company Foundation, Whitehouse Station, NJ, 2007. Available from http://www.cdc.gov/aging
Evans WJ. Protein nutrition, exercise and aging. J Am Coll Nutr 2004; 23(suppl):601S–609S.
Holick MF. Vitamin D deficiency. N Engl J Med 2007; 357:266–281.
Lichtenstein AH, Russell RM. Essential nutrients: Food or supplements? JAMA 2005; 294:351–358.
Thomas DR. Loss of skeletal muscle mass in aging: Examining the relationship of starvation, sarcopenia and cachexia. Clin Nutr 2007; 26:389–399.
References
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Russell RM. Factors in aging that effect the bioavailability of nutrients. J Nutr 2001; 131(suppl): 1359S–1361S.
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Institute of Medicine. Dietary reference intakes. The Essential Guide to Nutrient Requirements. National Academies Press, Washington, DC, 2006.
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Holick MF. Vitamin D deficiency. N Engl J Med 2007; 357:266–281.
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American Dietetic Association. Position of the American Dietetic Association: Fortification and nutritional supplements. J Am Diet Assoc 2005; 105:1300–1311.
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Al Snih S, Ottenbacher KJ, Markides KS, et al. The effect of obesity on disability vs. mortality in older Americans. Arch Intern Med 2007; 167:774–780.
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Schlenker, E.D. (2010). Healthy Aging: Nutrition Concepts for Older Adults. In: Wilson, T., Bray, G., Temple, N., Struble, M. (eds) Nutrition Guide for Physicians. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-60327-431-9_19
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