Abstract
Establishing reliable nutrient requirements for individuals over the age of 65 years is a difficult task. Research on nutrient requirements in the aged is sparse and often contradictory. However, there are important clues in the literature suggesting that requirements for certain nutrients are altered with age and that preventable nutrient deficiencies exist. Energy expenditure and caloric intake typically decline with age. Unless nutrient density of the diet improves, a parallel decline in vitamin and mineral intake is inevitable. Deficiencies or suboptimal intakes of water-soluble vitamins, vitamin D, calcium, zinc, copper, chromium, and water are reported in groups of older adults. Marginal nutrient deficiencies in this population may easily go undetected and contribute to morbidity.
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Food and Nutrition Board, National Academy of Sciences, National Research Council:Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press, 1989
Klein S, Rogers R: Nutritional requirements in the elderly.Gastroenterol Clin N Am 19:473–491, 1990
Drinka PJ, Goodwin JS: Prevalence and consequences of vitamin deficiency in the nursing home: a critical review.J Am Geriatr Soc 39:1008–1017, 1991
Goodwin JS: Social, psychological and physical factors affecting the nutritional status of elderly subjects: separating cause and effect.Am J Clin Nutr 50:1201–1209, 1989
Hegsted DM: Recommended dietary intakes of elderly subjects.Am J Clin Nutr 50:1190–1194, 1989
Rosenberg IH: Summary comments: epidemiologic and methodologic problems in determining nutritional status of older persons.Am J Clin Nutr 50:1231–1233, 1989
Baker H, Frank O, Jaslow SP: Oral versus intramuscular vitamin supplementation for hypovitaminosis in the elderly.J Am Geriatr Soc 28:42–45, 1980
Baker H, Frank O, Thind IS, Jaslow SP, Louria DB: Vitamin profiles in elderly persons living at home or in nursing homes, versus profile in healthy young subjects.J Am Geriatr Soc 27:444–450, 1979
Vir SC, Love AHG: Nutritional status of institutionalized and non-institutionalized aged in Belfast, Northern Ireland.Am J Clin Nutr 32:1934–1947, 1979
Leverton RM: The RDAs are not for amateurs.J Am Diet Assoc 66:9–11, 1975
Vaughan L, Zurlo F, Ravussin E: Aging and energy expenditure.Am J Clin Nutr 53:821–825, 1991
Kuczmarski RJ: Need for body composition information in elderly subjects.Am J Clin Nutr 50:1150–1157, 1989
Zheng JJ, Rosenberg IH: What is the nutritional status of the elderly?Geriatrics 44:57–64, 1989
Suter PM, Russel RM: Vitamin requirements of the elderly.Am J Clin Nutr 45:501–512, 1987
Carter WJ: Macronutrient requirements for elderly persons. In: Chernoff R (ed.):Geriatric Nutrition: The Health Professional's Handbook. Gaithersburg, Maryland: ASPEN Publications, 1991, pp 11–24
Mertz W: Minerals. In: Horwitz A, Macfadyen DM, Munro H, Scrimshaw NS, Steen B, Williams TF (eds.):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 137–150
Rudman D, Feller AG: Protein-calorie undernutrition in the nursing home.J Am Geriatr Soc 37:173–183, 1989
James WPT: Energy. In: Horwitz A, Macfadyen DM, Munro H, Scrimshaw NS, Steen B, Williams TF (eds):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 49–64
Fischer J, Johnson MA: Low body weight and weight loss in the aged.J Am Diet Assoc 90:1697–1706, 1990
Dwyer JT, Coleman KA, Krall E, Yang GA, Scanlan M, Galper L, Winthrop E, Sullivan P: Changes in relative weight among institutionalized elderly adults.J Gerontol 42:246–251, 1987
Sullivan DH, Walls RC, Lipschitz DA: Protein-energy undernutrition and the risk of mortality within 1 year of hospital discharge in a select population of geriatric rehabilitation patients.Am J Clin Nutr 53:599–605, 1991
Potter JF, Schafer DF, Bohi RL: In-hospital mortality as a function of body mass index: an age dependent variable.J Gerontol 43:M59-M63, 1988
Robbins LJ: Evaluation of weight loss in the elderly.Geriatrics 44:31–37, 1989
Horwath CC: Dietary intake studies in elderly people.World Rev Nutr Diet 59:1–70, 1989
Young VR, Munro HN, Fukagawa N: Protein and functional consequences of deficiency. In: Horowitz A, Macfadyen DM, Munro H, Scrimshaw NS, Steen B, Williams TF (eds.):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 65–84
Young VR: Amino acids and proteins in relation to the nutrition of elderly people.Age Ageing 19:S10-S24, 1990
Zanni E, Calloway DH, Zezulka AY: Protein requirements of elderly men.J Nutr 109:513–524, 1979
Uauy R, Scrimshaw NS, Young VR: Human protein requirements: nitrogen balance response to graded levels of egg protein in elderly men and women.Am J Clin Nutr 31:779–785, 1978
Cheng AHR, Gomez A, Gergan JG, Lee TC, Monckeberg F, Chichester CO: Comparative nitrogen balance study between young and aged adults using three levels of protein intake from a combination wheat-soy-milk mixture.Am J Clin Nutr 31:12–22, 1978
Gersovitz M, Motil K, Munro HN, Scrimshaw NS, Young VR: Human protein requirements: assessment of the adequacy of the current recommended allowance for dietary protein in elderly men and women.Am J Clin Nutr 35:6–14, 1982
Chemoff R: Physiologic aging and nutritional status.Nutr Clin Practice 5:8–13, 1990
Henderson CT: Nutrition. In: Cassel CK, Riesenberg DE, Sorensen LB, Walsh JR (eds.):Geriatric Medicine. New York: Springer-Verlag, 1990, pp 535–544
Jenkins DJA, Rainey-Macdonald CG, Jenkins AL: Dietary fibre. In: Horwitz A, Macfadyen DM, Munro H, Schrimshaw NS, Steen B, Williams TF (eds.):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 94–108
National Research Council, Report of the Committee on Diet and Health, Food and Nutrition Board:Diet and Health: Implicationsfor Reducing Chronic Disease Risk. Washington, DC: National Academy Press, 1989, pp 291–309
Lanza E, Jones DY, Block G, Kessler L: Dietary fiber intake in the U.S. population.Am J Clin Nutr 46:790–797, 1987
Hull C, Greco RS, Brooks DL: Alleviation of constipation in the elderly by dietary fiber supplementation.J Am Geriatr Soc 28:410–414, 1980
Pringle R, Pennington MJ, Pennington CR, Ritchie RT: A study of the influence of a fibre biscuit on bowel function in the elderly.Age Ageing 13:175–178, 1984
Sandman PO, Adolfsson R, Hallmans G, Nygren C, Nystrom L, Winblad B: Treatment of constipation with high-bran bread in long-term care of severely demented elderly patients.J Am Geriatr Soc 31:289–293, 1983
Reiff TR: Body composition with special reference to water. In: Horwitz A, Macfadyen DM, Munro H, Scrimshaw NS, Steen B, Williams TF (eds.):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 115–122
Phillips PA, Rolls BJ, Ledingham JGG, Forsling ML, Morton JJ, Crowe MJ, Wollner L: Reduced thirst after water deprivation in healthy elderly men.N Engl J Med 311:753–759, 1984
Rhodos NL, Brown J: The association of xerostomia and inadequate intake in older adults.J Am Diet Assoc 90:1688–1692, 1990
Gibson RS:Principles of Nutritional Assessment. New York: Oxford University Press, 1990
Jones G: Fat-soluble vitamins, Part l: Vitamins A and D. In: Chen LH (ed.):Nutritional Aspects of Aging, vol 1. Boca Raton, FL: CRC Press, 1986, pp 195–212
Krasinski SD, Cohn JS, Schaefer EJ, Russell RM: Postprandial plasma retinyl ester response is greater in older subjects compared with younger subjects: evidence for delayed plasma clearance of intestinal lipoproteins.J Clin Invest 85:883–892, 1990
Maiani G, Mobarhan S, Ceccanti M, Ranaldi L, Gettner S, Brwen P, Friedman H, De Lorenzo A, Ferro-Luzzi A: Betacarotene serum response in young and elderly females.Eur J Clin Nutr 43:749–761, 1989
Kraenzlin ME, Jennings JC, Baylink DJ: Disorders of bone and mineral metabolism. Calcium and bone homeostasis with aging. In: Hazzard WR, Andres R, Bierman EL, Blass JP (eds.):Principles of Geriatric Medicine and Gerontology. New York: MeGraw-Hilt, 1990, pp 799–812
Armbrecht HJ, Zenser TB, Davis BB: Effect of age on the conversion of 25-hydroxyvitamin D3 to 1,25 dihydroxyvitamin D3 by kidney of rat.J Clin Invest 66:1118–1123, 1980
Armbrecht HJ: Changes in calcium and vitamin D metabolism with age. In: Armbrecht HJ, Prendergast JM, Coe RM (eds.):Nutritional Intervention in the Aging Process. New York: Springer-Verlag, 1984, pp 69–83
Parfitt AM, Chir B, Gallagher JC, Heaney RP, Johnston CC, Neer R, Whedon GD: Vitamin D and bone health in the elderly.Am J Clin Nutr 36:1014–1031, 1982
MacLaughlin J, Holick MF: Aging decreases the capacity of human skin to produce vitamin D3.J Clin Invest 76:1536–1538, 1985
Wahlqvist ML, Flint-Richter DM: Vitamins. In: Horwitz A, Macfadyen DM, Munro H, Scrimshaw NS, Steen B, Williams TF (eds.):Nutrition in the Elderly. Oxford: Oxford University Press, 1989, pp 123–136
Sandler RB, Slemenda CW, LaPorte RE, Cauley JA, Schramm MM, Barresi ML, Kriska AM: Postmenopausal bone density and milk consumption in childhood and adolescence.Am J Clin Nutr 42:270–274, 1985
Hunt IF, Murphy NJ, Clark VA, Judd HL, Cedars MI, Browdy BL: Bone mineral content in postmenopausal women, calcium intake early in life, and estrogen therapy.Nutr Res 10:1061–1071, 1990
Heaney RP, Gallagher JC, Johnston CC, Neer R, Parfitt AM, Whedon GD: Calcium nutrition and bone health in the elderly.Am J Clin Nutr 36:986–1013, 1982
Bales CW: Nutritional aspects of osteoporosis: recommendations for the elderly at risk.Annu Rev Gerontol Geriatr 9:7–34, 1989
Recker RR: Calcium absorption and achlorhydria.N Engl J Med 313:70–73, 1985
Riggs BL: Practical management of the patient with osteoporosis. In: Riggs BL, Melton LJ III (eds.):Osteoporosis: Etiology, Diagnosis and Management. New York: Raven, 1988, pp 481–490
Cumming RG: Calcium intake and bone mass: a quantitative review of the evidence.Calcif Tissue Int 47:194–201, 1990
Fosmire GF: Trace metal requirements. In: Chernoff R (ed.):Geriatric Nutrition: The Health Professional's Handbook. Gaithersburg, Maryland: ASPEN Publications, 1991, pp 77–105
Rammohan M, Juan D, Jung D: Hypophagia among hospitalized elderly.J Am Diet Assoc 89:1774–1779, 1989
Flint DM, Wahlqvist ML, Smith TJ, Parish AE: Zinc and protein status in the elderly.J Hum Nutr 35:287–295, 1981
Greger JL: Dietary intake and nutritional status in regard to zinc of institutionalized aged.J Gerontol 32:549–553, 1977
Solomons NW: Zinc and copper. In: Shils ME, Young VR (eds.):Modern Nutrition in Health and Disease. Philadelphia: Lea and Febiger, 1988, pp 238–262
Anderson RA: Selenium, chromium, and manganese (B) chromium. In: Shils ME, Young VR (eds.):Modern Nutrition in Health and Disease. Philadelphia: Lea and Febiger, 1988, pp 268–273
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This work was performed at the University of Connecticut, School of Allied Health Professions, U-101, Storrs, CT 06269-2101
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Kerstetter, J.E., Holthausen, B.A. & Fitz, P.A. Nutrition and nutritional requirements for the older adult. Dysphagia 8, 51–58 (1993). https://doi.org/10.1007/BF01351480
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DOI: https://doi.org/10.1007/BF01351480