GSRUNDTVIG GHANGE Universita depli Studi di Salerno Dipartimento di Scienze dell'Educazione Care of ⁄⁄+ Health ey Advertising Education and Culture DG IMA Goals for Elderly people
Trang 1(GSRUNDTVIG GHANGE Universita depli Studi di Salerno Dipartimento di Scienze dell'Educazione
Care of
⁄⁄+ Health
ey Advertising Education and Culture DG IMA
Goals for
Elderly people
Lifelong Learning Programme
CHANGE Project
Trang 2- individual and social preferences (tradition, economics),
¢ individual possibilities of preparing food for digestion (technology of preparing meals, condition of mouth cavity) ,
¢ digestive processes efficiency,
¢ absorption processes efficiency,
¢ stool excretion efficiency
acceleration of peristaltics — > secondary Impairment of absorption and nutrition, dehydration,
deceleration of peristaltics ~— constipation, system
Intoxication
CHANGE Project
Trang 3SHANGE
Tab 1 BMI interpretation for adults [www.who.int]
Lifelong Learning Programme
| stage of obesity 30-34.9
ll stage of obesity 39- 39.9
BMI interpretation is different for people over 65 - BMI below 23.5 kg/m2 may indicate risk of malnutrition and is a therapeutic indication for
nutrition treatment, especially in ill people
,»Obesity as a form of malnutrition”
(Prof Bruno Szczygiet) CHANGE projectCHANGE project
Trang 4DIAGNOSIS OF ABDOMINAL (central) OBESITY
>
Waist circumference (WC) [cm] / hip circumference [cm]
Abdominal obesity WHR > 0,94 for men and > 0,8 for women
>
Body height [cm] / waist circumference [cm]
Abdominal Obesity WHtR > 0,5 for men and women
: ie At Fan
es > = +
CHANGE Project
Trang 5
¢ lower amount of energetic ingredients:
- fats, especially animal fats
- Simple carbohydrates
¢ higher concentration of:
- proteins,
- calcium,
- Iron,
- vitamins C and D
- folic acid and other vitamins from group B
CHANGE Project
Trang 6_Ì fish, mainly sea fish (omega-3 acid) L}) low fat milk and dairy products
_] dairy products with fresh fruit L} juices and fruit drinks with low content of carbohydrates
_] meat, poultry and fish preserves with added vegetables
CHANGE Project
Trang 7
¢ aistinct, desired taste,
¢smell and
*® COlOUY
_Ì cooking In skins, _Ì sieaming,
_Ì frying wlIthout Tat, _Ì inirared heating, _Ì microwave heating
CHANGE Project
Trang 8
Original Food Guide Pyramid
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Education and Culture DG é lê |
Lifelong Learning Programme
Modified Food Pyramid for 70+ Adults
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Russell R.M., Rasmussen H., Lichtenstein A.L Modified Food Guide Pyramid for People over
Seventy Years of Age Journal of Nutrition 1999;129:751-753
CHANGE projectCHANGE project
Trang 9SHANGE
v resign from using salt at the table
v use herbs (basil, tarragon, thyme, ginger) to season dishes
v limit intake of processed food — especially smoked, canned, Out also cold cuts or smoked yellow cheese
Y choose cheese with lower content of salt
VY pay attention to the sodium content in mineral water
v eliminate snacks such as crisps, peanuts, crackers etc
v when necessary use salt without or with low content of
sodium, e.g potassium salt or magnesium salt
v limit or eliminate vegetable blends, vegetable salts, garlic Salt, stock Cubes, sauce extracts, mustard, ketchup, maggI, mayonnaise and other spicy sauces
CHANGE Project
Trang 10SHANGE
1 lron deficits (5- 40% of the elderly), Causes:
the issue of body aging, deficiency of iron in the diet, taking drugs neutralising hydrochloric acid, infection with Helicobacter pylori,
blood loss
2 Group B vitamins deficits
> Vitamin B, ( | of demand in atrophic gastritis or liver
activity disorders)
> Vitamin B,,
> Folic acid (folacin)
CHANGE projectCHANGE project