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Older People Living in the\ud Community - Nutritional Needs,\ud Barriers and Interventions: a\ud Literature Review

By Jacklyn Jones, Maresa Duffy, Yvonne Coull and H Wilkinson

Abstract

Introduction\ud 1. This literature review focuses on the nutritional needs of older adults living in the\ud community, the barriers to them meeting their nutritional needs and interventions\ud which may be successful in improving nutritional intake. Good nutrition plays a vital\ud role in the wellbeing and health of older people but also helps delay and reduce the\ud risk of developing disease.\ud Aims\ud 2. The aims of the review are to:\ud • Identify the nutritional needs of older people living in the community and\ud barriers to them meeting their nutritional requirements.\ud • Identify effective dietary and other interventions, including interventions to\ud improve food access for older people (including cooking clubs, delivered\ud meals/food etc) and use of supplements (of which vitamin D may be one), to\ud improve health outcomes (including nutritional status) of this population group

Publisher: Scottish Government Social Research
OAI identifier: oai:eresearch.qmu.ac.uk:1266

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Citations

  1. (2005). A comparison of health inequalities in urban and rural doi
  2. (2001). A healthy body, a healthy mind: long-term impact of diet on mood and cognitive function. doi
  3. (2007). A review of reviews: A new look at the evidence for oral nutritional supplements in clinical practice. Clinical Nutrition Supplements. doi
  4. (2001). Ability of fat and fat-free mass percentages to predict functional disability in older men and women. doi
  5. (2005). Abnormalities of Water Homeostasis in Aging. doi
  6. (2008). Accessing Healthy Food: A Sentinel Mapping Study of Healthy Food Retailing in Scotland. Food Standards Agency doi
  7. (2001). Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years. doi
  8. Agency. (2009a) Eat well be well. Helping you make healthier choices. Available from URL: http://www.eatwell.gov.uk/healthydiet/nutritionessentials/drinks/drinkingenough/
  9. (2007). All our futures: planning for a Scotland with an ageing population Edinburgh. Scottish Executive.
  10. (2005). An approach to evaluating drug-nutrient interactions. doi
  11. (2005). An approach to the management of unintentional weight loss in elderly people. doi
  12. (2008). An overview of the role of diet during the ageing process. doi
  13. (2004). Antioxidants and physical performance in elderly persons: the Invecchiare in Chianti (InCHIANTI) study.
  14. (1998). At which body mass index and degree of weight loss should hospitalized elderly patients be considered at nutritional risk? Clinical Nutrition. doi
  15. (1993). Available form URL: http://www.scotland.gov.uk/Resource/Doc/277346/0083283.pdf (Accessed 29.10.09)
  16. (2009). Body Mass Index classification (BMI) Available from URL:
  17. (1990). Body weight and the three-year prognosis in very old people. doi
  18. (2004). Commissioning community care services for older people. Audit Scotland.
  19. (2008). Complex interventions to improve physical function and maintain independent living in the elderly people. A systematic review and meta analysis. The Lancet. doi
  20. (2009). Deriving and interpreting dietary patterns in the Scottish diet: further analysis of the Scottish health survey and expenditure and food survey. Food Standards Agency Scotland. doi
  21. (2007). Dietary advice for illness-related malnutrition in adults. doi
  22. (2005). Dietary variety predicts low body mass index and inadequate macronutrient and micronutrient intakes in community dwelling older adults. doi
  23. (2003). Disease-related malnutrition: an evidence based approach to treatment. doi
  24. (2008). Does taking vitamin, mineral and fatty acid supplements prevent cognitive decline? A systematic review of randomized controlled trials. doi
  25. (2004). Eating well for older people: Practical and nutritional guidelines for food in residential and nursing homes and for community meals. (Second Edition) Abbots Langley: The Caroline Walker Trust.
  26. (2006). Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: cluster randomised controlled trial. doi
  27. (1998). Epidemiology of sarcopenia among the elderly in New Mexico. doi
  28. (2006). European Nutrition for Health Alliance. doi
  29. (1997). Evaluation of validity of British anthropometric reference data for assessing nutritional state of elderly people in Edinburgh. doi
  30. (2008). Folic acid with or without vitamin B12 for the prevention and treatment of healthy elderly and demented people. doi
  31. (2004). Food access and dietary variety among older people. doi
  32. (2008). Food and drug interaction: consequences for the nutrition/health status. doi
  33. (1999). Food availability and choice in rural Scotland: the impact of “place”. doi
  34. (2006). Food poverty and older people.
  35. (2007). Food Standards Agency (2009b) Public attitudes to food issues – further analysis on those aged over 65. Available from:
  36. G.R.(2006) Effects of ageing on smell and taste. doi
  37. (1991). Health (DH) Committee on Medical Aspects of Food Policy
  38. (2009). Healthy Ageing. The role of nutrition and lifestyle. Wiley-Blackwell for the British Nutrition Foundation. doi
  39. (2008). How access, isolation and other factors may influence food consumption and nutrient intake in materially deprived older men in the UK. Nutrition Bulletin. doi
  40. (2003). Improvement Scotland
  41. (1994). Incidence and recognition of malnutrition in hospital. doi
  42. (2007). Inequalities in health in Scotland: what are they and what can we do about them?
  43. (2004). Influence of age on mastication: effects on eating behaviour. Nutrition Research Reviews. doi
  44. (2003). Living In Scotland: An Urban-Rural Analysis Of The Scottish Household Survey. The Scottish Government. Available from URL:
  45. (2006). Low micronutrient levels as a predictor of incident disability in older women. doi
  46. (2008). Monitoring poverty and social exclusion. Joseph Rowntree Foundation. York. Available from URL: www.jrf.org.uk or www.poverty.org.uk. (accessed 03.7.09) Park,
  47. (1998). National Diet and Nutrition Survey: people aged 65 years and over.
  48. (1998). Nutrition and Bone Health: with particular reference to calcium and vitamin doi
  49. (2003). Nutrition for Healthy Ageing. doi
  50. (2006). Nutrition support in adults Oral nutrition support enteral tube feeding and parenteral nutrition. National Collaborating Centre for Acute Care, London. Available from URL www.rcseng.ac.uk.
  51. (2006). Nutritional factors, cognitive decline, and dementia. doi
  52. (2007). Obesity in Scotland. An epidemiology briefing. Edinburgh. Scottish Public Health Observatory.
  53. (2005). of Care Catering doi
  54. (2004). Older people and community care in Scotland: a review of recent research.
  55. (2006). Omega-3 fatty acid for the prevention of dementia. Cochrane Database Syst. doi
  56. (2000). Oral health problems and significant weight loss among community-dwelling older adults. doi
  57. (2007). Peer Educators' Perceptions of Training for and Implementing a Community-Based Nutrition Intervention for Older Adults. doi
  58. (2002). Physical exercise or micronutrient supplementation for the wellbeing of the frail elderly? A randomised controlled trial. doi
  59. (2005). Population Ageing and Health Care. Ageing Horizons Issue 2:15–20.
  60. (2002). Predictors of micronutrient status in men and women over 75 years old living in the community. doi
  61. (2009). Preventing Malnutrition in later life. The role of community food projects. The Caroline Walker Trust.
  62. (2009). Protein and energy supplementation in elderly people at risk from malnutrition. doi
  63. (2000). Protein-energy undernutrition in hospital inpatients. doi
  64. (2008). Recipe for life: Helping older people to eat well. Practice development projects. The Royal Bank of
  65. (2005). Recipe for life: Helping older people to eat well. The Royal Bank of
  66. (1989). Review: under-nutrition in elderly people. Age and Ageing. doi
  67. (2008). Risk factors for anxiety and depression in the elderly: A review.
  68. (2000). Sarcopenia and its implications for the elderly. doi
  69. (2007). Sarcopenic obesity: A new category of obesity in the elderly. Nutrition, Metabolism and Cardiovascular Diseases. doi
  70. (2007). Scientific Advisory Committee on Nutrition doi
  71. Scottish Executive (2000a) Community Care: A Joint Future. Joint Future Group,
  72. Scottish Executive (2000b) Rebalancing Care of Older People. Joint Future Group,
  73. Scottish Executive (2005a) Building a health service fit for the future: A national framework for service change in the NHS in Scotland.
  74. Scottish Executive (2005b) National Care Standards: Care at Home.
  75. Scottish Government (2008a) Healthy Eating Active Living: An action plan to improve diet, increase physical activity and tackle obesity (2008-2011). Edinburgh. The Scottish Government.
  76. Scottish Government (2008b) Free personal and nursing care in Scotland.
  77. Scottish Government (2008c) Food in Hospitals. National Catering and Nutrition Specification for Food and Fluid Provision in Scottish Hospitals. Edinburgh. The Scottish Government.
  78. Scottish Government (2009a) Scotland performs. National Performance Framework Available from URL: http://www.scotland.gov.uk/About/scotPerforms (Accessed 18.05.09).
  79. (2008). Scottish Government (2009b) The Scottish Health Survey
  80. Scottish Government (2009d) Rural Scotland Key Facts 2009: People and Communities: Services and Lifestyle: Economy and Enterprise. Edinburgh. The Scottish Government.
  81. (1997). Systematic review of the effectiveness of laxatives in the elderly.
  82. (2008). Tackling malnutrition among older people in the community – summary report.
  83. (2000). Taste and smell perception affect appetite and immunity in the elderly. doi
  84. (2006). The cost of diseaserelated malnutrition in the UK and economic considerations for the use of oral nutritional supplements (ONS) in adults. Reddich. British Association of Parenteral and Enteral Nutrition.
  85. (2003). The effect of vitamin B6 on cognition. Cochrane Database Systematic Reviews. doi
  86. (2008). The evaluation of the Angus Gold Project: a partnership approach to digital education and social inclusion.
  87. (2001). The health and well-being of older people in Scotland.
  88. (2001). The interrelationship among muscle mass, strength, and the ability to perform physical tasks of daily living in younger and older women. doi
  89. (2001). The science and complexity of bitter taste. Nutrition Reviews. doi
  90. (2007). The Scottish Government Scottish Government doi
  91. (2003). The Scottish Health Survey. doi
  92. (1997). Under-nutrition in the elderly population living at home in the community: a review of the literature. doi
  93. (2003). Undernutrition in the UK. doi
  94. (2005). Use of BMI in the assessment of undernutrition in older subjects: reflecting on practice. doi
  95. (2007). Using the eatwell plate. Available from URL:
  96. (2003). Vitamin B12 for cognition. Cochrane Database of Systematic Reviews. doi
  97. (2002). Vitamin B12, folate, and homocysteine in depresión: the Rótterdam study. doi
  98. (2005). Vitamin D concentrations among people aged 65 years and over living in private households and institutions in England: population survey. doi
  99. (2006). Why are elderly individuals at risk of nutritional deficiency? doi
  100. (2002). World Health Organisation doi
  101. Your health your choice (2009) Available from URL: http://www.nhs.uk/Conditions/Depression/Pages/Symptoms.aspx (Accessed 18.05.09).

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