Katherine Gray-Donald, PhDKatherine Gray-Donald, PhD

THE GOOD NEWSBeing a little overweight is protective for your healthLosing weight means losing muscle mass so be careful

Probabilité de demeurer à domicile pour la personne âgee avec et sans perte de poids.

Payette H, Coulombe C, Boutier V, Gray-Donald K. Nutritional risk factors for institutionalization in a free-living functionally dependent elderly population. J Clin Epidemiol 2000;53:579-87.

IMPACT DE LA NUTRITION CHEZ LA PERSONNE ÂGEE

Diminution des risques de morbidités chroniques

CancerDiabètes

MCV

Préservation de la masse maigre

Apport en énergie, ESCC 2004

Macronutriments

ÉnergieProtéinesGlucidesLipides

Micronutriments

• Vitamin D levels are low without supplements, particularly in winter • Calcium intakes can be low depending on diet (but large supplements are not advised) • Sodium levels are far too high Almost ¾ is in processed foods

Calcium and vitamin D dietary reference intakes by life stage

Calcium Vitamin D

RDA

(mg/d)

UL (mg/d)

RDA (IU/d

)UL

(IU/d)

31–50y (M+F)

1000 2500 600 4000

51–70 yr (M)

1000 2000 600 4000

51–70 yr (F)

1200 2000 600 4000

71+ yr (M+F)

1200 2000 800 4000

Time to follow your interests in relation to foodTime to exercise

Recipes/ nutrients in foods Canadian Nutrient file food search/ Canadian Food Guide

Prepare for a long happy Advice

Advice for a healthy retirement

Advice from an older study participant

She died years ago. A stroke. … Most of these (elderly) have awfully bad ideas about meals. A lot of old people… … They eat, little bits of things. I, I could eat a horse! ...

That’s why I’m, 91 and … counting!"

"No, I have, I had a friend, she used to ask me to come to lunch. And she has the craziest lunch I used to tell her, I had lunch before so I couldn’t have. But she’d have toast and tea and maybe a little sliver of cheese and that’d be lunch. And I thought, God!...She’s just, it’s just that she couldn’t eat. She said ‘I couldn’t eat a lot’. You know. … …

Advice from someone older

Leçcons apprises

Les apports en vitamine D son suffisants chez les personnes prenant des suppléments

Les besoins en protéines sont possiblement plus élevés que les recommendations actuelles

L’éducation en regard des apports en sodium est importante

Prévenir vaut mieux que guérir

MERCI!MERCI!