Eating Well

The most common sign is unintentional weight loss.

Please note that unexplained weight loss can also signify a serious underlying medical condition and should always be discussed with a health professional. New symptoms like difficulty swallowing and loss of appetite should always prompt further investigation. 

Losing weight is not a normal part of ageing.

With loss can be evident as:

• Loose clothing eg shirt collars becoming a bit big, skirts and trousers becoming looser around the waist, needing to fasten belts on a tighter hole
• Loose dentures
• Rings and watches becoming looser than normal
• Limbs and face looking thinner than before

Other signs of malnutrition can include:

• Weak muscles
• Feeling tired all the time
• Low mood
• An increase in illnesses or infections

Also, listen out for changes in attitudes towards food – phrases such as “I’m not feeling as hungry” or “I can’t be bothered to cook” should raise levels of suspicion.

There is a national screening tool for carers and individuals to assess their risk of malnutrition – you can access the tool here.

If you think that someone you care for might be at risk of malnutrition you should seek medical help. A health professional can check for signs of malnourishment, investigate any underlying causes and advise on care. If appropriate, a community dietician might get involved.

In the absence of any serious underlying condition, diet is the key to both prevention and treatment. However other issues like stimulating appetite or tackling dental problems may be relevant too.

Certain medical conditions (eg diabetes, kidney disease, coeliac disease, inflammatory bowel disease ) require special diets which should be developed in consultation with medical experts and dietitians.

Specialist dietary advice and support is also essential for those adults who have conditions which affect the way food and drink can be taken into, and/or absorbed and digested by, the body eg difficulty chewing or swallowing (dysphagia), bowel or stomach surgery, needing to be fed by a tube.   This advice should also extend to the best way to take essential medicines eg liquid or injectable alternatives to tablets.

Sometimes specialist supplements might be required but eating well with nutrient rich foods (a ‘food first’ approach) can be effective.

Sometimes, older people become undernourished simply because they are not eating well enough.  Common contributors include poor appetite, difficulty shopping for food or preparing suitable meals.  Bereavement, social isolation, cognitive decline and excess sleepiness can also play a key role. Often, co-existing conditions such as frailty, dementia, COPD or depression contribute too.

Eating the right amount of food to maintain a healthy weight may mean eating less for some and eating more for others.  Healthy weight for some older people may be higher than healthy weight for younger adults.

This video gives some helpful information and tips. it was developed by Bournemouth University, and is linked with a workbook which is available here.