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Nutrition in the elderly

Sent to Health Experts September 10 10:56 AM

Recently a dietician put my 94 year old mother, in good health except for Alzheimr's, on a highly caloric diet that was supposedly dense in nutrition under the theory that people over 80 years old do not absorb nutrients well and therefore need to increase their nutrient intake. I was told by a nurse that it is correct that people over 80 do not absorb nutrients as well as when younger. However, giving them more does not help them absorb more.
My question: Do people over 80 absorb less nutrients? If so, is there a way to increase their ability to absorb nutrients either by diet or otherwise? Are there any diets specifically designed for people over 80 that aids in the absorption of nutrients?
My question: Do people over 80 absorb less nutrients? If so, is there a way to increase their ability to absorb nutrients either by diet or otherwise? Are there any diets specifically designed for people over 80 that aids in the absorption of nutrients?

 

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Age: 60

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Answer
September 10 11:26 AM (29 minutes and 48 seconds later)
         
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Hello,

The elderly are particularly at risk, and indeed many studies indicate that they often don’t get the nutrients they need because they not only absorb nutrients less easily but also consume fewer calories and thus fewer nutrients from food.

The premise is to offer an elderly preson more high quality food, proteins, fresh fruits and vegetables. Also a vitamin supplement is warranted.

Using a product like Ensure, blended with a banana, fresh strawberries or blueberries is a healthy between meal snack.


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September 10 11:56 AM (29 minutes and 48 seconds later)
         
Relist: I still need help.
I did not ask the question properly. I was too general. This matter is about my mother who was considered by her physician to be obese: she was about 4'11" and weighed 155 to 160 lbs. She will eat nearly anything we give her, so poor apetite is no problem. She is 94 years old, and has Alzheimers that progresses very slowly, and is otherwise in good health.

After being hydrated at a hospital she went into a nursing home at 171 lbs. The dietition put her on a high calorie diet under the assumption that people over 80 do not absorb nutrients well and need more in order to prevent illnesses. (Note: Since age 80 my mother ate a normal diet and was never ill.) My mother gained 14 lbs in 5 weeks and the dietition still insisted on the high caloric foods. My question is, is it considered good practice to give an obese 94 year old woman who is otherwise healthy an increase in caloric intake in order to prevent illness? Is there evidence showing that increased nutritional intake leads to greater absorption of nutrients than a normal weight-maintanence diet in people over 80 years old? If there are benefits to such diet, do they outweigh the health risks that come with a sudden and probably sustained weight gain?
Answer
September 10 12:05 PM (9 minutes and 46 seconds later)
         
ACCEPTEDCheck Mark
Thanks for the addtional information.

As you have stated your Mother has a healthy appetite, the concept is to assure that she eats healthy. More is not necessarily a good idea if it is not protein of fiber rich. In her case it is obvious she is absorbing enough nutrients by virtue of her ability to gain weight.

It is not a good idea to over feed your Mother in view of the fact she has a healthy appetite and does gain weight. The dietician is incorrect in the case of your Mother, increasing her caloric intake would lead to further weight gain which would not be medically sound. This practice would be beneficial to those patients who were underweight or frail.

As you Mother is 4' 11" and 171 pounds, she does not need to gain any more weight.



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