Division of Human Nutrition, Chairgroup Nutritional Biology, Wageningen University, Stippeneng 4, 6708 WEWageningen, The Netherlands.
Proc Nutr Soc. 2021 Aug;80(3):339-343. doi: 10.1017/S0029665121001932. Epub 2021 May 11.
In an ageing society, the preservation of health and function is becoming increasingly important. The present paper acknowledges that ageing is malleable and focuses on diets and key nutritional concerns later in life. It presents evidence for the importance of healthful dietary patterns and points towards specific nutritional concerns later in life and conveys three main messages: (1) considering health maintenance and malnutrition risk, both dietary quality in terms of healthful dietary patterns and dietary quantity are important later in life, (2) ageing-related changes in nutrient physiology and metabolism contribute to the risk of inadequacies or deficiencies for specific nutrients, e.g. vitamin D, vitamin B12 and protein and (3) that current food-based dietary guidelines propagate a shift into the direction of Mediterranean type of diets including more plant-based foods. Limited scientific evidence on nutritional requirements of older adults, along with envisaged shifts towards diets rich in plant foods, are challenges that need to be addressed in order to develop tailored nutritional recommendations and dietary guidance for older adults.
在老龄化社会中,保持健康和功能变得越来越重要。本文承认衰老具有可塑性,并侧重于饮食和晚年的关键营养问题。它为健康饮食模式的重要性提供了证据,并指出了晚年特定的营养问题,传达了三个主要信息:(1)考虑到健康维护和营养不良风险,健康饮食模式的饮食质量和饮食数量在晚年都很重要,(2)与衰老相关的营养生理学和代谢变化导致特定营养素(例如维生素 D、维生素 B12 和蛋白质)不足或缺乏的风险增加,(3)目前基于食物的饮食指南提倡向富含植物性食物的地中海式饮食转变。关于老年人营养需求的有限科学证据,以及预计向富含植物性食物的饮食转变,是需要解决的挑战,以便为老年人制定量身定制的营养建议和饮食指导。