Skip to main content

Nutrition and Aging: Meeting the Unique Needs of Older Adults

  • Chapter
  • First Online:
Nutrition Guide for Physicians and Related Healthcare Professions

Part of the book series: Nutrition and Health ((NH))

Abstract

Optimal nutrition is an essential element for the quality of life and health in older adults. Energy needs and thus food intake decrease with age, while requirements for other nutrients remain stable or increase. Thus, older adults are at greater risk for undernutrition than their younger counterparts. Physiological, psychological, and environmental factors faced by many older adults amplify this risk. At the pinnacle of risk are older adults who are hospitalized, undergoing surgery, or living in long-term care facilities, with cognitive decline and dementia further complicating both diagnosis and treatment of malnutrition. The COVID-19 pandemic is creating a unique further health risk in this population, who experiences the highest rates of infection and likelihood of disease complications. While the majority of older adults have not contracted COVID-19, the strict social isolation they are experiencing is reducing diet quality and worsening health outcomes. Whether in the community, hospital, or long-term care facility, nutritional care for older adults needs interprofessional collaboration to assure that their basic nutritional requirements are met, utilizing interventions that account for their underlying physiological, psychological, and environmental risk factors. This chapter will provide insights into the unique nutritional risks that face our older adult population and guidance for effective interventions to meet their nutritional needs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. US Department of Health and Human Services A Profile of Older Americans. 2018. Available at: https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2018OlderAmericansProfile.pdf. Accessed 4 June 2020.

  2. Shan Z, Rehm CD, Rogers G, et al. Trends in dietary carbohydrate, protein, and fat intake and diet quality among US adults, 1999–2016. JAMA. 2019;322:1178–87.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Manini TM. Energy expenditure and aging. Ageing Res Rev. 2010;9:1–11.

    Article  CAS  PubMed  Google Scholar 

  4. Paddon-Jones D, Leidy H. Dietary protein and muscle in older persons. Curr Opin Clin Nutr Metab Care. 2014;17:5–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Krok-Schoen JL, Archdeacon Price A, Luo M, Kelly OJ, Taylor CA. Low dietary protein intakes and associated dietary patterns and functional limitations in an aging population: a NHANES analysis. J Nutr Health Aging. 2019;23:338–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 dietary guidelines for Americans. 8th ed. 2015 Dec. Available at: https://health.gov/our-work/food-and-nutrition/2015-2020-dietary-guidelines/. Accessed 4 June 2020.

  7. Bernstein M. Nutritional needs of the older adult. Phys Med Rehabil Clin N Am. 2017;28:747–76.

    Article  PubMed  Google Scholar 

  8. Institute of Medicine. National dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (2002/2005). Washington, DC: National Academies Press; 2005.

    Google Scholar 

  9. National Academies of Sciences, Engineering, and Medicine. Meeting the dietary needs of older adults: exploring the impact of the physical, social, and cultural environment: workshop summary. Washington, DC: National Academies Press; 2016.

    Google Scholar 

  10. Park S, Johnson M, Fischer JG. Vitamin and mineral supplements: barriers and challenges for older adults. J Nutr Elder. 2008;27:297–317.

    Article  PubMed  Google Scholar 

  11. Landi F, Calvani R, Tosato M, et al. Anorexia of aging: risk factors, consequences, and potential treatments. Nutrients. 2016;8:69.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Eke PI, Dye BA, Wei L, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015;86:611–22.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2:819–29.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity and severe obesity among adults: United States, 2017–2018. NCHS Data Brief, no 360. Hyattsville: National Center for Health Statistics; 2020.

    Google Scholar 

  15. Kok RM, Reynolds CF. Management of depression in older adults: a review. JAMA. 2017;317:2114–22.

    Article  CAS  PubMed  Google Scholar 

  16. Donatelli NS, Somes J. Alcohol and aging: the invisible epidemic. J Emerg Nurs. 2014;40:177–80.

    Article  PubMed  Google Scholar 

  17. Ziliak JP, Gundersen C. The state of senior hunger in America in 2018. Feeding America. 2020. Available at: https://www.feedingamerica.org/sites/default/files/2020-05/2020-The%20State%20of%20Senior%20Hunger%20in%202018.pdf. Accessed 15 June 2020.

  18. Landeiro F, Barrows P, Nuttall Musson E, Gray AM, Leal J. Reducing social isolation and loneliness in older people: a systematic review protocol. BMJ Open. 2017;7(5):e013778.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) – United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:343–6.

    Article  Google Scholar 

  20. Liu G, Zhang S, Mao Z, Wang W, Hu H. Clinical significance of nutritional risk screening for older adult patients with COVID-19. Eur J Clin Nutr. 2020;74:876–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Berg-Weger M, Morley JE. Loneliness and social isolation in older adults during the COVID-19 pandemic: implications for gerontological social work. J Nutr Health Aging. 2020;24:1–3.

    Article  Google Scholar 

  22. The Malnutrition Quality Collaborative. National blueprint: achieving quality malnutrition care for older adults, 2020 update. Washington, DC: Avalere Health and Defeat Malnutrition Today; 2020.

    Google Scholar 

  23. Kaiser MJ, Bauer JM, Rämsch C, et al. Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc. 2010;58:1734–8.

    Article  PubMed  Google Scholar 

  24. Tappenden KA, Quatrara B, Parkhurst ML, et al. Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. JPEN J Parenter Enteral Nutr. 2013;37:482–97.

    Article  PubMed  Google Scholar 

  25. Yang R, Wolfson M, Lewis MC. Unique aspects of the elderly surgical population: an anesthesiologist’s perspective. Geriatr Orthop Surg Rehabil. 2011;2:56–64.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Gillis F, Carli F. Promoting perioperative metabolic and nutritional care. Anesthesiology. 2015;123:1455–72.

    Article  CAS  PubMed  Google Scholar 

  27. American College of Surgeons. Optimal Resources for Geriatric Surgery: 2019 Standards. Available at: https://www.facs.org/-/media/files/quality-programs/geriatric/geriatricsv_standards.ashx. Accessed 24 May 2020.

  28. Valmorbida E, Trevisan C, Imoscopi A, et al. Malnutrition is associated with increased risk of hospital admission and death in the first 18 months of institutionalization. Clin Nutr. 2020;S0261–5614:30147–3.

    Google Scholar 

  29. Zhang N, Field T, Mazor KM, et al. The increasing prevalence of obesity in residents of U.S. nursing homes: 2005–2015. J Gerontol A Biol Sci Med Sci. 2019;74:1929–36.

    Article  PubMed  Google Scholar 

  30. American Geriatrics Society Ethics Committee and Clinical Practice and Models of Care Committee. American Geriatrics Society feeding tubes in advanced dementia position statement. J Am Geriatr Soc. 2014;62:1590–3.

    Article  Google Scholar 

Suggested Further Readings

  • Bales CW, Porter Starr KN. Obesity interventions for older adults: diet as a determinant of physical function. Adv Nutr. 2018;9:151–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Batchelor-Murphy MK, Steinberg FM, Young HM. Dietary and feeding modifications for older adults. Am J Nurs. 2019;119:49–57.

    Article  PubMed  Google Scholar 

  • Brauer J, Biolo G, Cederholm T, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc. 2013;14(8):542–59.

    Article  Google Scholar 

  • Position of the academy of nutrition and dietetics and the society for nutrition education and behavior: food and nutrition programs for community-residing older adults. J Acad Nutr Diet. 2019;119:1188–204.

    Google Scholar 

  • Weimann A, Braga M, Carli F, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017;36:623–50.

    Article  PubMed  Google Scholar 

Download references

Funding

The author(s) disclosed receipt of the following financial support for the authorship and/or publication of this article: US Department of Veterans Affairs Rehabilitation Research and Development (I01 RX002843 (CWB)/IK2 RX002348 (KNPS)) and National Institute on Aging (T32AG00002941 (MSB)).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kathryn N. Porter Starr .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Porter Starr, K.N., Borack, M.S., Rincker, J.C., Bales, C.W. (2022). Nutrition and Aging: Meeting the Unique Needs of Older Adults. In: Wilson, T., Temple, N.J., Bray, G.A. (eds) Nutrition Guide for Physicians and Related Healthcare Professions. Nutrition and Health. Humana, Cham. https://doi.org/10.1007/978-3-030-82515-7_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-82515-7_7

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-82514-0

  • Online ISBN: 978-3-030-82515-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics