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Nutrient Recommendations for
1
             Older Adults
Calories
2


       Aging causes a decrease in lean muscle, metabolic
        rate, and physical activity

       5% decrease in total kcal needs each DECADE

       Can be improved / reversed
        -appropriate kcal intake
        -nutrient
        -dense food choices
        -regular physical activity
MyPyramid Calorie Levels
3
Protein
4




       Infants –1.5 g / kg body weight
       Adults –0.8 g / kg body weight
       Older Adults –1 g / kg body weight-not making as
        much HCl

       Factors affecting protein intake
        -cost, chewing, overall intake, GI problems
Water and Fiber
5


       Water AI same as adults: 3.7 L men, 2.7 L women

       Fiber needs decrease as kcal needs decrease:
        -Adult Men –38 g / day
        ->50 Adult Men –30 g / day
        -Adult Women –25 g / day
        -> 50 Adult Women –21 g / day-

       Most only consume 2/3 of recommend fiber
       May prevent constipation and decrease risk of DM
Vitamins and Minerals
6


       Most recommendations do not change, exceptions:
       Calcium
        - absorption efficiency decreases
        - RDA increases from 1000 mg - 1200 mg/day
       Vitamin D
        - synthesis decreases
        - RDA increases from 5 micrograms – 10-15 μg/d
       Iron – females only
        - cessation of menstruation
        - RDA decreases from 18 mg – 8 mg/day
Nutrient and Food Intake
7


       Quantity of food decreases with decreased kcal needs
       Micronutrient needs do not decrease
       Micronutrients of concern
        - vitamin E
        - magnesium
        - fiber
        - calcium
        - potassium
        - B12
        - Zinc
Sources of nutrients that may be lacking
8


       Vitamin E – veggie oils, nuts, seeds
       Mg – green leafy veggies, beans, grains, nuts, milk
       Fiber – whole grains, beans, veggies and fruit
       Ca – milk products, green leafy veggies
       K – fruits, veggies, milk products, grains, meats
       B12 – animal products
       Zinc – meat, seafood, dairy
9

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Nutrient recommendations for older adults

  • 2. Calories 2  Aging causes a decrease in lean muscle, metabolic rate, and physical activity  5% decrease in total kcal needs each DECADE  Can be improved / reversed -appropriate kcal intake -nutrient -dense food choices -regular physical activity
  • 4. Protein 4  Infants –1.5 g / kg body weight  Adults –0.8 g / kg body weight  Older Adults –1 g / kg body weight-not making as much HCl  Factors affecting protein intake -cost, chewing, overall intake, GI problems
  • 5. Water and Fiber 5  Water AI same as adults: 3.7 L men, 2.7 L women  Fiber needs decrease as kcal needs decrease: -Adult Men –38 g / day ->50 Adult Men –30 g / day -Adult Women –25 g / day -> 50 Adult Women –21 g / day-  Most only consume 2/3 of recommend fiber  May prevent constipation and decrease risk of DM
  • 6. Vitamins and Minerals 6  Most recommendations do not change, exceptions:  Calcium - absorption efficiency decreases - RDA increases from 1000 mg - 1200 mg/day  Vitamin D - synthesis decreases - RDA increases from 5 micrograms – 10-15 μg/d  Iron – females only - cessation of menstruation - RDA decreases from 18 mg – 8 mg/day
  • 7. Nutrient and Food Intake 7  Quantity of food decreases with decreased kcal needs  Micronutrient needs do not decrease  Micronutrients of concern - vitamin E - magnesium - fiber - calcium - potassium - B12 - Zinc
  • 8. Sources of nutrients that may be lacking 8  Vitamin E – veggie oils, nuts, seeds  Mg – green leafy veggies, beans, grains, nuts, milk  Fiber – whole grains, beans, veggies and fruit  Ca – milk products, green leafy veggies  K – fruits, veggies, milk products, grains, meats  B12 – animal products  Zinc – meat, seafood, dairy
  • 9. 9