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Nourish Your Body for Healthy Living
Quality Life Forum Healthy Eating Series
August 2018

Most people are unaware of the significance of malnutrition in older adults, which requires attention.  

What is malnutrition? Malnutrition is a physical state of unbalanced nutrition. It can mean undernutrition or overnutrition.

Fact 1 Malnourished individuals can be underweight or overweight, because you may eat enough food in calories but lack essential nutrients to be healthy

Undernutrition, can be caused by a lack of calories, protein or other nutrients.  It also can be the result of an eating disorder, chronic illnesses, or severe physical injury.  Overnutrition comes from eating too many calories. Someone can be obese and malnourished at the same time. They may be consuming enough or too many, calories but not eating enough nutritious foods such as fruits, vegetables, whole grains, lean protein, beans, low-fat dairy, nuts and seeds. This can result in vitamin, mineral or protein deficiencies.

Also to be aware that not every calorie is created equal, as each food has a specific effect in digestion, absorption, and distribution in human body. For example, with 100 calories from protein and from carbohydrate, body reacts differently. Eating foods that are nutrient dense and contain more protein, fat and slow-acting carbs helps us feel satisfied for longer.  However, foods with high fibers are more difficult to digest and may cause bloating.

Even foods that have the same quantity of calories can be of different nutritional quality and can have very different effects on your health. Your body will use part of the calories you consume to help you digest and metabolize the foods you eat. This is known as the thermic effect of food (TEF) and varies based on the foods you eat. For instance, protein requires slightly more energy to be digested, whereas fat requires the least. About 10–15% of the calories you get from a meal will be used to support the TEF. The remainders of the calories you get from foods fuel your physical activity.  When your body cannot use up all calories from intake, the unused calories will then be turned into fat for storage, commonly as belly fat.

Fact 2 Recognize multi-dimensional factors causing malnutrition in older adults and cultivating healthy eating is essential for well-being

Malnutrition in older adults can be caused by a variety of factors, including loss of appetite, lack of ability to chew and swallow, and increased use of prescription medications. Other risk factors include dementia, chronic diseases, and lack of access to optimally nutritious food, whether due to food insecurity or lack of ability to prepare and/or shop for food. In addition, psycho-social factors, such as loneliness and depression, also affect eating behavior.

As decreased appetite is associated with aging, focus on eating high-quality foods in appropriately sized portions becomes more important for older adults. Yet, many older adults have chronic conditions, such as high blood sugar/diabetes, high cholesterol/obesity, high blood pressure/heart disease, or dealing with treatments. You may have heard “food is medicine”. Nourish your body with real foods. Managing chronic conditions through nutrition is an effective approach and health coaching can provides nourishment support to serve your unique personal nutritional needs.

Healthy eating is essential for healthy aging.  Since more research findings suggested added sugar linked with diabetes, heart disease, cognitive declines, cancer, and many other conditions, watch sugar intake and glycemic index is important. There is a difference of food in spiking up blood sugar, which is measured by glycemic index (GI). The glycemic index rates the effect of a specific amount of a food on blood sugar compared with the same amount of pure glucose. An apple with a glycemic index of 28 (i.e., apple) boosts blood sugar 28%, while pretzels have a glycemic index of 83.  A food with GI of 95% and above acts as pure glucose.


  • Low glycemic index (GI of 55 or less): Most fruits and vegetables, beans, minimally processed grains, pasta, low-fat dairy foods, and nuts.
  • Moderate glycemic index (GI 56 to 69): White and sweet potatoes, corn, white rice, couscous, breakfast cereals such as Cream of Wheat and Mini wheat.
  • High glycemic index (GI of 70 or higher): White bread, rice cakes, most crackers, bagels, cakes, doughnuts, croissants, most packaged breakfast cereals.

High-quality foods include unrefined, minimally processed foods such as vegetables and fruits, whole grains, healthy fats and healthy sources of protein; these real foods nourish heart health, cognitive function, immunity, strong muscles and bones, and overall well-being.

Lower-quality foods include highly processed snack foods, sugar-sweetened beverages, refined (white) grains, refined sugar, fried foods, foods high in saturated and trans fats, and high-glycemic foods such as potatoes.

Trans fats are the worst fats for your health. These fats are made when hydrogen is added to healthy unsaturated fats to solidify them and make them less likely to spoil. Trans fats raise harmful LDL cholesterol, lower beneficial HDL cholesterol, increase inflammation, and make blood more likely to clot. The FDA has ruled that "partially hydrogenated" oils, the main source of trans fats in the American food supply, are no longer "generally recognized as safe."

Fact 3 Eating more will not prevent or correct malnutrition

There isn’t one “perfect” diet for everyone, food choice and eating behavior varies greatly based on individual differences in genetics, cultural, and lifestyle. Even the family is eating at the same table and sharing family meals, not everyone getting the same quality and quantity.

Malnutrition is an imbalance of nutrients—meaning your diet may be high in calories but is low in nutrients that your body needs. Rather than just eat more, malnourished individuals need to carefully adjust their diet to make sure they’re getting everything they need. Physical activity paired with good nutrition can help combat malnutrition by increasing muscle strength and overall well-being.

Another aspect is self-awareness for cravings and self-control for emotional or pleasure eating. If over-weight is your health concern, create and maintain a simple calorie deficit eating plan over a meaningful period. Eat each meal at about 80% full. Eat slowly and chew more will give you more full satisfaction and help with digestion.  Don’t try any pills or diet that sound too good to be true, something like “no diet or exercise and still lose weight of 106 lbs”. Weight loss is a long game; take small steps toward your goal safely. Understand why and when you eat or not to eat, practice healthy eating and portion control, consciously make healthy food choices, paying attention to hunger and fullness cues, and promotes a positive relationship with food.

Plain and simple nutritional health rules


  1. Do not put any toxics (such as cigarettes, abusive alcohol and drugs, disease-promoting junk fords, etc) into your body and cut back on processed, packaged foods. Eat mindfully for your nutritional needs.
  2. Food is better than medicine. Make quality food choices in for daily meals and not rely on supplements. Prioritize plant based foods (i.e., fresh vegetables, fruits, seeds/nuts, whole grain) over processed food (i.e, packaged meats, baked goodies, chips/crackers).
  3. Be aware of any nutritional deficiencies, even you appear to be well nourished. Your clinical laboratory test is a good tool for reveal signs of malnutrition. Discuss with your Doctor and taking corrective actions; follow medical guidance when taking supplements.
  4. Engage in an activity routine and be active as much as possible. Exercise for at least 30 minutes a day, five days a week is a good start. Physical activities are not only for weight loss, but contributes important significance in your health and wellbeing. Keep in mind for safety first and work out at your comfort level. No need to push over your physical limit.
  5. There is no magic diet; healthy eating is part of the lifestyle changes and you need to stick with it. It is a marathon, not a dash. Since each individual is unique, nutrition cannot be “one size fits all”. Health coaching offers personalized program for therapeutic life style changes. Quality Life Forum Health Coaching will provide guidance and support for your wellness. To learn more, Click coaching programs for details.

Summary:

Malnutrition is a physical state of unbalanced nutrition. It can mean undernutrition or overnutrition. Malnourished individuals can be underweight or overweight, because you may eat enough food in calories but lack essential nutrients to be healthy. Malnutrition in older adults can be caused by a variety of factors. Eating more will not prevent or correct malnutrition. Malnutrition is an imbalance of nutrients—meaning your diet may be high in calories but is low in nutrients that your body needs.
It's worth to note that not every calorie is created equal, as each food has a specific effect in digestion, absorption, and distribution in human body. Keep in mind for the plain and simple nutritional health concepts. Managing chronic conditions through nutrition is an effective therapeutic approach. Cultivating healthy eating is essential and you need to stick with it for healthy living.

​
Feel free to contact qualitylifeforum@outlook.com for your health coaching needs.

References:
https://www.eatright.org/food/nutrition/healthy-eating/what-is-malnutrition
https://www.publichealthpost.org/viewpoints/malnutrition-in-older-adults/
https://blog.myfitnesspal.com/2-major-myths-about-calories-to-reconsider/
https://www.healthline.com/nutrition/does-calorie-counting-work#section3
https://www.hsph.harvard.edu/nutritionsource/healthy-weight/best-diet-quality-counts/
https://www.ncoa.org/healthy-aging/chronic-disease/nutrition-chronic-conditions/why-malnutrition-matters/5-malnutrition-facts-older-adults/
https://www.eatright.org/food/nutrition/dietary-guidelines-and-myplate/what-is-glycemic-index

© All rights reserved

​Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.
​
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  • Home
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    • Mind and Body
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  • Coaching
    • Coaching Programs >
      • Loneliness Breakthrough
      • Therapeutic Lifestyle Changes
      • Time-Restricted Feeding for Healthy Aging
      • Patient-centered Health Navigation Program
      • Customized program
      • A Special Health Coaching Package
    • Self-Care >
      • 2021 Aug The Milestone of Age 65
      • 2021 March Make a Self-Care Plan for Your Golden Years
      • 2018 Jan The Golden Keys for the Golden Years
      • 2018 July Golden Mindset
      • 2019 Jan Empty Nest
      • 2018 Feb loneliness Breakthrough
      • 2016 Feb Wellness Mindset
      • 2023 Jan Setting and Meeting Your Goals
      • 2019 Sept Time for change
      • 2020 Oct Process and Results
      • 2021 Sept Aging Brain
      • 2019 May Cognitive Health
      • 2021 Oct Muscle Memory and Cognition
      • 2020 July Listening to your body
      • 2019 March Body Image and Self-Care After Midlife
      • 2020 Nov Moderation
      • 2022 Aug Knowing When Doing More Is Harm Than Good
      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
      • 2022 Dec Holiday Homecoming
    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
      • 2017 April Longevity and Quality of Life
      • Blog Are You Motivated for a Healthy Life Style?
      • 2018 June TLC Transformation
      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
      • 2019 April Exercise is Medicine
      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
      • 2016 Mar Get Active
      • 2018 Sept Keep Life in Motion
      • 2020 Aug Keep Fit for Your Age
      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
      • 2018 March Regulate Blood Pressure
      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
      • 2016 June Vitamin D Deficiency
      • 2022 May Aging Skin and Sun Safety
      • 2022 Feb Aging Eye Facts
      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
      • 2017 Feb Live with Thyroid Nodules
      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
      • 2016 July Weight Management
      • 2018 Nov Dealing with chronic stress
      • 2021 June Managing Chronic Insomnia
      • 2017 Aug Facing a life-threatening illness
      • 2016 May Emotional Healing
    • Advocacy and Empowerment >
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      • 2020 Dec Invest In yourself
      • 2016 Aug Health Literacy
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      • 2019 Oct Action is what counts
      • 2021 Nov Navigation for Healthcare Needs
      • 2016 Nov Gratitude for life
    • COVID 19 Pandemic >
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      • 2020 June Breathing and Blessing
      • 2020 April Transform Pandemic Fear to Self-Care
      • 2021 Jan Hew Year Brings New Hope
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