Antiaging
Services
Nutrition
and Aging
An
old adage "You are what you eat" is perfectly true as
shown by recent research in nutrition medicine carefully chosen
fresh, unpreserved food along with judicious use of balanced multivitamins
and mineral play very active role on how you age. Gastrointestinal
tract aging also play an important part as the absorption of many
substances decline with age. The number of calories one consumes
profound affects the level of free radical production and the
type of food one eats determines the range and amount of antioxidants
available to neutralize these free radicals.
The
generation of free radicals is starting point of aging process.
When a cell or Hypothalamus is damaged it no longer sends am appropriate
signal to pituitary to release Growth Hormone or other hormones
necessary for optimal body functions. Antioxidants like super
oxide dismutase (SOD) Catalas, Vit E, Vit C , Coenzyne Q10 and
L lipoic acid have to be maintained at good levels to decrease
the symptoms of aging and reversing the aging process.
The
timing of meals and the rapidity with which the Carbohydrates
in them are absorbed can change the metabolism of fat and production
of hormones as Insulin and Growth Hormone. This amount, type and
timing of food becomes of paramount importance in an individual,
out diet consultant have designed diet programmes keeping in mind
all these above facts and are superior to other diets in its age
reversing effects.
STRUCTURAL
CHANGES IN BODY WITH AGING
As
we age, we lose lean body mass. Reduced muscle mass includes skeletal
muscle, smooth muscle and muscle that affects vital organ function,
with loss of cardiac muscle perhaps the most important. Cardiac
capacity can be reduced and cardiac function impaired by chronic
diseases such as athero-sclerosis, hypertension or diabetes. Changes
also occur in the kidneys, lungs and liver, and in our ability
to generate new protein tissue. In addition, aging can slow the
immune system's response in making antibodies.
The most significant
result of the loss of lean body mass may be the decrease in basal
energy metabolism. Metabolic rate declines proportionately with
the decline in total protein tissue. To avoid gaining weight,
we must reduce calorie intake or increase activity. The goal is
energy balance.
Loss of lean
body mass also means reduced body water -- 72 percent of total
body water is in lean muscle tissue.
Total body
fat typically increases with age. This often can be explained
by too many calories. As we age, fat tends to concentrate in the
trunk and as fat deposits around the vital organs. However, in
more advanced years, weight often declines.
Finally, we
lose bone density. After menopause, women tend to lose bone mass
at an accelerated rate. Recent attention has focused on the high
incidence of osteoporosis. Severe osteoporosis is debilitating
and serious.
Fractures
and their associated illness and mortality are certainly a concern.
Also, vertebral compression fractures can change chest configuration.
This, in turn, can affect breathing, intestinal distension and
internal organ displacement.
Quick
Facts...
- Eat a variety
of foods to stay healthy.
- As we age,
it becomes more important that we eat more calcium, fiber, iron,
protein and vitamins A, C and folacin.
- To reduce
calories select nutrient-dense foods. Enjoy smaller portions
of foods high in fat, sugar and sodium.
Specific
Nutrient Needs
Calorie
needs change due to more body fat and less lean muscle. Less activity
can further decrease in calorie needs. The challenge for the elderly
is to meet the same nutrient needs as when they were younger,
yet consume fewer calories.
The answer
to this problem is to choose foods high in nutrients in relation
to their calories. Such foods are considered "nutrient-dense."
For example, low-fat milk is more nutrient dense than regular
milk. Its nutrient content is the same, but it has fewer calories
because it has less fat.
Protein needs
usually do not change for the elderly, although research studies
are not definitive. Protein requirements can vary because of chronic
disease. Balancing needs and restrictions is a challenge, particularly
in health care facilities. Protein absorption may decrease as
we age, and our bodies may make less protein. However, this does
not mean protein intake should be routinely increased, because
of the general decline in kidney function. Excess protein could
unnecessarily stress kidneys.
Reducing the
overall fat content in the diet is reasonable. It is the easiest
way to cut calories. This is appropriate to reduce weight. Lower
fat intake is often necessary because of chronic disease.
About
60 percent of calories should come from carbohydrates, with emphasis
on complex carbohydrates. Glucose tolerance may decrease with
advancing years. Complex carbohydrates put less stress on the
circulating blood glucose than do refined carbohydrates.
Such a regime
also enhances dietary fiber intake. Adequate fiber, together with
adequate fluid, helps maintain normal bowel function. Fiber also
is thought to decrease risk of intestinal inflammation. Vegetables,
fruits, grain products, cereals, seeds, legumes and nuts are all
sources of dietary fiber.
VITAMINS
AND MINERALS
Vitamin deficiencies
may not be obvious in aging individuals. However, any illness
stresses the body and may be enough to use up whatever stores
there are and make the person vitamin deficient. Medications also
interfere with many vitamins. When drug histories are looked at,
nutrient deficiencies emerge. Eating nutrient-dense foods becomes
increasingly important when calorie needs decline but vitamin
and mineral needs remain high.
The body can
store fat-soluble vitamins and usually the elderly are at lower
risk of fat-soluble vitamin deficiencies. Always provide vitamin
D-fortified milk for the housebound, nursing home residents, and
anyone who does not get adequate exposure to sunlight.
Iron and calcium
intake sometimes appears to be low in many elderly. To enhance
iron absorption from non-meat sources, such as cereals, eat a
wide selection of foods, including calcium-rich foods such as
low-fat dairy products. Add vitamin C-rich fruits and vegetables.
Thus, have juice or sliced fruit with cereal, tomato slices in
a cheese sandwich, and salsa with a bean burrito. Enhanced absorption
also can occur when you eat a vitamin C source with meats: baked
potato with roast beef, vegetables with fish, or fruit with chicken,
for example. (See 9.356, Iron: An Essential Nutrient.)
Zinc can be
related to specific diseases in the elderly. It can also be a
factor with vitamin K in wound healing. Zinc improves taste acuity
in people where stores are low. Habitual use of more than 15 mg
per day of zinc supplements, in addition to dietary intake, is
not recommended without medical supervision. If you eat meats,
eggs and seafood, zinc intake should be adequate. This underscores
the importance of eating a wide variety of foods.
Zinc along
with vitamins C and E, and the phytochemicals lutein, zeaxanthin
and beta-carotene may help prevent or slow the onset of age-related
macular degeneration. The best way to obtain these nutrients is
to consume at least five servings of fruits and vegetables, especially
dark green, orange and yellow ones. Good choices include kale,
spinach, broccoli, peas, oranges and cantaloupes. Consult your
doctor to see if a supplement may also be necessary.
Vitamin E
may have a potential role in the prevention of Alzheimer's disease.
Research has shown that eating foods with vitamin E, like whole
grains, peanuts, nuts, vegetable oils, and seeds, may help reduce
the risk of Alzheimer's disease. However, the same benefits did
not hold true for vitamin E from supplements.
Low levels
of vitamin B12 have been associated with memory loss and linked
to age-related hearing loss in older adults. As we age, the amount
of the chemical in the body, needed to absorb vitamin B12 decreases.
To avoid deficiency, older adults are advised to eat foods rich
in vitamin B12 regularly, including meat, poultry, fish, eggs
and dairy foods. Consult your doctor to see if a vitamin B12 supplement
may also be necessary.
Drugs used
to control diseases such as hypertension or heart disease can
alter the need for electrolytes, sodium and potassium. (See 9.361,
Nutrient-Drug Interactions and Food.) Even though absorption
and utilization of some vitamins and minerals becomes less effective
with age, higher intakes do not appear to be necessary. As for
any age group, it's important to enjoy a wide variety of foods.
FACT
SHEET OF VITAMINS
Multivitamin
pills:
There is no evidence to suggest that supplementing your diet with
a traditional daily multivitamin is harmful. Just don't use it
as a substitute for healthy eating. Multivitamins are a simple
and inexpensive way to ensure that you get at least a minimum
level of nutrients.
Beta-carotene:
Numerous studies conducted during the past decade have demonstrated
that a high intake of foods rich in beta-carotene reduces the
risk of cancer. Beta-carotene is also thought to protect against
cardiovascular disease and memory loss, but more research is needed
to confirm that. It is best to get beta-carotene through diet
as supplementation in high doses is still controversial - recent
Finnish studies have shown that it may actually increase the risk
of cancer in smokers. Good dietary sources are: yellow, orange
and green leafy vegetables.
Folic
acid:
Absorption of this important nutrient decreases with age. The
recommended daily intake is 400 mcg. High levels of folate and
vitamin B6 have been shown to reduce the risk of heart disease
in women. Good sources of folic acid (or folate) are: leafy vegetables,
liver, yeast and some fruits.
Vitamin
A:
Older people should not take vitamin A supplements
because they are at risk for vitamin A toxicity. Vitamin A is
easily absorbed, tends to build up in the liver and produces toxins
that are slow to clear out of the body. Symptoms of acute vitamin
A toxicity are: headache, drowsiness, dizziness, irritability,
nausea, vomiting and diarrhea. Symptoms of chronic toxicity include:
skin disorders, disturbed hair growth, fatigue and an enlarged
liver or spleen.
Vitamin
B6:
The recommended daily intake is 4 mg. Many older people are deficient
in vitamin B6, which can affect the ability to fight disease and
lead to increases in homocysteine, a risk factor for heart disease
and stroke. Good dietary sources are: chicken, fish, kidney, liver,
pork, eggs and, to a lesser extent, unmilled rice, soybeans, oats,
whole wheat products, peanuts and walnuts.
Vitamin
B12:
The recommended daily intake for vitamin B12 is .01 mg. About
one in 20 older adults suffers from vitamin B12 deficiency, a
condition that is associated with anemia, neurologic disorders
and other major health problems. Good food sources are red and
organ meats.
Vitamin
C: The
recommended daily intake is at least 200 mg. Some researchers
recommend daily doses up to 2000 mg, but doses higher than 1000
mg can cause kidney stones and chronic diarrhea in some people.
Vitamin C deficiency is associated with poor wound healing, easy
bruisability and scurvy. Recent evidence suggests that low blood
levels of vitamin C are also associated with memory loss in older
people, but this requires further research. Good dietary sources
are: citrus fruits, berries, peppers, potatoes and tomatoes.
Vitamin
E:
Recommended daily dose is 200 to 400 international units. Vitamin
E supplements are probably not needed, though. Good dietary sources
are: common vegetable oils and the products made from them, margarine,
shortening, wheat germ, nuts and green leafy vegetables.
MINERALS
Requirements
for most minerals do not change with age, with the exception of
iron and possibly calcium. Here are a few guidelines:
Calcium:
The recommended daily intake of calcium is 1200 mg for men and
1500 for women. The usual diet of older people includes about
half that, so calcium supplements should be taken if necessary
to raise daily intake. Calcium helps retard age-related bone loss
and prevent fractures. Good dietary sources are: dairy products,
broccoli, kale, collards and calcium-fortified foods.
Iron:
After menopause, women need less iron, although iron deficiency
is common among older people. This is probably due to a poor diet
and decreased absorption in the stomach and intestine. Unless
an iron supplement is recommended by your doctor, stick to food
sources, which are: meat, eggs, vegetables and fortified cereal.
Selenium:
A mineral with antioxidant properties. Daily supplementation of
200 mcg per day has been associated with a 50 percent reduction
in total mortality and significant reductions in the incidence
of lung, colorectal and prostate cancer. Good food sources are:
fish, especially tuna, asparagus, brazil nuts, meat, poultry and
bread.
Water
Generally,
water as a nutrient receives little attention once a person is
old enough to talk. However, of all the nutrients, water is the
most important, serving many essential functions.
Adequate water
intake reduces stress on kidney function, which tends to decline
with age. Adequate fluid intake also eases constipation. With
the aging process, the ability to detect thirst declines. Drink
plenty of water, juice, milk, coffee, and tea to stay hydrated.
Drink the equivalent to five to eight glasses everyday.