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Ten-year trends in vitamin intake in free-living healthy elderly people: The risk of subclinical malnutrition

  • JNHA: Nutrition
  • Published:
The journal of nutrition, health & aging

Abstract

Objective

To explore the trends of vitamin intake over a 10-year follow-up in a group of successfully aging elderly people.

Design

Longitudinal study.

Setting

City of Padua, Italy.

Participants

78 (34M/44F) free-living and still well-functioning survivors among the Italian participants in the SENECA multicenter project, aged 70–75 y at the baseline.

Measurements

Data were collected by means of a modified validated dietary history, both at baseline and then 10 y later. The dietary intake of vitamins B1, B2, A and C were considered, calculating the percentages of individuals with an intake below the lowest European Recommended Dietary Intake (RDI).

Results

Mean energy and macronutrient intake were consistent with dietary guidelines at both time points. There was no decline in total energy intake after a decade. At baseline, the intake of all vitamins exceeded the Lowest European RDI, with the exception of vitamin B1, for which 44% of the men and 60% of the women were already deficient. After a decade, the prevalence of vitamin B2 and vitamin A deficiencies rose to 50% of the sample. Vitamin C deficiencies rose in a decade from 3% to 6% in men and from 2.3% to 4.5% in women and it was the least prevalent.

Conclusion

Despite an adequate nutritional/functional status and a total energy intake that could be expected to cover the recommendations for micronutrients too, a considerable proportion of our successfully aging elderly were already deficient in, or at high risk of becoming deficient in several essential vitamins. Multivitamin supplementation may be necessary, even in healthy individuals, to ensure an adequate micronutrient intake in the elderly.

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References

  1. Sjogren A, Osterberg T, Steen B. Intake of energy, nutrients and food items in a ten-year cohort comparison and in a six-year longitudinal perspective: a population study of 70- and 76-year-old people. Age Ageing 1994; 23: 108–112.

    Article  PubMed  CAS  Google Scholar 

  2. Marshall TA, Stumbo PJ, Warren JJ, Xie XJ. Inadequate nutrient intakes are common and are associated with low diet variety in rural, community-dwelling elderly. J Nutr 2001; 131: 2192–2196.

    PubMed  CAS  Google Scholar 

  3. Roberts SB, Hajduk CL, Howarth NC, Russell R, McCrory MA. Dietary variety predicts low body mass index and inadequate macronutrient and micronutrient intakes in community-dwelling older adults. J Gerontol 2005; 5: 613–621.

    Google Scholar 

  4. Toffanello ED, Inelmen EM, Minicuci N, Campigotto F, Sergi G, Coin A, et al. Ten-year trend in dietary intake, health status and mortality rates in free-living elderly people. JNHA 2010; 14: 259–264.

    CAS  Google Scholar 

  5. Corrêa Leite ML, Nicolosi A, Cristina S, Hauser WA, Pugliese P, Nappi G. Dietary and nutritional patterns in an elderly rural population in Northern and Southern Italy: II. Nutritional profiles associated with food behaviours. Eur J Clin Nutr 2003; 57: 1522–1529.

    Article  PubMed  Google Scholar 

  6. Volkert D, Kreuel K, Heseker H, Stehle P. Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. Eur J Clin Nutr 2004; 58: 1190–1200.

    Article  PubMed  CAS  Google Scholar 

  7. Nicolas AS, Faisant C, Lanzmann-Petithory D, Tome D, Vellas B. The nutritional intake of free-living healthy French population: a four year follow-up. JNHA 2000; 4: 77–80.

    CAS  Google Scholar 

  8. Fernyhough LK, Horwath CC, Campbell AJ, Robertson MC, Busby WJ. Changes in dietary intake during a 6-year follow-up of an older population. Eur J Clin Nutr 1999; 53: 216–25.

    Article  PubMed  CAS  Google Scholar 

  9. Fabian E, Elmadfa Ibrahim. Nutritional situation of the elderly in the European Union: data of the European Nutrition and Health Report. Ann NutrMetab 2008; 52: 57–61.

    Article  CAS  Google Scholar 

  10. Foote JA, Giuliano AR, Harris RB. Older adults need guidance to meet nutritional recommendations. J American College Nutr 2000; 19: 628–640.

    CAS  Google Scholar 

  11. van’t Hof MA, Burema J. Assessment of bias in the SENECA study. Eur J Clin Nutr 1996;50(Suppl 2): S4–S8.

    Google Scholar 

  12. de Groot LCPGM & van Staveren WA. Nutrition and the Elderly: Manual of Operations, Euronut Report 11, Wageningen, Netherlands, 1988.

    Google Scholar 

  13. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist 1970; 10: 20–30.

    PubMed  CAS  Google Scholar 

  14. Carnovale E, Miuccio FC. Tabelle di composizione degli alimenti. Rome: Ministry of Agriculture and National Institute of Nutrition 1989.

    Google Scholar 

  15. Kohlmeier L, Pootvliet EJ. EUROCODE 2 Food Coding System, version 92/1. Berlin: Institute for Social Medicine and Epidemiology. 1992

    Google Scholar 

  16. Nes M, van Staveren WA, Zajkas G, Inelmen EM, Moreiras O. Euronut SENECA study on nutrition and the elderly. Validity of the dietary history method in elderly subjects. Eur J Clin Nutr 1991; 45(Suppl. 3), S97–S104.

    Google Scholar 

  17. van Staveren WA, Burema J, Livingstone MBE, Kaaks R, van de Broek T. Evaluation of the dietary history method used in the SENECA study. Eur J Clin Nutr 1996; 50(Suppl. 2), S4–S8.

    Google Scholar 

  18. Trichopoulou A, Vassilakou T. Recommended dietary intakes in Europe. Eur J Clin Nutr 1990; 44(Suppl 2), S51-S100.

    Google Scholar 

  19. Amorim Cruz JA, Moreiras-Varela O, Brozowska A. Longitudinal changes in the intake of vitamins and minerals of elderly Europeans. Eur J Clin Nutr 1996; 50, S77–S85.

    PubMed  Google Scholar 

  20. Nydahl M, Andersson J, Sidenvall B, Gustafsson K, Fjellstrom C. Food and nutrient intake in a group of self-managing elderly Swedish women. JNHA 2003; 7, 67–73.

    CAS  Google Scholar 

  21. Moreiras O, van Staveren WA, Amorim Cruz JA, et al. Longitudinal changes in the intake of energy and macronutrients of elderly Europeans. Eur J Clin Nutr 1996; 50(Suppl 2), S67–S76.

    PubMed  Google Scholar 

  22. De Groot LCPGM, van Staveren WA. Older people, nutritionally related problems, In: Encyclopedia of Human Nutrition, eds. MJ Sadler, JJ Strain and B Caballero, pp 1479–1485. London: Academic Press. 1999

    Google Scholar 

  23. Sergi G, Perissinotto E, Pisent C, et al. An adequate threshold for body mass index to detect underweight condition in elderly persons: the Italian Longitudinal Study on Aging (ILSA). J Gerontol A Biol Sci Med Sci 2005; 7: 866–871.

    Google Scholar 

  24. Bailey AL, Maisey S, Southon S, et al. Relationship between micronutrient intake and biochemical indicators of nutrient adequacy in a “free-living” elderly UK population. Br J Nutr 1997; 77: 225–242.

    Article  PubMed  CAS  Google Scholar 

  25. Vercambre MN, Boutron-Ruault MC, Ritchie K, Clavel-Chapelon F, Berr C. Long-term association of food and nutrient intake with cognitive and functional decline: a 13-year follow-up study in elderly French women. Br J Nutr 2009; 102: 419–427.

    Article  PubMed  CAS  Google Scholar 

  26. Ribaya-Mercado JD, Solon FS, Fermin LS, et al. Dietary vitamin A intakes of Filipino elders with adequate or low liver vitamin A concentrations as assessed by the deuterated-retinol-dilution method: implications for dietary requirements. Am J Clin Nutr 2004; 79: 633–641.

    PubMed  CAS  Google Scholar 

  27. Russel RM, Suter PM. Vitamin requirements of elderly people: an update. Am J Clin Nutr 1993; 58: 4–14.

    Google Scholar 

  28. Bell RA, High KP. Alterations of immune defense mechanism in the elderly: the role of nutrition. Infect Med 1997; 14: 415–424.

    Google Scholar 

  29. Ortega RM, Requejo AM, Andres P, et al. Dietary intake and cognitive function in a group of elderly people. Am J Clin Nutr 1997; 66: 803–809.

    PubMed  CAS  Google Scholar 

  30. Buhr G, Bales CW. Nutritional requirements for older adults: review and recommendations -part I. J Nutr Elder 2009; 28: 5–29.

    Article  PubMed  Google Scholar 

  31. Wardwell L, Chapman-Novakofski K, Herrel S, Woods J. Nutrient intakes and immune function of elderly subjects. J Am Diet Assoc 2008; 108: 2005–2012.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. National Research Council, Institute of Neuroscience, Section on Aging, University of Padua, Padua, Italy

    N. Minicuci & F. Campigotto

  2. Department of Medical and Surgical Sciences, Division of Geriatrics, Unviversity of Padua, Padua, Italy

    E. D. Toffanello, E. M. Inelmen, G. Sergi, A. Coin, F. Miotto, G. Enzi & E. Manzato

  3. Clinica Geriatrica — Ospedale Giustinianeo (2°piano), via Giustiniani 2, 35128, Padova, Italy

    E. D. Toffanello

Authors
  1. E. D. Toffanello
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  2. E. M. Inelmen
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  3. N. Minicuci
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  4. F. Campigotto
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  5. G. Sergi
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  6. A. Coin
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  7. F. Miotto
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  8. G. Enzi
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  9. E. Manzato
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Corresponding author

Correspondence to E. D. Toffanello.

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Toffanello, E.D., Inelmen, E.M., Minicuci, N. et al. Ten-year trends in vitamin intake in free-living healthy elderly people: The risk of subclinical malnutrition. J Nutr Health Aging 15, 99–103 (2011). https://doi.org/10.1007/s12603-011-0020-x

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  • DOI: https://doi.org/10.1007/s12603-011-0020-x

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