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Food For Thought - Newsletter Archives
Nutrition and Aging-The decline in the senses of taste and smell


Nutrition is vitally important for all age groups but is especially a concern for the elderly population. Proper menu planning is critical for providing the essential nutrients that a resident so desperately needs. Older adults are more likely than younger adults to suffer from, and be concerned about, hypertension, diabetes, obesity and osteoporosis. In July 2003, there were 35.9 million people over the age of 65 in the United States. This accounted for 12 percent of the total population. In 2030, the US Census Bureau projects the older population to be twice as large as in 2000, growing from 35 million to 72 million and representing nearly 20 percent of the total US population.

Mature adults have unique nutritional needs but one of the key changes experienced by many residents is a decline in the senses of taste and smell. How many times have we heard the comment from a resident that the food just doesn’t taste good or smell appetizing? The truth is that the senses of smell, taste, and touch may decline gradually with age. Sometimes we fail to realize how some residents may have lost their sense of smell and taste and therefore their appetite.

As senses of taste and smell get duller, food may lose some of its flavor, appeal, and pleasure. Some residents may just lose interest in eating. Poor nutrition can then result because the resident says; “the food just doesn’t taste as good as it used to.” It has been shown that the ability to sense sweet and salty tastes may decrease sooner than bitter or sour tastes. The anterior taste buds, which are for sweet and salt are affected first. Posterior taste buds for bitter and sour are affected later. This may be why some residents may reach for the salt shaker or sugar bowl to make the food taste better.
Medications or health problems may also affect taste and smell. Some medications leave a bitter flavor, which will affect the taste of the food. Some may cause nausea, resulting in a loss of appetite. Health problems such as diabetes, high blood pressure, cancer, and liver disease may alter taste and smell.

To help improve the resident’s appetite, think about “spicing” up certain food items with herbs, spices or lemon juice. Carrots or acorn squash may be more appealing with a dash of nutmeg, or simmer your soups or stews with a bay leaf. Of course you will want to watch out if your residents may not tolerate certain spices. Texture also adds variety and can help when there is a loss of taste and smell. Crushed crackers on soups or crushed cornflakes on ice cream or pudding may aid in improving appetite. Ground nuts, bread or cereal crumbs or cocoa in food can increase appeal. Marinate meats in fruit juices, Italian dressing and sweet and sour sauce for extra zest. A simple plate garnish can also add appeal and interest in the food. A staff member from dietary or activities can bake some fresh cookies or bread in the kitchen or dining room, which can also help stimulate the resident’s appetite.
As you can see there are many ways we can help to improve the taste and appeal of meal service to the residents. Always keep in mind to try various ways to help improve the resident’s appetite. In the long run this will help their overall nutritional health and make meal time a more pleasant experience.
 
 
Food For Thought - Newsletter Archives

Previous Newsletter Articles

  • June 2009
    Diabetes Teaching GuidelinesApproximately 6.5 million Americans have been diagnosed with diabetes and it is estimated that 50% of all persons in the United States who have diabetes are undiagnosed.  Diabetes is the fourth killer in the United States, usually related to coronary heart disease or stroke.  It is the chief…
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  • August 2009
    Alcoholism and NutritionAlcoholism is a complex problem that affects nearly 17.6 million adults in the United States. Heavy alcohol use has adverse affects on nutrition both because it displaces other, more nutritious foods in the diet and because chronic use impairs absorption and metabolism of many nutrients. Over many years…
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  • December 2008
    Keeping Residents Safe from Foodborne Illnesses

    According to the Federal Food Code 2001, 76 million people in the U.S. become ill from foodborne illness (FBI) and there are 325,000 hospitalizations annually. According to the Centers for Disease Control (CDC ) there are an estimated 5000-9100 deaths related…
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  • April 2009
    How to Cool Food ProperlyLimiting the time food spends in the temperature danger zone (41° F to 140° F) is a way in which facilities can prevent food borne illnesses.  Food that will not be used immediately need to be cooled quickly and stored in the refrigerator or freezer.  Slow…
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  • November 2009
    Thermometer CalibrationFoods cooked, stored and held at the proper temperatures do not allow bacteria to grow.  If bacteria do not grow, then people who eat the food will not get food borne illness.  Proper use of a thermometer can help assure that the food prepared in your kitchen is safe…
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  • April 2009
    Proper Feeding TechniquesLong-term care residents should be encouraged to maintain their independence and feed themselves whenever possible. However, there are many reasons why a patient may require feeding assistance.  Physical problems (for example, being unable to hold a fork, tremors that prevent getting spoon to mouth, etc) or cognitive problems…
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  • September 2008
    Prepare for the Baby Boomer Generation!

    A new group of health care consumers has begun to utilize the services of long term care. These are the Baby Boomers who total approximately 78 million, born between 1946 and 1964. These men and women, some of whom have reached…
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  • November 2009
    You Are What You EatThe old adage, though many would like to believe otherwise, is very true… we are what we eat.   One of the main reasons people become overweight or obese is overeating.  And for those who eat out frequently, portion size can be a detriment contributing to…
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  • July 2009
    Summertime Grilling Safety TipsSummertime and outdoor grilling go hand in hand when it comes to the warm months, but a foodborne illness can ruin a perfect picnic or cookout.  However, a little bit of planning can prevent a foodborne illness from occurring which happens so often in the warm summer…
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  • September 2008
    Food Safety and Sanitation Training in Long Term Care


    With recent requirements in the state of Illinois and others, that an employee with Sanitation Certification Training—in Illinois, the Food Service Sanitation Manager Certification (FSSMC)—be on duty in a Category 1 or “High Risk” facility whenever food…
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