survey results of 100 elderly in logroÑo feeding in the elderly
TRANSCRIPT
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SURVEY RESULTS OF 100 ELDERLY IN LOGROÑO
FEEDING IN THE ELDERLY
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Interest: Demographic reasons
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Spain and La Rioja: % of older than 65
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Genetics Program and chronological age Life Styles Nutritional Status: Feeding Physical Activity Social Factors Diseases
Hence the importance, among others, of eating in order to grow older healthily and caring for the physical activity.
FACTORS IN THE AGING PROCESS
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If the elderly lives at home: alone or as a couple, their available resources, their need of help
If the elderly lives institutionalized: need for adaptation, homesickness, lack of appetite, resocialization, uprooting, supplementation of food by family ...
The limitations in their diet for common diseases (hypertension, diabetes ...): salt, sugar, fiber, fats, alcohol, calories …
The attitudes of the elderly to dietary changes: ingrained habits, resistance to change, fear of illness, obsession with food …
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100 Respondents Ages: Between 46 and 93 year-olds (Most of then
older than 66) 57% Women 50% live with partner 22% alone 57% Married y 29% widows or widowers 29% No schooling 31% Sedentary (64% Exercise “a little” ) 80% Perceive their economy as “normal”
RESPONDENT GENERAL PROFILE
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30% Consider themselves fairly religious More than 50% quite medicated (more than 3 daily
medications) Most treated diseases are:
1. Arterial Hypertension (36%)2. Hypercholesterolemia (21%)3. Diabetes (17%) 4. Prostatism and cardiovascular diseases(> 10%)
40% follow or have followed a prescribed diet
RESPONDENT GENERAL PROFILE
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EATING BETWEEN MEALS
Most of then don’t eat between meals (67%)
Of those who do eat, 20% eat between meals to calm their nerves or because some food makes them feel good.
40% say that they eat fast
o 20% eat on their owno Some need help to be able
to eat (7%)o One in five respondents
has trouble chewing or swallowing food
ON THEIR OWN, HELP, SWALLOWING
SOME HABITS AND CUSTOMS
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Difficulty chewing and swallowing (dysphagia) Less absorption of nutrients Lack of appetite (for weakness, polypharmacy,
depression or anxiety disorder etc…) Lack of time or ability to cook and buy Dietary restrictions: cholesterol, sugar, salt ...
Conclusion: Care for factors which influence feeding
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PREPARATIONS AND SETTING
WHERE, NUMBER OF MEALS
More than 60% buy and cook their meals
A great mayority (70%) set and decorate the table (tablecloth, decorations)
Half of them eat watching TV
Eat in the kitchen (86%)
More elderly have four meals a day (38%), others have three (36%) and fewer have five (26%)
SHOPPING, PREPARATION AND MEALS
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In our survey the elderly may not ingest enough liquids, since half of them drink only five glasses or fewer per day and the other half take six or more.
It is recommended around 8 glasses or more a day.
Note that the elderly have:1. Minor kidney's ability to save water and
concentrate urine.2. Low water intake and less feeling of thirst3. Intake of diuretics4. Conclusion: higher predisposition to dehydration
LIQUID INGESTION
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PYRAMID FOR ADULTS OVER 70 YEARS OLD (Russel et al.)
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LIKES AND INTAKERECOMMENDATIONS:
COMPARE
FRUITS AND VEGETABLES:
◦ Fairly appreciated: mostly lettuce, tomato, green beans, onion, pear, apple, grapes etc. Common in our rural culture of La Rioja
◦ However real daily intake of vegetables and fruit is not as SUITABLE : almost 30% only have one piece of fruit a day and more than 70% eat vegetables only once a day
FOOD PREFERENCES
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MORE TRADITIONAL LIKES CARBOHYDRATE FOODS
Foods rich in carbohydrates are widely accepted: potatoes (cooked), bread, chickpeas and beans mostly ; macaroni, othes pasta or pizzas are not appreciated
More traditional preferences
FOOD PREFERENCES
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TRADITIONAL TASTES PROTEINS
In addition to legumes, our elders like:
Milk Eggs Chicken Fish
They do not like burgers or pizzas
FOOD PREFERENCES
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Excess or lack of weight
A large majority believes that they have too many "kilos“; that they are overweight (64%).
Only 12% claim to be thin, that is, they lack weight
The loss of weight may be a sign of alarm
Caloric needs of the elderly decline with age
This caloric reduction should not affect those foods with proteins, minerals or vitamins, but to them that have the greatest amount of FATS AND SUGARS
SELF-PERCEPTION OF BODY WEIGHT
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31% of respondents say they are sedentary. 64% only do some physical exercise. 5% do quite some exercise.
In the elderly, exercise is the main determinant of TOTAL ENERGY EXPENDITURE.
Exercising (Dr. H. Cooper): "The method to put more years in their life and more life in their years"
PHYSICAL ACTIVITY
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MANY BENEFITS LOGROÑO DEPORTE
Lowers the risk of dying from cardiovascular disease
Improves Hypertension Improves blood lipid
profile Regulates glucose Improves weight control Is good for the bones,
joints… Helps you sleep well
Adequate and attractive activities for their state
BENEFITS OF PHYSICAL ACTIVITY
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FEEL THEM CLOSER