Eating your way to good health
Many older people are malnourished – but are not aware of it. June Edwards gets some good advice about ensuring your diet doesn’t adversely affect your well-being

Nothing can halt the aging process, including diet, but it can certainly add to our quality of life and help us fight against heart and digestive illness, all factors of aging.
With the European population aging, resulting in one-third of all Europeans being 60-plus by 2050 (www.euractiv.com), the diet and nutrition of older adults is high on political agendas these days. Policy makers have good cause for concern. While we might be living longer, fuller and richer lives than our parents and grandparents, poor nutrition continues to rear its ugly head.
A survey published last year revealed that 40% of older people admitted to hospitals in Northern Ireland were malnourished on admittance. More shocking is the news that most of them were unaware that they were malnourished.
“Older adults need to follow the rules of the food pyramid just the same as younger people,” says Dr Muireann Cullen, manager of the Nutrition and Health Foundation. “Because you might be less active than you were 20 or 30 years ago, you won’t need to eat as much, but it’s important that the foods you do eat are nutrient rich.”
A report by the Food Safety Authority Ireland (FSAI), Recommendations for a national food and nutrition policy for older people, claims that “unrecognised or untreated malnutrition can lead to disability, reduce the quality of life, increase the need for healthcare and social services, and contribute towards premature institutionalisation and early mortality.”
But poor nutrition in older adults is often more about the practicalities than poverty. “It sounds like common sense, but even getting a lift to the supermarket once a month to stock up and get help with bulky items can make a huge difference to how we eat when we are older,” says Dr Cullen. “Another factor is living alone. Regardless of age, if you live alone it’s very tempting to just have a sandwich for dinner, which is why inviting someone over for a meal can be a great idea because it motivates you to cook,” she suggests.
Bone density, a more sluggish bowel, and gum and teeth issues are other factors that affect how and what older adults eat, says Dr Cullen, who suggests a wide variety of quality foods is the best approach.
Top Tips
Boost your B vitamins, which are found in fruits, vegetables, wholegrains, beans, breakfast cereals and fortified grains, to help avoid depression, memory loss and heart disease.
Vitamin D is important for bone health, calcium absorption and muscle function. The British Health Foundation recommends that over 65s take it in supplement form as our ability to absorb it from sunlight declines as we age.
Include oily fish such as salmon, herring, mackerel and fresh tuna, all of which are rich in omega-3 fatty acids that can help protect against heart disease and are good for anyone who has had a heart attack.
Eat iron-rich foods, such as meat and green vegetables, to give you lots of energy.
Include dairy-rich food to keep your bones healthy.
If your appetite isn’t good, eat small amounts more frequently.
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