The point of having outpatient surgery is to avoid a hospital stay. A current study “Age predicts hospitalization risk after outpatient surgery” found seniors face a 54% greater risk of hospitalization within 30 days of outpatient surgery compared with patients younger than 65. Not the seriousness of the diagnosis or the complexity of the surgery but rather the age of the patient that was the largest factor in hospital readmission. After a procedure the senior patients struggles to understand the discharge and medication dosing. “When patients are sent home on the same day, a lot is required of them to take care of themselves.”
How might the outcomes be different? “Additional time and effort needs to be extended to the senior patient when a discharge is the same day as a procedure to avoid potential readmission.” Planning ahead before surgery for services to be delivered to the home such as nursing visits, home-delivered meals and help filling and reviewing needed medications may be ways to reduce the risk of being readmitted to the hospital.
The midlife crisis determining late life kidney failure.
1 in 3 American adults is at a high risk for developing kidney disease. While 1 in 9 American adults has kidney disease and many of them don’t know it. Your risk factors for developing kidney disease are high blood pressure, diabetes, a family history of kidney failure and being over 60.
Who has the highest risk? The AGES (Age, Gene/Environment Susceptibility)–Reykjavik Study is seeing a link between midlife blood pressure and late-life kidney functions. The study suggests that efforts to improve health in midlife could help maintain your kidney function as you age.
So what can you do NOW to avoid being that “ONE in the 1 of 3 Americans”? Early detection and treatment can slow or prevent the progression of kidney disease. By reducing and controlling your blood pressure and blood sugar, quit smoking, regular exercise, maintaining a healthy weight, and avoiding excessive use of pain medications. These simple lifestyle modifications can prevent the onset of a late-life kidney disease that could impact your quality of life. Be the ONE to make the change!
A new report suggests that only about one third of Americans are at proper weight with the rest considered overweight or obese. This is based upon a study that compared the weight and heights of 25,000 individuals enrolled in the National Health and Nutrition Examination Survey between 2007 and 2012. Weight and height are used to calculate the Body Mass Index (BMI) which is thought to be an indicator of body fat. To determine your BMI you can use this calculator from the National Institute of Health http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
The causes of obesity are complex but it is clear that a healthy diet with fewer calories is required for many people. The nutritional quality of the food is important also. Many areas of our country suffer from the lack of access to safe, nutritionally wholesome foods. These areas are as diverse as cities to rural areas where the distances to grocery stores is great but the local convenience store is a source of calories without much of a nutritional bang. Mom’s Meals NourishCare can deliver to any doorstep in the country, rural or urban, ensuring a good wholesome source of calories that do have a solid nutritional bang.
“Every year, the state of Kansas requires the area agency to provide a plan on how the funding will be based,” Graham explained. “There are three counties involved: Butler, Harvey and Sedgwick and all county commissions must approve the plan.
She went on to explain the various programs that rely on the funding, which include senior support services, caregivers support programs and meal programs. She also outlined the upcoming changes in those meal programs, which are utilized by both the El Dorado and Andover senior centers.
“The Red Cross has supplied the Good Neighbor Nutritional Program (GNNP) since the 1970s,” Graham explained. “They currently serve 21 sites in South Central Kansas. Now, Red Cross, at a national level, is re-visioning what their roles are in the community and they’ve decide to get out of any business that is not part of their core program.
“When we were informed we would be losing that program, we put out the request for bids. Aging Products, Inc. was one of the companies who submitted a bid. They’re a nutrition program provider who has served in the area directly surrounding Butler County. They provide the same meal program to rural areas that the GNNP provided at senior centers.
“They’re currently working to get their business model set up and they will continue to serve the 21 sites in the area that the GNNP will no longer provide for. They’ll do the same delivery and method of provision that our current provide does.”
She also welcomed Butler County Department on Aging Director Crystal Noles to speak a little about a program for the rural residents of the area.
“One of the new programs involved in our Area Plan is called Mom’s Meals,” Noles began. “It is a business model out of Iowa and it has also been in business for many years. The business provides packaged meals that come to the doors of seniors. The meals meet the required recommended daily allowance of calories for seniors in the program.”
She also explained how their model is unique.
“The program will serve the rural areas across several counties,” Noles said. “They deliver their meals with the Fedex model, packed with ice. They’ll deliver a 10-day supply of meals to the doors of rural seniors who do not have access to the current freezer meals program. They’re prepackaged and labeled for each senior and they will be able to cook the meals in either an oven or a microwave. The seniors will be able to pick what meals they want. There’s a menu where that will give them a choice between a breakfast, lunch or dinner meal.”
The department will also go one step further to make sure the seniors are taken care of despite their rural residency.
“With this plan, we will also match up a volunteer with each senior who receives these types of meals,” Noles explained. “One of the benefits of the Meals on Wheels program is the socialization of a senior having a visitor who delivers their meals daily. When we match up a volunteer with the senior for Mom’s Meals, we will have the volunteers call and check on the seniors five days a week to make sure they’re OK.”
Despite the large size of Butler County, only two Meals on Wheels programs are currently in operation.
I was recently in Washington DC discussing Pre-Diabetes with researchers at Howard University. In this discussion, we noted how diabetes coupled with high blood pressure are responsible for most of the renal failure in this country. Over 6% of the population has diabetes which is the leading cause of kidney failure. High blood pressure afflicts 25% of us and is the second leading cause of kidney failure. Healthy kidneys are dependent upon what we eat. Both high blood pressure and type two diabetes are controllable by diet. For many of those who suffer from both high blood pressure and type two diabetes, diet can substantially help control their diseases. At Mom’s Meals we hear from our customers about how much they believe the meals have helped their diabetes or blood pressure.
It is notable that healthy kidneys mean less health care costs. The National Kidney Foundation recently put out a very entertaining, yet informative video on healthy kidneys called “Everybody Pees” – Take a look. It is cute but gets right to the point about how important healthy kidneys are to us.
Do you know what magnesium does for the human body, how much we need on a daily basis or what food sources provide it? Magnesium is an abundant mineral and its important to many biochemical processes including regulation of muscle and nerve function, blood glucose control, blood pressure regulation, protein formation and the structural development of bone.
The amount of magnesium we need depends on age and gender. For adults over age 51, the Recommended Dietary Allowance (RDA) is 320 mg/day for women and 420 mg/day for men. 50-60% of the magnesium in the body is found in the bones and most of the rest is present in soft tissue and blood serum. Magnesium balance is controlled by the kidney – when status is low, excretion in the urine is reduced; the body can conserve magnesium if reserves are low.
Magnesium is found naturally in many plant and animal products, as well as fortified foods like some breakfast cereals. It is also available as a dietary supplement and present in some medicines such as antacids and laxatives. The best way to meet the RDA is by choosing a variety of foods, and note that foods with dietary fiber generally contribute more magnesium. Consider these foods in your meal plan:
Nuts (almonds, cashews & peanuts including “butters”), legumes (black beans
and kidney beans), seeds (pumpkin and sunflower), whole grains (whole wheat
bread & brown rice), and green leafy vegetables (spinach and Swiss chard)
Fortified breakfast cereals and products fortified with 10% of the
“Daily Value” for magnesium
Soy products – soymilk and shelled edamame (green soybeans)
Dairy products such as plain low fat yogurt and milk
Diets of most Americans provide less than the recommended amounts of magnesium. Men over age 70 and teenage girls are most likely to have low intakes. When magnesium from the diet and supplements are combined, intake is generally above recommended amounts. Deficiency, due to low dietary intake in healthy people, is not generally common due to the kidney’s ability to control excretion, but the following groups of people are more likely to get too little magnesium:
Those with gastrointestinal diseases such as Crohn’s disease and celiac disease
Those with type 2 diabetes and/or insulin resistance
Those with long-term alcoholism
Older adults whose intake of magnesium is less than younger adults; they are also more likely to be experiencing chronic diseases and taking medications affecting magnesium absorption
Several types of medications can interfere with magnesium status or function incorrectly if not taken at the right time with magnesium supplements. Those medications include biophosphates which are used to treat osteoporosis; antibiotics because absorption might be affected; diuretics which can increase or decrease magnesium loss depending on type of diuretic; and medicationstreating acid reflux or peptic ulcer which can affect blood levels of magnesium if taken for a long period of time. Check with your physician or pharmacist about all dietary supplements and medications you take, both prescription and “over the counter”, to avoid drug interference or interactions. Your healthcare provider is the best person to answer your specific health questions.
Information for this article was provided with assistance from “Magnesium” Fact Sheet for Consumers (reviewed 2/2014) and “Magnesium” Fact Sheet for Health Professionals (reviewed 11/2013) NIH Office of Dietary Supplements and National Nutrient Database for Standard Reference, Release 27, 2015.
Malnutrition is a common and debilitating condition in the acute hospital setting that is associated with many adverse outcomes, including prolonged length of hospital stay, increased readmission rates, and increased mortality. However, malnutrition by definition may be an abnormality in either under- or overnutrition. With obesity rates rising, many patients admitted to the hospital may be overnourished from unhealthy eating habits. Unhealthy eating habits and obesity increase a patient’s risk for cardiovascular events and complications in the hospital setting.
Nutrition risk screening or nutrition reconciliation is an underutilized tool in the hospital that would identify patients with over- and undernutrition. Nutrition intervention or nutrition prophylaxis initiated in the hospital may help reduce hospital days, readmissions, and mortality. Nutrition reconciliation is a new term developed to increase the awareness of nutrition in total health. Nutrition reconciliation means that all patients have their nutritional status reconciled on admission to and discharge from the hospital. Nutrition reconciliation is defined as the process of maximizing health by helping align an individual’s current diet to the diet prescribed for him or her by the health care team. Nutrition prophylaxis is a proactive intervention to prevent a medical complication.
Mandatory nutrition reconciliation and nutrition prophylaxis is not widely performed in most hospitals. Such an intervention may help our patients by improving their short- and long-term health. In addition, nutrition reconciliation and nutrition prophylaxis may allow for a more effective use of resources to prevent a preventable disease.
In 1974, Dr. Charles Butterworth used the phrase “The Skeleton in the Hospital Closet” to raise awareness of physician and hospital induced malnutrition (iatrogenic malnutrition) in patients.1 The premise was that patients came into the hospital and became malnourished because of a variety of reasons including fluid and food withdrawal prior to surgery or diagnostic tests, failure to assess the patient, failure to monitor food intake, and others. Failure to maintain the nutritional stature of the patient through hospitalization and after are causes of longer length of stay, poor outcomes, and early return to hospital.
With the new enhanced recovery protocols post-surgery, “patients still can’t eat after midnight before an early morning surgery, but two or three hours before surgery they do get a carbohydrate-loaded drink fortified with electrolytes, minerals and vitamins. They are pretreated for pain with non-narcotic painkillers and epidurals that are kept in place postoperatively. With careful monitoring, patients receive only necessary levels of IV fluid during surgery. Soon afterward they get out of bed to walk and may ingest solid food, and they are discharged earlier with careful instructions for home care.”
Another surgeon, Dr. Hedrick, who is the co-author of a study published online in February in the Journal of the American College of Surgeons, “found that the new protocol, used in colorectal-surgery patients at the UVA health system, helped reduce the length of hospital stay by 2.2 days compared with a control group who had conventional treatment. It also reduced complications by 17% and increased patient satisfaction with pain control by 55%. There was a cost savings of $7,129 per patient.”
Dr. Butterworth also noted that nutrition education is critical to physicians understanding the risk to their patients. It has taken quite a few years, but, finally it appears that the lessons may have been learned. An article in the Wall Street Journal (March 31, 2015) by Laura Landro discusses the concept of “enhanced recovery” which is a method to reduce the stress on patients while reducing the potential for “surgery procedure induced malnutrition.” Shortening the fasting time before surgery and feeding as soon as tolerable after surgery are hallmarks of the enhanced recovery process. Many studies have shown that proper nutrition during hospitalization shortens length of stay, improves patient outcome, and helps prevent readmissions.
It is too bad that it has taken such a long time for the implementation of the holistic approach to patient care.
Designated by the Academy of Nutrition and Dietetics (AND), the 2015 theme for National Nutrition Month is “Bite into a Healthy Lifestyle.” Choosing tasty and nutritious foods in proper serving sizes along with adequate physical activity is important in staying healthy and avoiding chronic disease. This month, let’s focus on “food bites” containing calcium and its role in keeping us active and healthy — no matter our age or activity level.
A mineral found in many foods, calcium is known for its storage in bones and teeth where it supports their structure and hardness. But, we also need calcium for muscle movement and for effective nerve transmission between the brain and every part of the body. In addition, calcium is used to help blood vessels move blood through the body and assists in the release of hormones and enzymes affecting many functions. The amount of calcium needed varies with age, but the current guideline for women and men over 70 years of age is 1200 mg/day. Certain groups of people are more likely to have trouble getting enough calcium. Those groups include:
Those with lactose intolerance who cannot digest lactose
Vegans (vegetarians who eat no animal products)
Ovo-vegetarians (vegetarians who eat eggs but not dairy)
The best advice: choose a variety of foods that provide calcium including:
Milk, yogurt and cheese – 8 oz. of milk = 300 mg calcium
Kale, broccoli, Chinese cabbage and dark green leafy vegetables
Fish with edible soft bones such as canned sardines and salmon
Legumes including black-eyed peas and white beans
Some breakfast cereals, fruit juices, soy and rice beverages, and tofu have calcium added. Check labels for calcium
Other factors affecting the amount of calcium absorbed in the digestive tract include:
Age because efficiency of calcium absorption decreases with age.
Vitamin D intake, present in some foods and produced in the body when skin is exposed to sunlight, increases calcium absorption.
Other components in food such as oxalic acid and phytic acid can reduce calcium absorption.
There are no obvious symptoms to indicate low calcium levels since the body maintains these levels in the blood by taking it from bones. Long term impact of calcium intake below recommended levels can cause low bone mass (osteopenia) and increased risk of osteoporosis (bones becoming porous, fragile and prone to fracture), a major health problem for more than 10 million adults over age 50 in the US.
Calcium dietary supplements vary depending on type and amount of calcium used, along with the use of other nutrients such as vitamin D. Before considering a supplement, consult with your doctor, pharmacist or registered dietitian as it may interact or interfere with prescribed medications.
Information source for this article: “Eating Well as You Get Older: Benefits of Eating Well” (National Institutes of Health. Senior Health) Topic last reviewed: November 2014.
According to the National Institute of Health (NIH) Senior Health website, healthy food choices make a difference in our health and quality of life. In an article, “Eating Well as You Get Older”, staff at NIH stress the impact food choice has on your health and how you look and feel. So, if you are a person who sets New Year’s Resolutions, maybe this will motivate you.
Eating Well Promotes Health
Eating a well-planned, balanced mix of foods every day has many health benefits such as reducing the risk of heart disease, stroke, type 2 diabetes, bone loss, some cancers, and anemia. If you already have one or more of these chronic diseases, eating well and being physically active may help you better manage them. Healthy eating may also help you reduce high blood pressure and lower high cholesterol. Eating well gives you the nutrients needed to keep your muscles, bones, organs and other parts of your body healthy throughout your life. These nutrients include vitamins, minerals, protein, carbohydrates, fats, and water.
Eating Well Promotes Energy
Eating well helps keep your energy level up, too. By consuming enough calories, you give your body the fuel it needs throughout the day. The number of calories needed depends on how old you are, whether you’re a man or woman, your height and weight, and how active you are.
Food Choices Affect Digestion
Your food choices also affect your digestion. For instance, not getting enough fiber or fluids may cause constipation. Eating more whole-grain foods with fiber, fruits and vegetables or drinking more water may help with constipation.
I like pizza. My kids like pizza. I bet you like pizza too. It sounds as if we all like pizza too much. A recent study in the journal Pediatrics showed that when pizza is eaten by kids and teens they eat 84 and 230 calories more in the day, respectively. Importantly, sodium intake increases also with almost 400 milligrams higher intake per day when pizza is eaten. Now you might not think that sodium intake is a concern for kids, but, rethink – we are training their palette to prefer high sodium foods. Consumption of high sodium foods over time can lead to hypertension, which is a factor for developing further chronic conditions including diabetes, renal disease, heart disease and others. Costs associated with hypertension are estimated to be over $40 billion each year with half of this going to medication to help reduce fluid build-up. It is interesting to hear heart docs talk about patients that they release from the hospital with orders to consume a low sodium diet but who wind up back in the hospital. The patient gets home and has nothing to eat so they call the local pizza place for takeout or delivery. Wham, high sodium results in fluid retention and a trip back to the hospital. This will cost the hospital for the readmission.
Does pizza or any food need to be high in sodium to taste good? NO. One of the hardest parts of going on a lower sodium diet is adjusting to the taste of food that is much lower in sodium. Mom’s Meals Nourishcare dietitians and chefs work to develop meals with low to moderate amounts of sodium while being highly flavored by herbs and other seasonings…and supportive of heart health.
Powell LM1, Nguyen BT2, Dietz WH3 2015. Energy and Nutrient Intake From Pizza in the United States Pediatrics. 2015 Jan 19. pii: peds.2014-1844. [Epub ahead of print] Davis, K. Expenditures for Hypertension among Adults Age 18 and Older, 2010: Estimates for the U.S. Civilian Noninstitutionalized Population. Statistical Brief #404. April 2013. Agency for Healthcare Research and Quality, Rockville, MD.
Recently, U.S. News and World Report did a comprehensive review of the 35 leading diet programs using input from health experts. Surprisingly, they ranked the DASH Diet (Dietary Approaches to Stop Hypertension), a lesser known diet developed to fight high blood pressure, as the #1 Best Diet Overall for people to use in trying to maintain a healthy lifestyle. The experts felt it offered the most “nutritional completeness, safety, ability to prevent or control diabetes and support heart health.” We applaud this finding. The evidence from Dr. Scott Hummel a cardiologist at the University of Michigan Hospitals shows that a low sodium diet has significant beneficial effects on the heart muscle itself. Improvements in heart function are apparent in certain cardiac patients when they consumed a modified DASH diet. Mom’s Meals is proud to be a part of the on-going clinical trial of Dr. Hummel and the teams at University of Michigan and Columbia University. For more on the DASH diet, go to dashdiet.org. To see the complete diet reviews and rankings at US News and World Report go to: http://health.usnews.com/best-diet.
Over the years, the United States has addressed several important public health issues through social marketing avenues. An example is the anti-smoking campaigns “Cancer cures smoking” where educational materials were both graphic and impactful. The recent “truth®” campaign is estimated to have avoided around $1.9 Billion in health care costs because 1.6% (approximately 300,000) fewer youths were smoking over the course of the campaign (Holtgrave et al., 2009). The costs of smoking to society are immense and these types of campaigns are cost effective.
Another area that is ripe for a social marketing campaign is the escalating epidemic of Type II diabetes. Data shared by the International Diabetes Foundation shows that diabetes affects over 380 million people worldwide. In the United States alone, diabetes affects over 29 million people and costs over $69 Billion in medical bills, disabilities and early death. It is not getting better as 1.7 million people are diagnosed with diabetes yearly and a third of our citizens are pre-diabetic. Picture this, 73,000 foot and leg amputations occur in this country each year. Most of these are preventable because they are caused by a failure of individuals to know how to take control of their diabetes.
For the most part Type II diabetes is preventable and controllable. (Agree and changed to controllable. Although there is information regarding pre-diabetes relatively few on actual diabetics although Jenny Craig did fund a study that showed A1C drops. Diet and exercise being the most successful prescription. A recent article by Dr. Robert Pearl (http://www.forbes.com/sites/robertpearl/2014/12/18/type-2-diabetes/), suggests that it is time for a marketing campaign to help people take control and understand the impact that their diet has on their condition. Dr. Pearl suggests that it may be useful to begin labeling high fat, high sugar products with graphic illustrations of what happens when diabetes is uncontrolled (see his article in Forbes Magazine for a very graphic concept).
Mom’s Meals believes that consumption of adequate and appropriate nutrition can be an important part of helping control various chronic conditions including diabetes. If you look at other places on this website you will find testimonials from individuals who have documented an improvement in their control of Type II diabetes. Prepared, ready-to-eat meals like Mom’s Meals can be the convenient solution in the first step to an alternative lifestyle that supports health and combats chronic disease.
Source: Holtgrave DR, Wunderink KA, Vallone DM, Healton CG. Cost-utility analysis of the National truth campaign to prevent youth smoking. Am J Prev Med. 2009;36(5):385–8.
Almost one-third of all Americans are now obese according to the American Public Health Association. According to the study, Americans are gaining weight and are less active than ever before. Last year the obesity rate of adults in the United States increased from 27.6% to 29.4%.There has been an increase in obesity rates while at the same time a significant decline in adults activity levels. The study shows nearly 24% of adults have not exercised in the past 30 days.
Obesity is a serious health concern tied to many chronic and costly diseases. The good news … while obesity and its related health issues are serious, they are, in many cases, also preventable and reversible. High blood pressure and diabetes are among the few diseases that are directly correlated to diet and exercise. Those impacted by these diseases are encouraged to increase their activity level and boost their consumption of fruits and vegetables along with eating more lean meats. Read the full story and to see how your state ranked on the health scale. http://www.usatoday.com/story/news/nation/2014/12/10/public-health-obesity-inactivity-state-rankings/20095261/
A recent “What’s Hot” from the Gerontology Society of America focused on elder malnutrition, a topic that Mom’s Meals has been very involved with for a couple of years. Malnutrition in this population has been identified for many years. However, it has taken until now for the realization that elder malnutrition may impact health care costs and that by simply feeding people an adequate and appropriate diet may have positive effects. Interestingly, one of the articles mentions that current models of Transition Care (moving the patient from hospital to home) may have over emphasized the medico-pharma aspects of patient care. A more holistic approach that includes nutritional care is recommended. Mom’s Meals has recognized and been preaching that nutrition support is critical to the well being of the elderly population. It is encouraging that policymakers are finally seeing that feeding people is good for them and good for the health care system.
We understand that seniors want to continue to live independently yet may not know all the steps they can take to help avoid malnutrition. Even small dietary changes can make a big difference in an older adult’s health and well-being. For example:
Engage doctors. If your loved one is losing weight, work with his or her doctors to identify — and address — any contributing factors. This might include changing medications that affect appetite, suspending any diet restrictions until your loved one is eating more effectively, and working with a dentist to treat oral pain or chewing problems. Request screenings for nutrition problems during routine office visits, and ask about nutritional supplements. You might also ask for a referral to a registered dietitian.
Encourage your loved one to eat foods packed with nutrients. Spread peanut or other nut butters on toast and crackers, fresh fruits, and raw vegetables. Sprinkle finely chopped nuts or wheat germ on yogurt, fruit and cereal. Add extra egg whites to scrambled eggs and omelets and encourage use of whole milk. Add cheese to sandwiches, vegetables, soups, rice and noodles.
Restore life to bland food. Make a restricted diet more appealing by using lemon juice, herbs and spices. If loss of taste and smell is a problem, experiment with seasonings and recipes.
Plan between-meal snacks. A piece of fruit or cheese, a spoonful of peanut butter, or a fruit smoothie can provide nutrients and calories.
Make meals social events. Drop by during mealtime or invite your loved one to your home for occasional meals. Encourage your loved one to join programs where he or she can eat with others.
Encourage regular physical activity. Daily exercise — even if it’s light — can stimulate appetite and strengthen bones and muscles.
Provide food-savings tips. If your loved one shops for groceries, encourage him or her to bring a shopping list, check store fliers for sales and choose less expensive brands. Suggest splitting the cost of bulk goods or meals with a friend
Remember, identifying and treating nutrition issues early can promote good health, independence and increased longevity. Take steps now to ensure your loved one’s nutrition.
Over the last few weeks, we have been focusing on how to prevent and detect malnutrition in seniors. The signs of malnutrition in older adults can be tough to spot, especially in people who don’t seem at risk — but uncovering problems at the earliest stage can help prevent complications later. To detect malnutrition:
Observe your loved one’s eating habits. Spend time with your loved one during meals at home, not just on special occasions. If your loved one lives alone, find out who buys his or her food. If your loved one is in a hospital or long term care facility, visit during mealtimes.
Watch for weight loss. Help your loved one monitor his or her weight at home. You might also watch for other signs of weight loss, such as changes in how clothing fits.
Be alert to other red flags. In addition to weight loss, malnutrition can cause poor wound healing, easy bruising and dental difficulties.
Know your loved one’s medications. Many drugs affect appetite, digestion and nutrient absorption.
In the final excerpt of how to prevent and detect malnutrition in seniors we will discuss what steps you can take to help avoid malnutrition.
In our second installment on the serious health consequences of malnutrition in seniors focuses on how malnutrition begins. Information is courtesy of the Mayo Clinic staff writers
The causes of malnutrition might seem straightforward — too little food or a diet lacking in nutrients. In reality, though, malnutrition is often caused by a combination of physical, social and psychological issues. For example:
Health concerns. Older adults often have health problems, such as dementia or dental issues that can lead to decreased appetite or trouble eating. Other factors that might play a role include a chronic illness, use of certain medications, difficulty swallowing or absorbing nutrients, a recent hospitalization, or a diminished sense of taste or smell.
Restricted diets. Dietary restrictions — such as limits on salt, fat, protein or sugar — can help manage certain medical conditions, but might also contribute to inadequate eating.
Limited income. Some older adults might have trouble affording groceries, especially if they’re taking expensive medications.
Reduced social contact. Older adults who eat alone might not enjoy meals as before, causing them to lose interest in cooking and eating.
Depression. Grief, loneliness, failing health, lack of mobility and other factors might contribute to depression — causing loss of appetite.
Alcoholism. Too much alcohol can interfere with the digestion and absorption of nutrients. Nutrients might also be lacking if alcohol is substituted for meals.
Be alert of the early triggers and warning signs of malnutrition to prevent the onset of malnutrition before it begins. The next blog in our series will focus on how to spot malnutrition in seniors.
Over the next several weeks we will be sharing information from the Mayo Clinic staff writers on the importance of nutrition for seniors. Specifically, we will focus on malnutrition and the serious health consequences.
Good nutrition is critical to overall health and well-being — yet many older adults are at risk of inadequate nutrition. Know the causes and signs of nutrition problems in older adults, as well as steps you can take to ensure a nutrient-rich diet for an older loved one.
Problems caused by malnutrition
Malnutrition in older adults can lead to various health concerns, including:
A weak immune system, which increases the risk of infections
Poor wound healing
Muscle weakness, which can lead to falls and fractures
In addition, malnutrition can lead to further disinterest in eating or lack of appetite — which only makes the problem worse.
Malnutrition is a serious senior health issue. Know the warning signs and how to help an older loved one avoid poor nutrition. Next week we will focus on how malnutrition begins.
Mom's Meals does not claim to treat or cure heart disease, diabetes, kidney disease or celiac and is not a substitute for medications. Consult with your physician or Registered Dietitian before starting any nutritional program.