Old people - should they be eating generously, frugally or what?
DOI:
https://doi.org/10.21504/sajg.v3i1.34Abstract
The ageing of populations, associated with diminishing family size and increasing longevity, is evoking far-reaching effects on health and other services. especially in Western countries. Influencing factors in ageing include not only diet but factors such as physical activity, smoking, and alcohol consumption. There is evidence that a large proportion of morbidity in ageing is due to life-style factors. As far as diet is concerned. the question, should old people be encouraged to eat more. eat frugally, or what, largely depends on the population concerned. In prosperous countries, old people largely have enough to eat. It has been urged that their nutritional status could be improved, not so much by specific supplementation but rather by an increase in vegetable and fruit intake, with a concurrent decrease in the amount of fat consumed. The same recommendation would apply to non-Westernized elderly populations. However an adequate consumption of vegetables and fruit is often limited by cost. Databases on the minimum ranges of nutrient requirements that are consistent with good health in older populations in South Africa are required.References
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Chandra, R.K. 1992. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. Lancet, 340: 1124-27.
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Heaney, R.P. 1993. Thinking straight about calcium. New England Journal of Medicine , 328:503-04.
Horwath, C.C. & Worsley, A. 1989. Dietary supplement use in a randomly selected group of elderly Australians: results from a large nutrition and health survey. Journal of the American Geriatric Society. 37: 689-96.
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Joosten, E., van den Berg, A., Riezler, R., Naurath, H.J., Lindenbaum, J., Stabler, S.P. & Allen, R.H. 1993. Metabolic evidence that deficiencies of vitamin B12 (cobalamin), folate and vitamin B6 occur commonly in elderly people. American Journal of Clinical Nutrition. 58: 468-76. Southern African Journal of Gerontology (1994), 3(1).
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Leaf, A. 1992. Aging: nutrition and the quality of life. Summary and concluding remarks. American Journal of Clinical Nutrition, 55 (Supplement): 1271S-73S.
MacLennan, W.J. 1986. Sub-nutrition in the elderly. British Medical Journal, 293: 1189-90.
Masoro. E.J. 1992. Retardation of aging processes by food restriction: an experimental tool. American Journal of Clinical Nutrition, 55 (Supplement): 1250S-52S.
Mimura, G., Murakami, K. & Gushiken, M. 1992. Nutritional factors for longevity in Okinawa - present and future. Nutrition and Health. 8: 159-63.
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Okamoto, Y. 1992. Health care for the elderly in Japan: medicine and welfare in an aging society facing a crisis in long term care. British Medical Journal, 305: 403-05.
Rosenberg, I. H. 1992. Nutrition in the elderly. Nutrition Reviews, 50: 349-50.
Solomon, L. 1979. Bone density in ageing Caucasian and African populations. Lancet, ii: 1326-30.
Tanne, J.H. 1992. Well-being of over 65's differs around the world. British Medica/Journal, 305:851.
Thompson, D. 1991. Who will care for the elderly? The view ahead. Proceedings of the Royal College of Physicians Edinburgh, 2 1: 179-82.
Walker, A.R.P. 1964. Overweight and hypertension in emerging populations. American Heart Journal, 68: 581-85.
Walker, A.R.P. 1974. Survival rate at middle age in developing and western populations. Postgraduate Medical Journal, 50: 29-32.
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Walker, A.R.P., Walker, B.F. & Glatthaar, I.I. 1994. Impoverished Africa: any hope for the future? Journal of the Royal Society of Medicine, 87: 157-60.
Widdowson, E.M. 1992. Physiological processes of aging: are there special nutritional requirements for elderly people? Do McCay's findings apply to humans? American Journal of Clinical Nutrition, 55 (Supplement): 1246S-49S.
Williamson, G.A. 1969. Josephus: the Jewish War. London: Penguin Classics.
Baltes, P.B. & Baltes, M.M. 1991. Successful aging. Cambridge: Cambridge University Press.
Bingham. S. 1991. Dietary aspects of a health strategy for England. British Medical Journal. 303: 353-55.
Blumberg, J.B. 1992. Changing nutrient requirements in older adults. Nutrition Today, Sept/Oct: 15-20. Concar, D. 1993. Why fish puts heart into the nation. New Scientist, 140: 29-31.
Chandra, R.K. 1992. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. Lancet, 340: 1124-27.
Davey-Smith, G., Carroll. D., Rankin. S. & Rowan, D. 1992. Socio-economic differentials in mortality: evidence from Glasgow graveyards. British Medical Journal. 305: 1554-57.
Department of Health. 1992. The nutrition of elderly people. Working Group on the Nutrition of Elderly People. London: Her Majesty's Stationery Office.
Feldman, E.B. 1993. Aspects of the interrelations of nutrition and aging - 1993. American Journal of Clinical Nutrition, 58: 1-3.
Guralnik, J.M., Land, K.C., Blazer, D., Fillenbaum, G.G. & Branch, L.G. 1993. Educational status and active life expectancy among older blacks and whites. New England Journal of Medicine, 329: 110-16.
Heaney, R.P. 1993. Thinking straight about calcium. New England Journal of Medicine , 328:503-04.
Horwath, C.C. & Worsley, A. 1989. Dietary supplement use in a randomly selected group of elderly Australians: results from a large nutrition and health survey. Journal of the American Geriatric Society. 37: 689-96.
Iglehart, J.K. 1988. Japan's medical care system. New England Journal of Medicine. 319: 1166-72.
Jackson, L., Ally, R. & Segal, I. 1993. A comparative study of colonoscopic findings at the Johannesburg and Baragwanath Hospitals. South African Medical Journal, 83: 793a.
Joosten, E., van den Berg, A., Riezler, R., Naurath, H.J., Lindenbaum, J., Stabler, S.P. & Allen, R.H. 1993. Metabolic evidence that deficiencies of vitamin B12 (cobalamin), folate and vitamin B6 occur commonly in elderly people. American Journal of Clinical Nutrition. 58: 468-76. Southern African Journal of Gerontology (1994), 3(1).
Kobayashi, S. 1992. A scientific basis for the longevity of Japanese in relation to diet and nutrition. Nutrition Reviews. 50: 353-54.
Latham, R. 1969. The travels of Marco Polo. London: The Folio Society.
Leaf, A. 1992. Aging: nutrition and the quality of life. Summary and concluding remarks. American Journal of Clinical Nutrition, 55 (Supplement): 1271S-73S.
MacLennan, W.J. 1986. Sub-nutrition in the elderly. British Medical Journal, 293: 1189-90.
Masoro. E.J. 1992. Retardation of aging processes by food restriction: an experimental tool. American Journal of Clinical Nutrition, 55 (Supplement): 1250S-52S.
Mimura, G., Murakami, K. & Gushiken, M. 1992. Nutritional factors for longevity in Okinawa - present and future. Nutrition and Health. 8: 159-63.
Mitchener, J. 1960. Hawaii. London: Seeker & Warburg.
Morgan, D.B. 1983. The impact of ageing - present and future. Annals of Clinical Biochemistry, 20: 257-61.
National Academy of Sciences. Recommended Dietary Allowance. 1990. Tenth edition.
Okamoto, Y. 1992. Health care for the elderly in Japan: medicine and welfare in an aging society facing a crisis in long term care. British Medical Journal, 305: 403-05.
Rosenberg, I. H. 1992. Nutrition in the elderly. Nutrition Reviews, 50: 349-50.
Solomon, L. 1979. Bone density in ageing Caucasian and African populations. Lancet, ii: 1326-30.
Tanne, J.H. 1992. Well-being of over 65's differs around the world. British Medica/Journal, 305:851.
Thompson, D. 1991. Who will care for the elderly? The view ahead. Proceedings of the Royal College of Physicians Edinburgh, 2 1: 179-82.
Walker, A.R.P. 1964. Overweight and hypertension in emerging populations. American Heart Journal, 68: 581-85.
Walker, A.R.P. 1974. Survival rate at middle age in developing and western populations. Postgraduate Medical Journal, 50: 29-32.
Walker, A.R.P. & Walker, B.F. 1993. Nutritional and non-nutritional factors for ''healthy" longevity. Journal of the Royal Society of Health, 113:75-80.
Walker, A.R.P., Walker, B.F. & Glatthaar, I.I. 1994. Impoverished Africa: any hope for the future? Journal of the Royal Society of Medicine, 87: 157-60.
Widdowson, E.M. 1992. Physiological processes of aging: are there special nutritional requirements for elderly people? Do McCay's findings apply to humans? American Journal of Clinical Nutrition, 55 (Supplement): 1246S-49S.
Williamson, G.A. 1969. Josephus: the Jewish War. London: Penguin Classics.
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1994-04-01
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