Nutritional needs change significantly with age. Older adults face unique challenges including reduced appetite, impaired absorption, and muscle loss.
Key challenges in aging nutrition:
- Sarcopenia — age-related muscle loss. Begins at ~40, accelerates after 65. Protein needs increase.
- Reduced stomach acid — impairs absorption of B12, calcium, iron, magnesium
- Decreased bone density — calcium and vitamin D needs increase
- Reduced thirst sensation — dehydration risk increases
- Decreased calorie needs — but micronutrient needs remain the same or increase (nutrient density becomes critical)
Nutritional priorities for older adults:
- Protein: 1.2–1.6g/kg/day to counter sarcopenia
- Vitamin D: 800–1000 IU/day
- Calcium: 1,200 mg/day (women 51+)
- B12: Supplement or fortified foods due to absorption issues
- Hydration: Deliberate water intake regardless of thirst
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