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Aging
is a normal natural process and with aging a number of changes both
physiological and psychological occur.
A
person’s nutrition at 50, 60, 70 or 80 is the product of the influences
of humidity, environment and food habits in the entire preceeding
years. An individual who has had a lifetime of poor nutritional
habits will not be in good health whereas those who have had a good
diet will be in better health.
Some factors which
influence Nutrition & food intake after 50:
1. Basic Metabolic
Rate (BMR):
This
is the amount of energy required to carry on the involuntary work
of the body and to maintain the body temperature. About 1/3 of this
energy is used to maintain the functional activities of the various
organs such as the heart, kidneys and lungs. The rate of basal metabolism
is affected by size, shape and weight of an individual, body composition
and age. The basal metabolism is high during rapid growth
i.e. Childhood and adolescence until adult age is reached. After
25 years, there is a gradual decline in metabolic rate with each
decade.
Basal
metabolic rate influences the Calorie requirement of a person.
Between 35 - 55 years, the calorie requirements reduce 5% for each
decade. From 55 - 75 years, they are decreased by 8% for each decade
and from 75 yrars and beyond a further decrease of 10%.
2. Physical Activity:
After
the age of 50, a person is less active physically than when he was
25; but, the eating habits of youth continue and this leads to weight
increase. Obesity increases the susceptibility to the degenerative
diseases like Diabetes and an extra burden on the weight bearing
joints. So, it is important to have some physical activity eg. Walking
daily, playing a game etc.
3. The senses of taste
& smell:
The
senses of taste & smell are less acute in latter life thus interfering
with the appetite for many foods. The loss of natural teeth and
the seemingly inability on the part of the individual to become
accustomed to dentures make it difficult to chew food properly or
eat it with comfort. Hence, more and more Carbohydrate rich food
which require a minimum of chewing are eaten leading to defficient
intake of Proteins, minerals and Vitamins. Try to avoid eating more
Carbohydrate food and instead eat a balanced diet.
4. Digestion:
Digestion
in later years is affected in a number of ways. A reduction in the
tones of the muscles of the stomach, small intestine and colon leads
to less mobility (movement) resulting in constipation and abdominal
distention - i.e. Feeling of gas. Abdominal distention from certain
foods is greater Eg. Whole lentils (dals with husks), beans, channa,
rajmah and lobea and vegetables like cabbage, cauliflower etc.
5. Fats:
Fats
are poorly tolerated. Intake of fats should be reduced eg. Pure
ghee, butter, cream and deep fried foods like puri, samosa, pakora
and nuts and dried fruits.
6. Harmonal Imbalance:
Harmonal
imbalances occur more frequently during later years both in men
and women. There is a reduction of thyroid activity which leads
to reduced energy requirement. Therefore, requirement of calories
is less; hence, amount of food intake (quantity) should be reduced.
7. Elevated Blood
Urea:
Many
older persons especially men, have tendency for elevated Blood Urea,
Nitrogen and Blood Uric Acid. Hence, it is advisable to cut down
on meat, meat products, shell fish, dals, whole grain cereals, oat
meal, dried peas, beans, coffee, cocoa and alcohol.
Dietary Allowances:
The
basic needs of a healthy older person are the same as that of an
younger individual.
Energy or Calorie
Requirement:
The
recommended dietary allowance for calories for an adult having sedantary
lifestyle and the reduction for each decade is given below:
Daily Allowances
of Calories Agewise:
| Group |
Age Group |
% of Calorie reduction |
Calorie Requirement |
| |
|
|
|
| Men |
25 |
|
2400 |
| Women |
25 |
|
1900 |
| Men |
35 - 55 |
5% |
2280 |
| Women |
35 - 55 |
5% |
1780 |
| Men |
55 - 75 |
8% |
2208 |
| Women |
55 - 75 |
8% |
1748 |
| Men |
75+ |
10% |
2160 |
| Women |
75+ |
|
1710 |
Carbohydrate and
Fats:
Since
the calorie requirement is reduced, Carbohydrates and fats should
be reduced rather than Protein. The best way to reduce the Carbohydrates
is to cut down on the following foods:
1. Cereals like wheat
and rice. If taking 2 slices of bread or 2 idlies for breakfast,
cut down to 1 slice of bread and 1 idly.
2. If 3 chapathis are
taken for lunch, cut down 1 chapathi per decade; similarly, cut
down on the quantity of rice if a rice eater.
3. Avoid eating vegetables
like potatoes, yam, sweet potato and beetroot.
4. Avoid fruits like
grapes and chiku.
To
cut down on the fat intake, avoid the following foods:
1. All deep fried foods
like puri, paratha, samosa, vada etc.
2. Nuts and dried fruits.
3. Cakes and pastries
which have cream in them.
4. Indian sweets like
Jelabi. Gulab jamun, Malpura etc.
5. Butter, cream, pure
ghee, processed cheese.
6. Drink skim milk instead
of full fat milk.
7. Last but not the least,
use oils which are rich in Polyunsaturated Fattt Acids (PUFA) for
cooking. The higher the content of Polyunsaturated Fatty Acids the
more friendly it is to the heart.
The
PUFA content of different oils is given below:
|
OIL
|
PUFA CONTENT (Gms) |
| |
|
|
Coconut Oil
|
2 |
| Cotton Seed Oil |
50 |
| Pure Ghee |
4 |
|
Ground Nut Oil
|
28 |
| Corn Oil |
45 |
| Mustard Oil |
25 |
| Olive Oil |
10 |
|
Safflower Oil
|
75 |
| Rice Bran Oil |
35 |
| Til Oil |
55 |
|
Soya Bean Oil
|
55 |
| Vanaspathi |
6 |
| Sunflower Oil |
70 |
Proteins
Proteins
are the chief substances in the cells of the body. They form the
important constituents of muscles and other tissues and of vital
fluids like the blood. Proteins supply the building material for
the body and make good the wear & tear of the tissues, several
substances concerned with vital life processes eg. Enzymes which
help in the digestion of food and antibodies which are body defences
against infection are mainly Protein in nature. Proteins are, therefore,
one of the most important nutrients in a person’s diet.
Most
food items contain Proteins but in widely varying amounts. Animal
foods such as meat, fish, eggs are rich in Proteins. Milk is also
a good source of protein. Among the vegetable foods, pulses and
nuts are the richest sources of protein. The common cereals such
as rice, wheat are relatively poor sources of protein. Rice contains
less protein than wheat does but the protein of rice is of better
quality.
The
daily protein needs of an adult are about 1 gm per Kilo gram body
weight. The Protein requirements remain the same even after fifty.
A non-vegetarian should include one of the following in the daily
diet: a. Fish b. Chicken c. Egg d. Milk. A vegetarian should include
plenty of milk and eat a mixture of foods like cereals and pulses
to fulfill the daily requirement of Protein.
Carbohydrates:
Carbohydrates
are a class of substances which include glucose, cane sugar, milk
sugar and starch. Grain foods are largely composed of starch and
foodstuffs like cane sugar and glucose are pure Carbohydrates. They
form the main source of energy to the body. Carbohydrates form the
bulk of an Indian diet since the foodstuffs are cheaper.
Besides
Starch and other digestible Carbohydrates, many foods contain Celluloses
and Hemicelluloses which are also Carbohydrates. These types of
Carbohydrates are also called Fibre or roughage. They are not digested
in the human digestive system and are passed out as such. Though
they do not contribute to the nutritive value fo the diet, the presence
of roughage in the diet is necessary to the mechanics of digestion
and elimination of wastes. The contraction of the muscular walls
of the digestive organs is stimulated by fibre thus counteracting
the tendency of constipation.
Vegetables
with peels like Bhindi (Ladies Finger) and green leafy vegetables
like spinach and fruits are rich in fibre whereas foods like root
vegetables like Potato are poor sources. It is recommended that
once a day, a green leafy vegetable sould be included in the diet
and one fruit must be taken daily. This will give enough fibre and
help prevent constipation.
Fats:
Like
Protein, Fat is a necessary ingredient in the diet and it is of
value to the body in a number of ways. Animal fats such as butter
and ghee contain Vitamin `A’. Fat is a concentrated source of energy.
1 gm. Of fat provides 9 calories whereas 1 gm of Carbohydrate or
Protein provides only 4 calories. Some fats, especially vegetable
oils provide what are called "Essential Fatty Acids" -
Linoleic, Linolenic and Arahodonic Acids to the body. Like Vitamins,
the essential fatty acids in the diet play a role in general metabolic
reactions and a deficiency of these acids in the diet leads to a
skin condition known as "Phrynoderma".
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