Community Nutrition Update: Older Adults Anne Hoisington OSU Extension, Multnomah Co. May 23, 2002.
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Transcript of Community Nutrition Update: Older Adults Anne Hoisington OSU Extension, Multnomah Co. May 23, 2002.
Community Nutrition Update:Community Nutrition Update:Older AdultsOlder Adults
Anne Hoisington
OSU Extension, Multnomah Co.
May 23, 2002
OutlineOutline
Background: population trends, characteristicsHealth problems with nutritional implicationsFood Insecurity: definitions, prevalence, risksWhat should the educator know? What can the educator do?
Population Trends Population Trends
Number of older Americans increasing
1 in 8 >65; 1 in 4 by 2030
Fastest growing segment: 85+
Characteristics of Adults 65+Characteristics of Adults 65+
95% live within community5% live in LTC
Oregon: 2/3 live with others (1/3 alone) Oregon: 4x as many women live alone
(Oregon Gerontological Association, 1993)
Health Problems with Nutritional Health Problems with Nutritional Implications Implications
Medical: cancer, diabetes, heart disease
Physical: sensory: sight, smell, taste; pain, dentition
Polypharmacy: absorption, metabolism, excretion, side effects (anorexia, nausea, drowsiness)
Emotional: depression, boredom, anger, dementia
Nutrition problems, continuedNutrition problems, continued
Health consequences of aging: Muscle mass, metabolism: weight,
energy/caloric needs down, physical activity, need for nutrient density
Bone mass, functional digestive system, changes in cholesterol, BP, salt sensitivity, changes in glucose metabolism
At Risk for Poor Nutrition At Risk for Poor Nutrition Lower education levelWomen Black, Hispanic elderlyThose living alone>85
1 in 5 older adults at or below 130% of poverty
(Guthrie, 2002)
Food Security Food Security
Having assured access at all times to enough food for an active, healthy life
Food InsecurityThe inability to acquire or consume an adequate
quality or sufficient quantity of food in socially acceptable ways, or the uncertainty that one will be able to do so
(Anderson, 1990)
Food Insecurity Among Older Adults Food Insecurity Among Older Adults
~6% elderly households report some degree of food insecurity
Compared to ~10% of all households (Current Population Survey 1999, Andrews et al.)
(Adapted from model by Wolfe et al., 1996)
Factors Affecting Food Security in Older Adults
Food Insecurity Experience
Availability of Family
Savings
Unexpected Expenses
Fixed Income
Medical Costs
Poor Health, Physical Disabilities
Food Management Strategies
Community Characteristics
Lower IncomeLower Income
Fewer servings of fruitLower caloric intakeLower intake of vitamin C, B vitaminsLess likely to eat breakfastSkip lunch and dinner, fewer snacks
(Guthrie et al., 2002)
Higher IncomeHigher Income
More reported use of dietary supplementsMore likely to have all key nutrients More total fat/saturated fatMore foods prepared outside the homeMore sodium than recommended
(Guthrie et al., 2002)
Food Insecure Food Insecure
Lower mean intakes: protein, folate, iron, zinc
Fewer servings of vegetables, meatLess dietary varietyHigher risk of underweight
(NHANES III, 2000)
What should the educator know? What should the educator know?
Nutrition Programs
USDA: Meals-on Wheels, Congregate Meals
Food StampsSupplemental Foods
How do older adults learn?
Written materials most helpful; food labels (Krinke, 1990)
Personalize the learning, multi-sensory education (Sharpe et al., 1996)
Younger old more likely to believe in positive outcomes of behavior change
(Contento et al., 1995)
Train the Trainer
North Carolina Congregate Meals sites “Meals on a Budget”—8 weeks, ½ hr lessons Cutting food costs, eating healthfully, improving
nutritional status Increased meal site managers’ confidence
(McClelland et al., 2002)
What can the educator do? What can the educator do?
Senior Nutrition Awareness Program (SNAP)
Connecticut, RI Congregate Meal sites Group nutrition education workshops Healthy cooking classes Handouts/fact sheets, website, cable TV
Summary Summary
Provide nutrition education within context:
– Physical limitations– Psychological issues– Environmental factors– Socioeconomic
Community Nutrition Update—Community Nutrition Update—Conclusion Conclusion
Eating together is a critical component
Environment influences eating patterns
Learn the learning style
Eating habits are established early
But….changes may be made throughout lifecycle
Education programs need evaluation App 102402