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NUTRITION

How is nutrition related to ageing?

  • Nutrition is the key to healthy living in all age groups.
  • With increasing age, one may experience oral or dental issues, loss of appetite/digestive complaints such as acidity or constipation. In addition, chronic conditions such as diabetes may restrict food intake in older adults. This may lead to inadequate nutritional intake by elderly
  • Prolonged inadequacy of nutritional intake can lead to weight loss, loss of muscle mass, tiredness, hampered bone health and lowered immunity.
  • In addition, one may experience deficiencies which may lead to conditions such as osteoporosis and anemia.
  • All these factors accelerate ageing and makes an individual prone to frailty.
  • However, awareness of one’s nutritional requirements and taking appropriate steps to improve nutrition will help one to stay healthy.

Nutrient Inadequacies & Nutrient Sources

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Protein
Protein Sources

Vegetarian source: Legumes, Pulses, Cereals, Beans, Seeds and Nuts

Animal source: Milk, Egg, Fish, meat, cheese

Protein inadequacy
  • Loss of muscle mass
  • Greater risk of bone fractures
  • Increased risk and severity of infections
  • Edema
  • Skin and nail problems
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    Calcium
    Calcium sources

    Vegetarian source: Green leafy vegetables, Cereals and millets

    Animal Source: Milk products, eggs and fish

    Calcium inadequacy
  • Demineralization of bones
  • Bone fragility
  • Osteoporosis
  • Bone fracture
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    Vitamin B12
    Vitamin B12 sources

    Vegetarian sources: Mushrooms (shiitake mushrooms), fortified cereals, yeast

    Animal source: Liver, kidney, meat, fish, eggs, milk and cheese

    Vitamin B12 inadequacy
  • Fatigue
  • Anemia
  • Memory problems
  • Walking difficulties
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    Iron
    Iron Sources

    Vegetarian source: Green leafy vegetables, legumes, nuts, oil seeds, jaggery and dried fruits Cooking in iron vessels

    Animal source: Meat, Poultry, fish

    Iron Inadequacy
  • Anemia
  • Weakness
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    Vitamin D
    Vitamin D Sources
  • Sunlight
  • Liver
  • Egg yolk
  • Butter and cheese
  • Vitamin D Inadequacy
  • Cognitive decline
  • Depression
  • Osteoporosis
  • Cardiovascular disease
  • Hypertension
  • Type 2 diabetes
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    Fibre
    Fibre Sources
  • Cereals
  • Whole grains
  • Pulses
  • Vegetables
  • Roots and tubers
  • Green leafy vegetables
  • Fruits
  • Fibre Inadequacy
    Irritable Bowel Syndrome
  • Constipation
  • Diarrhea
  • Feeling of incomplete bowel movements
  • Bloating and gas


  • What is Healthy Diet?



    Eat variety of foods

    Balance the food you eat with physical activity; maintain or improve your healthy weight

    Choose a diet with plenty of grain products, vegetables, and fruits

    Choose a diet low in fat , saturated fat and cholesterol

    Choose a diet moderate in sugars

    Choose a diet moderate in salt and sodium

    Avoid consuming alcohol and tobacco


    Food Pyramid For Older Adults



    Note:- Dietary requirements are subject to the individual’s health conditions. Therefore, before making any changes in diet kindly consult your physician.



    What is one serving of?

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    Vegetables
    • ½ cup cooked green or orange vegetables (for example, spinach, carrots or pumpkin)
    • ½ cup cooked beans, peas or lentils
    • 1 cup green leafy or raw salad vegetables
    • ½ cup sweet corn
    • ½ medium potato or other starchy vegetables (sweet potato)
    • 1 medium tomato
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    Fruit
    • 1 medium sized such as apple, banana or orange
    • 2 small sized sapota (chikoo)

    • only occasionally:
    • 125ml (½ cup) fruit juice (no added sugar)
    • 30g dried fruit
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    Grain/ Cereal food
    • 1 slice (40g) bread
    • ½ medium (40g) roti or chapatti (palm sized)
    • ½ cup (75-120g) cooked rice, barley (satu), buckwheat(shingada), semolina (rava), polenta (corn khichadi), bulgur (dalia)
    • ½ cup (120g) cooked porridge
    • ⅔ cup (30g) rice/wheat cereal flakes
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    Meat, Poultry, fish eggs nuts
    • 65g cooked lean red meats such as lamb, pork, goat (about 90-100g raw)
    • 80g cooked lean poultry such as chicken (100g raw)
    • 100g cooked fish fillet (about 115g raw) or one small can of fish
    • 2 large (120g) eggs
    • 170g paneer
    • 30g nuts, seeds, peanut or almond butter or other nut (no added salt)

    • Only to be used occasionally as a substitute for other foods in the group (note: this amount for nuts and seeds gives approximately the same amount of energy as the other foods in this group but will provide less protein, iron or zinc).
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    Milk and milk products
    • 1 cup (250ml) fresh buttermilk (taak)
    • ½ cup (120ml) evaporated milk
    • ¾ cup (200g) curd



    Diet Tips

    (For the Answers please click on +)
    • Diet should be modified according to individuals swallowing capacity.
    • Thick fluids,minced, grated or mashed food that are moist and require less chewing can be provided.
    • Soups can be preferred to increase sensory perception.
    • Food servings including gravy preparations, sauces, milk increases moisture.
    • 8-10 cups/ glasses of fluid per day helps prevent dry mouth.
    • Consumption of juicy fruits can help stimulate saliva.
    • Fermented milk products like buttermilk and cheese and cooked milk products are generally tolerated.
    • To provide adequate calcium, use of other calcium rich sources such as ragi, dark green leafy vegetables, beans, almonds and sesame seeds can be encouraged.
    • Fibre rich foods, caffeine intake, deficiencies of B vitamins and C vitamins should be checked.
    • Adequate fluids should be provided to avoid dehydration.
    • Bananas and curd help control some types of diarrhoea.
    • Insoluble fibres obtained from whole grains, fruits and vegetables should be encouraged.
    • Adequated intake of fluids.
    • Regular meals, Physical activity and sleep should be promoted.
    • Nutritionally balanced meals, including good sources of iron, folate, B6 and B12.
    • Vitamin C rich foods should be consumed in combination with iron rich foods for better iron absorption.
    • Avoid consuming tea and coffee as the interfere in iron absorption.
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    Nutrition Assessment

    YES
    I have illness or condition that made me change the kind and or amount of food I eat 2
    I eat fewer than two meals per day 3
    I eat few fruits or vegetables or milk products 2
    I have 3 or more drinks of beer, liquor or wine almost everyday 2
    I have tooth or mouth problems that make it hard for me to eat 2
    I do not have enough money to buy the food I need 4
    I eat alone most of the time 1
    I take three or more prescribed or over the counter drugs a day 1
    Without wanting to, I have lost or gained 4-5 kg in the last 6 months 2
    I am not always physically able to shop, cook and or/ feed myself 2
    Total

    How to Calculate Your Nutritional Score

    1. Read each statement carefully.
    2. For every statement that applies to you, note the score given next to it. Add up all the scores for the statements that are true for you.
      (Do not include statements that do not apply.)
    3. Calculate the total score.
      (Refer to the table for interpretation of your score.)
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