The consumption of protein-rich foods in older adults: An exploratory focus group study

Objective: Many older adults consume inadequate protein for their needs. This study explored the factors associated with the consumption of high-protein foods in older adults. Methods: Participants over the age of 65 years (n = 28) took part in 1 of 4 focus group discussions on meat, fish, eggs, dairy products, nuts, and pulses. Discussions were audio taped, transcribed, and analyzed using thematic analysis. Results: Numerous and various reasons for the consumption and non-consumption of high-protein foods were reported. Many of these reasons result from reductions in chemosensory, dental and physical abilities, and changes in living situation in the older population, and have impact specifically on high-protein foods because of their often hard, perishable and need-to-be-cooked nature, and high cost. Conclusions and Implications: Further work is required to establish the importance of each of thesereasons in relation to protein intakes, to prioritize those of likely greatest impact for increasing intakes. © 2013 Society for Nutrition Education and Behavior

Modification of aftertaste with a menthol mouthwash reduces food wanting, liking, and ad <i>libitum </i>intake of potato crisps

This research investigated the effect of modifying the aftertaste of potato crisps on (1) temporal sensory perception and (2) appetite using three mouthwash conditions (no mouthwash, a water mouthwash, and a menthol mouthwash). For the sensory study, 17 screened female subjects were trained on the Temporal Dominance of Sensations (TDS) methodology. Subjects undertook TDS to monitor all sensory attributes during the mastication of a 2 g crisp until swallowing (at 20s), then conducted the mouthwash, and then continued the TDS task to monitor aftertaste until 90s. For the appetite study, 36 subjects (18 male, 18 female) completed 100 mm Visual Analogue Scales (VAS) for desire, liking, hunger, and thirst, followed by an ad libitum eating task. For the VAS scales testing, subjects chewed and swallowed a 2 g crisp, and then immediately conducted the mouthwash before completing the VAS scales. For the ad libitum task, subjects were given 12 min to consume as many crisps as they desired on a plate (up to 50 g). Every three minutes they were required to conduct a mouthwash. TDS results showed that in comparison with no mouthwash, the water mouthwash significantly reduced aftertaste attributes such as savoury, salty, and fatty mouthcoating, and the menthol mouthwash significantly increased aftertaste attributes of cooling, minty, and tingly. The water mouthwash did not influence desire and liking of crisps, or hunger and thirst. The water mouthwash did not influence ad libitum intake of the crisps over a 12 min period. The menthol mouthwash significantly reduced desire and liking of the crisps, as well as hunger and thirst. Furthermore, the menthol mouthwash significantly reduced ad libitum crisp intake by 29% over the 12 min period

Noncariogenic Sweeteners: Sugar Substitutes for Caries Control

The evidence is clear that the incidence of dental caries is related to the frequency of eating sugar. The use of sugar substitutes is a suggested way of reducing sugar intake. A variety of noncariogenic sweeteners exists, but most have no practical value for caries control because of their technical or safety problems, taste, or cost. Urinary bladder tumorigenic effects have been reported in experimental animals treated with saccharin and cyclamates. Because of concerns for human safety, cyclamates were banned in the U.S., and saccharin use was permitted only by special legislation. The polyalcohols sorbitol and xylitol are important sugar substitutes since they are not efficient substrates for plaque bacteria and therefore produce only minimal plaque pH drop. Aspartame, with its sugar-like taste, is an excellent low-calorie sweetener now used in over 100 products under the name NutraSweet. Consumption of aspartame by normal humans is safe and does not promote tooth decay. Individuals with a need to control their phenylalanine intake should handle aspartame like any other source of phenylalanine

Relationship of Nutritional Status with Oral Health Status in Visual Impairment

To analyze the relationship of nutritional status with oral health status among visual impairment. The subjects were 146 elderly people (70 males and 76 females) aged 20-72 years (mean 48.8&plusmn;6.2 years), Phitsanulok, Thailand. Mini Nutritional Assessment (MNA) questionnaires were administered. Oral examinations investigated the number of present teeth, DMFT and Functional Tooth Units (FTUs). According to the MNA score, 44.5% of subjects were categorized as normal nutrition, 47.3% as questionable, and 8.2 % as malnutrition. The mean numbers of present teeth and FTUs were 17.8&plusmn;6.9 and 6.9&plusmn;3.2, respectively. Subjects with malnutrition had lower numbers of present teeth (10.7&plusmn;1.4) and FTUs (4.3&plusmn;1.7) than those with normal nutrition (20.2&plusmn;0.7 and 12.3&plusmn;0.5) (p&le;0.05). Nutritional status of visual impaired Thai was associated with mean numbers of present teeth and FTUs. Keeping many natural teeth or having appropriate numbers of FTUs by replacing missing teeth with dentures would prevention malnutrition

Consequences of Tooth Loss on Oral Function and need for Replacement of Missing Teeth Among Patients Attending Muhimbili Dental Clinic

Tanzanian oral health services constitute mainly of tooth extractions. Consequently, individuals susceptible to dental caries and periodontal diseases will have a substantial number of missing teeth, which can affect oral function. The main objective of this study was to determine the consequences of tooth loss on the oral function and need for replacement of lost teeth among patients seeking treatment at the School of Dentistry MUHAS. During a period of three months, patients seeking dental treatment at the School of Dentistry were recruited for the study. Criteria included age of 20 years and above with one or more missing teeth except for third molars. Participants were interviewed for demographic information, chewing ability, symptoms of temporomandibular disorder and perceived need for replacement of missing teeth. Afterwards the subjects were examined to asses: caries status, tooth mobility, occlusal tooth wear, over eruption of unopposed teeth, and signs of temporomandibular disorders. Data was analyzed using Statistical Package for Social Sciences SPSS 16. For comparison of proportions, chi-square analysis and t test were used. A linear regression analysis was performed, with the chewing ability score as the dependent variable and number of POP as the independent variable A total of 361 subjects with mean age of 40.2 years (s.d. = 14.2, range = 20-93 years) were recruited into the study. About half 175 (48.5%) of the subjects reported some difficulty with chewing. Generally the fewer the occluding pairs present the greater the difficulty in chewing observed. Subjects with more than 6 posterior occlusal pairs appeared to have little problem in chewing across the whole range of foods. The frequency of signs and symptoms of TMD and excessive tooth wear increased with decreasing number of posterior occluding pairs, being more evident in subjects with less than 3 posterior occlusal pairs remaining. Over a third of the participants had one or more teeth with severe overeruption but none reported impairment of oral function. More than half of the subjects needed replacement for missing teeth. From this study, it is concluded that tooth loss leading to a dentition of 5 to 6 occlusal pairs impairs chewing of hard foods but not soft foods. Extensive loss of teeth leading to less than 3 POP is associated with increased symptoms of TMD and excessive vii tooth wear of occluding teeth. Need for replacement of missing teeth is high for both anterior and posterior regions with the cost of dentures being the main barrier to replacement of missing teeth. Dental personnel should make an effort to identify individuals with risk of tooth loss in order to retain at least 6 well-distributed posterior occlusal pairs. Dental laboratory services need improvement in order to be able to provide quality replacement of missing teeth at affordable costs. Further long-term multicenter studies to evaluate the consequence of tooth loss and assist in giving a more accurate projection needs for dentures nationwide are required

European consumers' interest in nutrition information on (sugar-free) chewing gum

Much consumer and public health research into nutrition labelling has explored the effects of information provision on consumer behaviour and how it can help consumers in making informed food choices. Among other things, it has been shown that European consumers' interest in and use of nutrition information varies greatly across country and product category. Chewing gum represents an understudied product category where little is known about whether consumers are interested in and would use nutrition information, let alone where they might want to access it due to small pack sizes limiting the space available to provide the information. The present study investigates European consumers (n = 3500) in seven countries and shows that while overall interest in nutrition information on chewing gum is relatively low, considerable differences can be observed with regards to users of regular versus sugar-free chewing gum, as well as with regards to low/medium versus heavy users. Sugar-free chewing gum users are more interested in general as well as specific nutrition information that is relevant for chewing gum, compared to regular chewing gum users. And low and medium user groups have a better awareness of which nutrients are relevant for chewing gum, compared to heavy users who appear less concerned about nutrition and health. The results provide insights into European consumers' attitudes towards nutrition information for chewing gum, and alternative sources of such information provision as pack size is a limiting factor in regards to this product

Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition

Although the prevalence of malnutrition in the old age is increasing worldwide a synthetic understanding of the impact of aging on the intake, digestion, and absorption of nutrients is still lacking. This review article aims at filling the gap in knowledge between the functional decline of the aging gastrointestinal tract (GIT) and the consequences of malnutrition on the health status of elderly. Changes in the aging GIT include the mechanical disintegration of food, gastrointestinal motor function, food transit, chemical food digestion, and functionality of the intestinal wall. These alterations progressively decrease the ability of the GIT to provide the aging organism with adequate levels of nutrients, what contributes to the development of malnutrition. Malnutrition, in turn, increases the risks for the development of a range of pathologies associated with most organ systems, in particular the nervous-, muscoskeletal-, cardiovascular-, immune-, and skin systems. In addition to psychological, economics, and societal factors, dietary solutions preventing malnutrition should thus propose dietary guidelines and food products that integrate knowledge on the functionality of the aging GIT and the nutritional status of the elderly. Achieving this goal will request the identification, validation, and correlative analysis of biomarkers of food intake, nutrient bioavailability, and malnutrition.info:eu-repo/semantics/publishedVersio

Elimination of avoidable blindness due to cataract: where do we prioritize and how should we monitor this decade?

BACKGROUND: In the final push toward the elimination of avoidable blindness, cataract occupies a position of eminence for the success of the Right to Sight initiative. AIMS: Review existing situation and assess what monitoring indicators may be useful to chart progress towards attaining the goals of Vision 2020. SETTINGS AND DESIGN: Review of published papers from low and middle income countries since 2000. MATERIALS AND METHODS: Published population-based data on prevalence of cataract blindness/visual impairment were accessed and prevalence of cataract blindness/visual impairment computed, where not reported. Data on prevalence of cataract blindness, cataract surgical coverage at different visual acuity cut offs, surgical outcomes, and prevalence of cataract surgery were analyzed. Scatter plots were used to look at relationships of some variables, with Human Development Index (HDI) rank. Available data on Cataract Surgical Rate (CSR) was plotted against prevalence of cataract surgery reported from surveys. RESULTS: Worse HDI Ranks were associated with higher prevalence of cataract blindness. Most studies showed that a significant proportion of the blind were covered by surgery, while a fifth showed that a significant proportion, were operated before they went blind. A good visual outcome after surgery was positively correlated with higher surgical coverage. CSR was positively correlated with cataract surgical coverage. CONCLUSIONS: Cataract surgical coverage is increasing in most countries at vision <3/60 and visual outcomes after cataract surgery are improving. Establishing population-based surveillance of cataract surgical need and performance is a strong monitoring tool and will help program planners immensely

Gender and Age Related Effects While Watching TV Advertisements: An EEG Study

The aim of the present paper is to show how the variation of the EEG frontal cortical asymmetry is related to the general appreciation perceived during the observation of TV advertisements, in particular considering the influence of the gender and age on it. In particular, we investigated the influence of the gender on the perception of a car advertisement (Experiment 1) and the influence of the factor age on a chewing gum commercial (Experiment 2). Experiment 1 results showed statistically significant higher approach values for the men group throughout the commercial. Results from Experiment 2 showed significant lower values by older adults for the spot, containing scenes not very enjoyed by them. In both studies, there was no statistical significant difference in the scene relative to the product offering between the experimental populations, suggesting the absence in our study of a bias towards the specific product in the evaluated populations. These evidences state the importance of the creativity in advertising, in order to attract the target population

Prevelence and causes of visual impairment and blindness in older adults in an area of India with a high cataract surgical rate.

BACKGROUND: The cataract surgical rate (CSR) in Gujarat, India is reported to be above 10,000 per million population. This study was conducted to investigate the prevalence and causes of vision impairment/blindness among older adults in a high CSR area. METHODS: Geographically defined cluster sampling was used in randomly selecting persons >or= 50 years of age in Navsari district. Subjects in 35 study clusters were enumerated and invited for measurement of presenting and best-corrected visual acuity and an ocular examination. The principal cause was identified for eyes with presenting visual acuity < 20/32. RESULTS: A total of 5158 eligible persons were enumerated and 4738 (91.9%) examined. Prevalence of presenting visual impairment < 20/63 to 20/200 in the better eye was 29.3% (95% confidence interval [CI]: 27.5-31.2) and 13.5% (95% CI: 12.0-14.9) with best correction. The prevalence of presenting bilateral blindness (< 20/200) was 6.9% (95% CI: 5.7-8.1), and 3.1% (95% CI: 2.5-3.7) with best correction. Presenting and best-corrected blindness were both associated with older age and illiteracy; gender and rural/urban residence were not significant. Cataract in one or both eyes was the main cause of bilateral blindness (82.6%), followed by retinal disorders (8.9%). Cataract (50.3%) and refractive error (35.4%) were the main causes in eyes with vision acuity < 20/63 to 20/200, and refractive error (86.6%) in eyes with acuity < 20/32 to 20/63. CONCLUSIONS: Visual impairment and blindness is a significant problem among the elderly in Gujarat. Despite a reportedly high CSR, cataract remains the predominant cause of blindness