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Tips for Improving Nutritional Intake for the Elderly

Updated on February 9, 2018

Elderly Nutrition: A Concern

Why is elderly nutrition a concern?

When we think of nutrition, our mind immediately turns to the issue of what foods we consume. We all know that fresh fruits and vegetables, as well as grains, are a good way to go. We know that getting enough protein whether through meats, beans, and legumes or via some substitute, is also critical. We know to avoid high fat and sugar laden diets and so forth. For the elderly however, another problem can creep into the picture. That problem is undernutrition which occurs as they begin to consume less food over time.

Certainly lower consumption is not always a negative thing, but in some instances, it can put their health at risk. In some situations, undernutrition and malnutrition can act to create a number of other health issues; from hair loss, to anemia, to B12 deficiency, and on into the realm of more serious ailments. Those who are undernourished also tend to heal from wounds slowly and have difficulty recovering from injuries and surgeries. In more severe instances, undernourishment in the elderly can become life threatening.

I am not a physician or nutritionist, I care for my elderly mother and was a therapist who dealt with eating/swallowing disorders for many years. Any problems with eating or nutrition should always be discussed/evaluated by a physician. However, I want to share a bit of my experience to provide information for individuals who care for the elderly to help them recognize when a need exists and how to respond.

Why Does This Happen To Some Elderly Individuals?

There are a variety of reasons why some elderly individuals may have trouble maintaining adequate nutrition, many of which are still being studied, but here are some common thoughts on the topic:

1. Changes in our senses.
Taste changes, we enjoy food less, and therefore, we tend to eat less. We don't anticipate food, we don't enjoy it as much. Smell can also decrease. Our sense of smell is actually a large reason for why we enjoy food.

2. Less activity.
Typically, someone who is 70 or 80 years old isn't nearly as physically active as they once were. Activity is theorized to increase appetite. Thus lack of activity is another negative influence on elderly nutrition.

3. Medications.
Many older individuals take an increasing number of medications. Ingesting several pills each day can be filling, but beyond that, is the appetite suppressing side effects of many medications. When medications are taken incorrectly (for instance on an empty stomach) or the medications taken are known to cause stomach irritation, digestive problems such as ulcers can develop. This irritation can inhibit hunger, create a feeling of fullness, and so forth.

4. Diseases and Disorders.
Many elderly individuals may be dealing with a disease or disorder that can reduce their appetite or make eating difficult. Swallowing difficulties can arise, digestive disorders can make eating unpleasant or painful, and so forth.

5. Dental problems.
Many elderly individuals have false teeth. If their dentures don't fit well, this can make chewing many foods difficult. They may avoid meat and other hard to chew foods. Inadequate nutrition is another often unrecognized factor that limits elderly nutrition.

6. Psychosocial issues.
Many elderly individuals may experience isolation, depression, or other psychosocial issues that affect appetite and elderly nutrition negatively. Many seniors have to deal with families who are distant, or too busy to socialize with them, friends may die, or health or financial issues can escalate leading to such problems.

7. Pain
Pain can have a very negative effect on appetite and elderly nutrition as well. Working with a physician to identify the source of pain and to keep it controlled is critical if you are working to improve nutritional intake.

Tips for Improving Elderly Nutrition

Getting an elderly individual to improve nutritional intake can be difficult and there are seldom easy answers. However, here are a few things that could potentially help elderly nutrition:

1. Decrease meal size and increase the frequency of meals.
An individual with reduced appetite will likely respond more positively to small meals and snacks versus an overflowing plate. Smaller meals can also benefit individuals who have certain digestive problems.

2. Increase variety.
Certainly, although taste and smell may be diminished, our appetite can be blunted somewhat by eating the same things over and over. This is something that isolated individuals tend to do. Thus, getting them to vary their diet more can help stimulate appetite and, in many instances, can improve the nutritional balance of their meals. While some elderly individuals may gravitate toward bland foods, trying foods with more and different flavors may help stimulate appetite.

3. Increase socialization.
Eating is a social activity for most of us and we tend to eat more in social situations. If an elderly individual lives alone, they don't get this interaction. Eating can become a chore. Moving eating back into the realm of socialization can help. It can also enhance their overall mood.

4. Consider an appetite stimulant.
Appetite stimulants may be warranted in some cases. Inquire with the physician to see if it's appropriate.

5. Increase the level of activity.
Getting an elderly individual involved in more physical activity can help stimulate appetite and improve nutritional intake. From taking a walk around the block to participating in group exercise, any activity can be beneficial as long as a physician approves it.

6. Investigate oral medications.
Talk with the physician about which medications may be reducing appetite. Can the medication be changed to something with less of a negative effect on appetite? Can some medications be taken via other routes to reduce the number of oral medications taken each day? Some medications for instance, have an alternative that can be given less frequently or via a shot, a patch, nasal inhaler, or some other method.

7. Consider high calorie supplements.
There are a number of products available that provide more calories, more protein, and other nutrients that can be used to supplement meals. Products such as Boost, Ensure, and other shake like products are common. Again, check with the physician for recommendations on supplements to boost elderly nutrition.

8. Increase protein intake.
Although you want increased caloric intake, increasing carbohydrates primarily isn't often the best way to do it. Increasing protein intake will offer more benefits and should be a target as well.

9. Evaluate the need for assistive services.
Some elderly individuals may have difficulty preparing meals. Whether it is an issue of strength and endurance or something else, it is appropriate in some cases to have meals delivered or prepared ahead of time by a family member.

10. Consider their mental health.
An evaluation by a healthcare provider/physician is important. If depression, or perhaps cognitive problems exist, they need to be addressed. Megestrol Acetate is one sometimes used for patients on chemo therapy but can be effective for other individuals as well.

11. Consider other physical problems.
If an elderly individual coughs during meals or seems to have difficulty getting their food chewed and swallowed, an evaluation is necessary. Certainly complaints of nausea, vomiting, bloating, and so forth could indicate digestive or other medical problems as well. Again, a medical evaluation should be pursued first in these cases. In addition, check their dentures to be sure they fit well. If there has already been significant weight loss, this will influence the fit of dentures as will the bone loss that occurs in many individuals as they continue to age. Good dentition is critical for adequate elderly nutrition.


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  • Sinea Pies profile image

    Sinea Pies 6 years ago from Northeastern United States

    Good hub. My mom just passed away at 85 years old and my dad let his nutrition slide a bit. She was his focus. Now we are working on having him eat with us more often, getting better nutrition and socialization in as well.

    Voted up and useful!

  • Jodie Turner profile image

    Jodie Turner 7 years ago from Sydney, Australia

    The organisation I work for carried out a research project a few years ago that involved volunteers sitting and socializing with elderly people who lived on their own each day when they had meals delivered. All of the elderly persons in the project put on weight within a few weeks and also made significant gains in other health indicators. It goes to show that sharing a meal is more appetizing then eating on you own..

  • PaperNotes profile image

    PaperNotes 7 years ago

    This hub reminds me of our great grandmother who I happen to still meet and spend some time with when I was younger. She doesn't have teeth anymore but she still eats any kind of foods as long as it is mashed or blended. I remember my brother used to peel apples and mix it in a blender so she can just drink it like juice.

  • 2patricias profile image

    2patricias 7 years ago from Sussex by the Sea

    This is an excellent hub on a subject that seems to be seldom dicussed.

    Both of us have elderly mother-in-laws with health issues. Both of our M.I.Ls eat, but they eat too much of the "wrong" foods. We think part of the problem is that their taste buds hardly register some foods.

  • tonymac04 profile image

    Tony McGregor 7 years ago from South Africa

    Guess I might need this info for myself! LOL! Don't know what age would qualify as "elderly" but I think the attitude is the biggest part of it, and I feel very young (though my joints don't agree!).

    But with now two grand children I suppose I could start thinking of myself in this category! LOL!

    Useful Hub - thanks.

    Love and peace


  • sudhan45 profile image

    sudhan45 8 years ago

    Nice info.Nice to see you here.

  • PegCole17 profile image

    Peg Cole 8 years ago from Dallas, Texas

    You're so right. Mom is 84, Auntie 89. I make it a point to ask what they ate for dinner when I call in the evening. We've been blessed to have Meals on Wheels deliver. This ensures they have an easy to prepare meal available. But sometimes they're just not hungry. They seem to eat better when we go out for meals or I cook at their house. It's true, the dentures and medications cause a lot of issues.

  • mulberry1 profile image

    mulberry1 8 years ago

    Yes, I agree. Under eating is often the problem. Changes in taste, social isolation, decreased activity, health problems, medications, and many other things play into this.

  • Sandyspider profile image

    Sandy Mertens 8 years ago from Wisconsin, USA

    I think the problem is also that the elderly don't often eat enough. My mother tells me that she just isn't hungry. I know that she isn't getting the nutrition that she needs.

  • BrianS profile image

    Brian Stephens 8 years ago from Castelnaudary, France

    This is a really useful article and I recognise many of these symptoms in my mother now in her seventies and not really eating appropriately any more. I will be bookmarking this one for reference.

  • profile image

    Nancy's Niche 8 years ago

    Your article is very accurate on the eating habits of the elderly. Caregivers need to realize that several small meals a day is exactly how the elderly need to eat. They are healthier eating in this manner and it helps to maintain their blood glucose levels.

  • irenemaria profile image

    irenemaria 8 years ago from Sweden

    Oh so much I wish I could stick to your suggestions. I am elderly and hate to cook.

  • mulberry1 profile image

    mulberry1 8 years ago

    Thanks for stopping by!

  • sukkran profile image

    Mohideen Basha 8 years ago from TRICHY, TAMIL NADU, INDIA.

    an informative hub. thumbs up for your great work and posted it in my facebook wall.