Ageing and Musculo-Skeletal Health...Are Seniors Different? Loss in Bone Density Cognition Issues...
Transcript of Ageing and Musculo-Skeletal Health...Are Seniors Different? Loss in Bone Density Cognition Issues...
Are Seniors Different?
Loss in Bone Density
Cognition Issues
Lower Immunity
Muscle Loss
Hypertension
PolyPharmacy
Macular Degeneration
Lack of Energy
Loss of appetite
Diabetes
Poor absorption nutrients in
Gut
Poor B12 Absorption
Vit D synthesis
slowCataracts
More prone to Cancers
‘Life Span’ vs ‘Health Span’ (at 65yrs old)
Life Expectancy +21 years
• Life with ‘Activity’ 11 years
• Life without Chronic 7 years
Morbidity
BUT
-1400
-1200
-1000
-800
-600
-400
-200
0
28 DAYS 10 DAYS 3 DAYS
Effect of
Inactivity
Loss of
Lean MassPaddon-Jones et al, Curr Opin Clin Nutr Metab Care. 2014 January
• OA most common (knee, hip, wrist, spine, hand)
• Bone spurs, Wear & Tear of cartilage, Inflammation, Pain, Loss of movement
• 8 million have osteo-arthritis
• 50% adults > 50yrs sought treatment
• NHS- 3rd largest budget spend
• Will grow with ageing population……
50% of ‘disablement’
due to musculoskeletal
health issues
Diet & Nutrition Studies (Older Adults)
German National Nutrition Survey 2(2007)
Belgian Food Consumption Study 2004Danish National Survey Dietary Habits
2002ENCAT Spain 2003Catalan Nutrition Survey 2003National FINDIET Survey 2007SLAN Ireland 2007INN CA Study ItalyNorkost Survey 1997 NorwayEpiPorto Portugal Survey 2003Riksmaten Sweden 1978UK NDNS 2000
Seniors need MORE
protein too!
ProtAge Study J.Am Med Dir Assoc 2013,Bauer et al, 1-18
WHO~ 60g / day
Latest Science90-110g /day
X
Fighting an uphill battle re Nutrients
Lower micros in food
MedicationPolypharmacy
Cooking methods
Low protein vs needs
VegetarianismVeganism
Slower absorption
in gutSlower
synthesis Vit D
Insufficient IntakesMICROS
Low omega3,CoQ10
Health Issues with Low Nutrient Intakes• Loss of muscle and poor muscle quality/strength
• Loss of bone density, fractures esp woman
• Poor cartilage, collagen and poor joint health
• Low in energy
• Insulin Resistance -Poor Sugar management (diabetes)
• Low Immunity
• Hypertension
• Heart disease, atherosclerosis, strokes
• Vision and AMD
• Cancers
PRIME
FIFTY
Food Intake studies Scientific
papers
Academics
DieticiansNutritionists
Linus Pauling Inst
Tufts School of Nutrition