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Food Product Development
for Older Adults
The National Academies of
Sciences, Engineering, Medicine
October, 28-29 2015
John Ruff, retired Kraft Foods,
Past President of IFT
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Historically there have been few successful food products designed for older adults in USA, or worldwide. Boost and Ensure major exceptions
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US supplement business success
3
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But recent study may change this !
4
Dr Ian Reid, University of Auckland meta-analysis published in BMJ.com supports prior US health officials advice - waste of time for over 50 and risk that XS build up could harm
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50+ not a homogenous group
5
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50+ - Who are they?
6
The 50+ segment is wide, hence consumers within this
segment have many different needs
• People are living longer • Those at the top of the age bracket do not want to be told they
are old or that they need to use a walker
• The key in making products for older adults is not to make
products for them
• Stereotyping will lead to products sitting on the shelves
• Adoption of healthy food behavior increases with age
eg. whole grains daily from 35-44%; omega 3 from 21-30%
• Skepticism among elderly regarding functional health
claims on certain foods
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50+ - Who are they?
7
Includes baby boomers ages (50-68) and ages
68+
Baby boomers • 23.6% of the total US population
• Control 70 percent of disposable income in the
country
• Spend $400 billion/year on consumer
goods/services • Spend on health, wellness and leisure
• Global market for functional and super foods is expected to
reach $130 billion in 2015
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Understanding the aging consumers (cont.)
8
Health conscious • Interested in protein, fiber, antioxidant, heart healthy
ingredients etc.
• Seek foods to delay the aging process
• Use supplements
• Younger boomers most likely to consume ancient grains
• Pasta consumption drops dramatically after age 55
• Fruits and vegetable consumption increases with age
among adults
• Try to avoid artificial ingredients/additives/preservatives
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Understanding the aging consumers (cont.)
9
• Drawn to strong flavors
• Learning new cooking techniques
• Physically fit • 45-64 years old trying to lose weight
• 65+ trying to maintain weight
• Socially active and involved in communities
• Travel more than the previous generation
• Pay attention to packaging designs
• Own smart phones, but don’t use to full potential
• Digital advertising on Social media or phones - invasion of
privacy
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Understanding the aging consumers (cont.)
10
Health needs/concerns • The 50+ believe that foods and beverages are important to improve
health, increase energy levels, prevent disease, and maintain a
youthful appearance.
• Health conditions observed in people as they age include:
Hypertension, heart disease, cancer, diabetes, congestive heart
failure, dementia (Alzheimer’s disease), incontinence, osteoporosis,
breathing problems, Parkinson’s disease, cataracts, macular
degeneration, vascular disease, depression, arthritis, frequent
falls/bone fractures, impaired immunity, loss of lean muscle mass etc.
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Understanding the aging consumers (cont.)
11
Concerned about nutritional value more than the
source of the ingredients • Health claims of value – for example
• Low in sodium or fat
• Good-for-you/naturally nutrient-rich
• Beverages with antioxidant claims to hold off the
aging process
• Functional foods, especially Omega-3 fortified
• More accepting of fortification in beverages, rather than
food
• Shop in the fresh perimeters of the grocery stores
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Understanding the aging consumers (cont.)
12
Purchasing habits
• Getting most value for the dollar
• 77% will buy based on value
• 42% based on positive experience in the store
• 42% based on the price
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Understanding the aging consumers (cont.)
13
As they age, their needs change depending upon
their health
• Mental acuity
• Mobility
• Sight
• Taste
• Progression of existing chronic disease or development
of new chronic disease
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Understanding the aging consumers (cont.)
14
Sensory losses
Decreased efficiency in sensory perception (smell,
taste, vision, audition and kinesthesis etc.) • Can lead to decrease palatability
• Could account for the fact that this the single largest group
at risk for inadequate diet and malnutrition in western
countries
• But all senses and all consumers are not affected in the
same way
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Understanding the aging consumers (cont.)
15
Smell & taste
• Decline in the ability to smell is more common than taste
• Loss of smell can lead to weight loss or weight gain, and poses
food safety risk
• Decline in salty, sour, and bitter tastes; no decline in sensitivity to
sweet taste
Difficulty in chewing and swallowing foods • May limit the type of foods they can eat
• Impacts nutrition, health, wellbeing and quality of life
Source: Hensel K. 2012. Developing foods for an aging population. Food Tec 66(12):23-30.
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Product development is complex
16
Older adults needs
Food safety
Packaging
Sensory Labeling
Small portion size
Shelf life Validated claims
Regulatory compliance
Easy to use
Low in fat, sodium, sugars
High in fiber, protein and other nutrients
Moisture management
Culinary creations Preparation instructions
Older adults needs
Product on the shelf
Cost
Single serving packages
Texture modification
Size visualization
Compensatory mechanisms
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Product development - Challenges
17
• The 50+ segment is wide, hence consumers within this
segment have many different needs
• Young boomers more open to preventative messages
vs. senior population
• Both groups want to live in good health and with vibrant
energy.
• ~ 56% of institutional patients and 30% of home-based
elderly are at risk of malnourishment
• Marketing is tricky – communicating benefit without
making them feel old
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Product development - Challenges (cont.)
18
• Potential chemical interactions between nutrients and
other components
• Product stability and shelf-life
• Loss of taste - Herbs and spices, and other ingredients can be used for flavor
• Potential interactions with common medicines - eg. grapefruit juice and statins
• Impact on flavor and taste
-eg. Bitterness of added K or Mg
• Products with added protein – taste and texture can be a
deterrent
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Product development - Challenges (cont.)
19
• Consumer acceptance
• Taste, convenience, affordability, availability
• Clean label
• Natural ingredients
• Negative perception about processed foods
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Would you eat this?
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Food processing
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Product development – Regulatory challenges (cont.)
22
Regulatory challenges in the US limits food product
development
• Health claims are regulated by FDA and require premarket
review and authorization.
• FDA does not require food manufacturers to notify FDA
on structure/function claims.
• Supplements, are regulated by DSHEA; claims must be
truthful and not misleading and supported by appropriate
scientific evidence
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Product development – Regulatory challenges
23
• In Japan, FoSHU is backed by the government
• Foods that meet specific requirement for FoSHU
carry a label and have exclusive market protection
• 800+ products granted FoSHU certifications ($5.6
billion in sales)
• Focus on health issues of the aging population
• Under the FoSHU, more functional ingredients are
allowed to carry a related health claim compared to
the US
Source: Personal communication with Charles Manley.
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Product development – Regulatory challenges (cont.)
24
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Product development - Opportunities
25
Factors to consider
Flavor matters • Taste buds aren’t the same
• Prefer strong, bold flavor
- drawn to new sauces, flavors, fresh herbs and spices.
- 43% look for authentic/ethnic flavors
- but don’t want intense heat
• Prefer element of fun in their foods and flavors (for example, baked
and snack foods)
• Enjoy dessert twice a week-choosy about what they eat
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Product development - Opportunities (cont.)
26
Convenience
• Breakfast food that is easy to prepare containing nutrients such as
protein and/or fiber is important
• 34% eat cereal because it is a good source of vitamins
• 49% shop for low/no sugar cereals
• 64% of the consumers find hard-to-open packages a nuisance
• Resealable packaging and individual use containers
• Easy-grip shapes
• Flexible packaging that enable food to be easily opened and
stay fresh longer
• Legible labels and less text
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Product development - Opportunities (cont.)
27
Health and Wellness
• Concerns about weight (68%)
• Looking for healthy, flavorful foods • Smaller meal size, but nutrient-dense
• Snacking more in younger boomers compared to older boomers
• Like to snack on familiar but healthy version of snacks
• Snacking after dinner – potential market for healthy frozen snacks
which can fulfil the desire for desserts and snacking
• Relationship between protein and satiety
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Product development - Opportunities (cont.)
29
Nutrients and/or compounds can potentially help in
prevention or reducing the risk of age-related health
conditions • Calcium and vitamin D – osteoporosis, cancer, diabetes
• Antioxidants – cancer, heart disease, neurodegenerative disease
• B – vitamins – heart disease, cognition
• Omega-3 fatty acids – inflammation, heart disease, stroke
• Plant stanols/sterols – elevated blood cholesterol, heart disease
• Glucosamine, chondroitin, and collagen – osteoarthritis
• Lutein, zeaxanthin and lycopene – macular degeneration
• Fiber – constipation, diabetes
• Potassium – hypertension
• Whey protein – sarcopenia
• Zinc – immunity, macular degeneration
• Coenzyme Q10 – inflammation, endothelial dysfunction
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Product development –Opportunities (cont.)
30
• Focus marketing on individual consumers in their home
environment,.
- smaller portions, and natural and simple ingredients
• Focus on the benefits of the product to resonate with the
specific health needs of the targeted consumers
• Don’t position older consumers as elderly
• Pre-packaged meals particularly for adults who cannot cook
• Meal services
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Foods formulations for older adults - New technologies
31
3D printed food project • Smoothfood concept
• Aimed at producing foods for elderly with difficulty in
mastication and swallowing
• Looks and taste like real food, but can be swallowed without
chewing
• Fresh food items transformed into different texture
Electric spoons, cups • Can create impression of taste (such as saltiness, sourness)
• Boost flavor of bland foods
• Useful for people with diabetes, heart disease, cancer, or older
individuals
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Foods formulations for older adults
32
• Global ideas are a good source
• 5,770 products launched globally in 2011 had a
claim regarding the health of older consumers
- many targeted to digestive and heart health
- except for the health related information/claims, there is
not much to suggest that these products are targeted
to older consumers
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Foods formulations for older adults (cont.)
33
• Yogurt: low fat yogurt mixed with grains
• Yellow fats: containing plant stanols and omega-3 fatty acids
• Breads: fortified with whole grains, calcium, vitamin D, and omega-3
fatty acids
• Cereals: fortified with fiber, protein, probiotics
• Milk beverages: fortified with plant stanols, omega-3 fatty acids, and
calcium with vitamin D
• Sauces and gravy fortified with nutrients
• Use of gelatin and thickeners can help with texture
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Foods formulations for older adults (cont.)
34
• Collagen-based, broth-like soups
• Coconut water with added protein
• Fiber and other functional carbohydrates, prebiotics to
improve/maintain gut health
• Whey – protein of choice
• Turmeric-based beverages and instant powder mixes
• Nutrient-dense fruit and vegetable powder mixes (can be used in
soups, smoothies, dessert mixes, stews etc.)
• Freeze drying technique
• Low cost, easy to incorporate in the diet
• Boost oral nutritional supplements
• High in protein (10g), contains 26 vitamins and minerals
Approximately 56% of institutional patients1 and 30% of
home-based elderly2 are at risk of malnourishment Patient compliance with prescribed ONS* is a
significant challenge
Source: Hensel K. 2012. Developing foods for an aging population. Food Tec 66(12):23-30.
Source: ILSI. 2014. ILSI North America Workshop. Defining Healthy Aging: from Science to Practice, the Link to Diet and Nutrition
Source: Tsikritzi and others. 2015. The effect of nutrient fortification of sauces on product stability, sensory properties and subsequent liking by
older adults. JFS 80(5):S1100-1110
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Examples of food products for older adults
35
Go Raw Ginger Snap
Sprouted Cookies
(United States, Jun
2015)
Description Sprouted sesame
seeds are heart healthy, high
in fiber, which promotes
healthy digestion, and rich
in nutrients that support
skin, hair and bone health.
Wonder Calcium
Fortified Enriched
Bread (US, May 2015)
Description: Calcium
fortified enriched classic
white bread. Eating foods
high in calcium helps your
kids build healthy bones and
teeth as they grow and
helps adults replace the
calcium loss that naturally
occurs as they age.
Choopoons
Mediterranean Yogurt
Smoothie With
Cucumber And Mint
(US, May 2015)
Claims/Features: Made with
the incorporation of natural
whey, which provides
potassium and calcium for
strong bones, magnesium
for energy production, and
lactic acid. …
Sunfood Raw
Organic Macadamia
Nuts (US, May 2015)
Claims/Features:
Magnesium contributes
to normal bone health,
heart health and
immunity. Calcium
assists in supporting
strong bones.
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Examples of food products for older adults (cont.)
36
Smart Balance Heart Right
Fat Free Milk (United
States, Jul 2014)
Fat free milk with omega-3's and
naturally sourced plant sterols.
Helps support a healthy heart.
Horizon 1% Organic Chocolate Drink (United States, Aug 2013)
O Organics Organic Milk
(United States, Oct 2014)
With 32mg of omega 3 fatty
acids per serving.
Oil ingredients: refined fish oil
(anchovy, sardine)
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Examples of food products for older adults (cont.)
37
Specific nutrient claims Expire date on front
of pack
Clear and large font
Everything in a clear and large font
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Examples of food products for older adults (cont.)
38
Dragon Soy Milk Powder For
Elderly (China, Mar 2015)
Description: Soy milk powder for
elderly, in a 600g aluminum packet.
Claims/Features: Made from
selected non-GMO soybeans from
Northeast as the main raw material.
Rich in high-quality vegetable
protein to provide adequate nutrition.
Golden Sun Nutritional
Oatmeal For Middle And
Old Aged Adults (China,
Jun 2015)
Description: Twenty individually
wrapped nutritional oatmeal for
middle and old-aged adults, held
in a 600g plastic packet.
Claims/Features: No sucrose. No
anti-corrosion additives.
Fruit dense desserts, easy
to eat (Netherlands)
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Examples of food products for older adults (cont.)
39
Milk based drinks for older adults
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Examples of food products for older adults (cont.)
40
Entrasol Gold Pro-Fit High Calcium Drink for 51 Plus Years
Old with Vanilla Flavor (Indonesia, Jan 2015)
Description: High calcium drink mix for 51 years old onward.
Claims/Features: Calcium plays a role in forming and maintaining bone
density and may help slow the occurrence of osteoporosis.
High fiber. Source of selenium. Contain Hytolive (olive extract).
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Examples of food products for older adults (cont.)
41
Benecol 6 Smooth &
Fruity Yogurt Drinks:
Strawberry Flavor
(United States, Jun
2014)
Claims/Features: Proven to
lower cholesterol. With plant
stanol.
Becel Pro-Activ
Margarine
(Netherlands, Jul 2014)
Claims/Features: It has been
proved that blood
cholesterol is lowered by
plant sterols.
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Examples of food products for older adults (cont.)
42
High calcium nutritional milk formula with vanilla flavor for aged people (51 years up).
Good for the heart. Enriched with EPA and DHA. With omega-3. With essential fatty acids.
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Examples of food products for older adults (cont.)
43
Viva Aiuta a Ridurre Il
Colesterolo Ananas: Probiotic
Drink with Sterols Pineapple
(Italy, Nov 2013)
Four mini bottle of probiotic drink with
sterols, and a pineapple taste. Giving
you a balanced diet and active life. It
helps reduce cholesterol up to 10%.
Kraft Live Active Light
Spreadable Cream Cheese
(Australia, Jul 2014)
Reduced fat spreadable cream
cheese with plant sterols. Proven
to lower cholesterol.
Danone Danacol Reduce el
Colesterol Natural Sin
Lactosa: Natural Flavored
Lactose Free Cholesterol
Reducing Fermented Skimmed
Milk Drink (Spain, Feb 2014)
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Concluding thoughts
44
• Opportunities for food industry to focus on older adults should increase as current affluent boomers pass 70. • Best way to improve the health of older adults may be to improve the nutrition of younger adults. - epidemic of food blog misinformation could lead to poorer diets
• There are many ideas from around the world that could be of value in the USA. - Product ideas - Technologies - Legislative frameworks
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References
45
• Agriculture and Agri-food Canada. 2014. Market Opportunities for Foods with Added Health
Benefits for an Aging Canadian Population. Available frim: http://www.agr.gc.ca/eng/industry-
markets-and-trade/food-regulations/food-policy-and-regulatory-issues/reports-and-
resources/market-opportunities-for-foods-with-added-health-benefits-for-an-aging-canadian-
population/?id=1351859627654. Accessed 2015 September 10.
• Bonar A. 2014. 3D printed food for the elderly may hit shelves in 2016. Available from:
http://www.foodnavigator.com/Science/3D-printed-food-for-the-elderly-may-hit-shelves-in-
2016. Accessed 2015 September 1.
• DSM. 2014. Strategic nutrition for healthy aging. Available from:
http://www.fortitechpremixes.com/wp-content/uploads/2014/02/Healthy_Aging_EN.pdf.
Accessed 2015 September 2.
• Dutch Food Innovations. Delicious, high-protein cakes for the elderly. Available from:
http://www.dutchfoodinnovations.com/innovation/delicious-high-protein-cakes-for-the-elderly.
Accessed 2015 September 3.
• FDA. 2013. Label claims for conventional foods and dietary supplements. Available from:
http://www.fda.gov/food/ingredientspackaginglabeling/labelingnutrition/ucm111447.htm.
Accessed 2015 October 3.
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References (cont.)
46
• FONA. 2014 Trend insight report. 2014. Available from:
http://www.fona.com/sites/default/files/Baby%20Boomers_TrendInsight_1114_0.pdf.
Accessed 2015 September 9.
• Hensel K. 2012. Developing foods for an aging population. Food Tec 66(12):23-30.
• ILSI. 2014. ILSI North America Workshop. Defining healthy aging: from science to
practice, the link to diet and nutrition.
• INOVA Market Insights.
• International Business Times. 2015. Taste + smart spoon and cup virtually enhance
food flavours and restore taste to the elderly. Available from:
http://www.ibtimes.co.uk/taste-smart-spoon-cup-virtually-enhance-food-flavours-restore-
taste-elderly-1497816. Accessed 2015 September 11.
• IUFoST. 2014. Meeting the food needs of the ageing population-implications for food
science and technology. Scientific information bulletin.
http://www.iufost.org/iufostftp/IUF.SIB.Meeting%20the%20Food%20Needs%20of%20th
e%20Ageing%20Population.pdf.
• FOSHU (Food for Specified Health Use) Business. Available from:
http://www.toyoshinyaku.co.jp/english/business/foshu.html. Accessed 2015 October 6.
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References (cont.)
47
• Kirkwood J. 2009. Formulating for aging boomer consumers. Presentation to the National
Academy of Sciences.
• New Scientists. 2014. Food bland? Electric spoons zaps taste into very bite.
https://www.newscientist.com/article/mg22429935-000-food-bland-electric-spoon-zaps-
taste-into-every-bite/.
• Shelke K. 2015. Developing functional foods for the silver generation. Prepared Foods
Nutra Solution. Available from: http://www.preparedfoods.com/articles/116708-
developing-functional-foods-for-the-silver-generation. Accessed 2015 September 1.
• Sloan E. Generational role reversals. 2015. Food Tech 69(7):30-42.
• Tsikritzi and others. 2015. The effect of nutrient fortification of sauces on product stability,
sensory properties and subsequent liking by older adults. JFS 80(5):S1100-1110.
• WILD Flavors Inc. Baby boomers: Trends & health ingredients.
http://www.foodprocessing.com/assets/knowledge_centers/WILD_Flavors/assets/Baby_B
oomers.pdf