How to spot malnutrition
The signs of malnutrition in older adults can be tough to spot, especially in people who don't seem at risk — but uncovering problems at the earliest stage can help prevent complications. To detect malnutrition:
- Observe your loved one's eating habits. Spend time with your loved one during meals at home, not just on special occasions. If your loved one lives alone, find out who buys his or her food. If your loved one is in a hospital or long-term care facility, visit during mealtimes.
- Watch for weight loss. Help your loved one monitor his or her weight at home. You might also watch for other signs of weight loss, such as changes in how clothing fits.
- Be alert to other red flags. In addition to weight loss, malnutrition can cause poor wound healing and dental difficulties. It may also cause weakness, which can result in falls.
- Know your loved one's medications. Many drugs affect appetite, digestion and nutrient absorption.
What you can do about malnutrition
Even small dietary changes can make a big difference in an older adult's health and well-being. For example:
Engage doctors. If your loved one is losing weight, work with his or her doctors to identify — and address — any contributing factors. This might include changing medications that affect appetite, suspending any diet restrictions until your loved one is eating more effectively, and working with a dentist to treat oral pain or chewing problems.
Request screenings for nutrition problems during routine office visits, and ask about nutritional supplements. You might also ask for a referral to a registered dietitian.
- Encourage your loved one to eat foods packed with nutrients. Spread peanut or other nut butters on toast and crackers, ripe fruits, and cooked vegetables. Sprinkle finely chopped nuts or wheat germ on yogurt, fruit and cereal. Add extra egg whites to scrambled eggs and omelets and encourage use of whole milk. Add cheese to sandwiches, vegetables, soups, rice and noodles.
- Restore life to bland food. Make a restricted diet more appealing by using lemon juice, herbs and spices. If loss of taste and smell is a problem, experiment with seasonings and recipes.
- Plan between-meal snacks. A piece of fruit or cheese, a spoonful of peanut butter, or a fruit smoothie can provide nutrients and calories.
- Consider a supplement. A nutritional supplement can supply extra nutrients your loved one may not be getting from food. Discuss which type is best with your loved one's doctor or dietitian.
- Make meals social events. Drop by during mealtime or invite your loved one to your home for occasional meals. Encourage your loved one to join programs where he or she can eat with others.
- Encourage regular physical activity. Daily exercise — even if it's light — can stimulate appetite and strengthen bones and muscles.
- Provide food-savings tips. If your loved one shops for groceries, encourage him or her to bring a shopping list, check store flyers for sales and choose less expensive brands. Suggest splitting the cost of bulk goods or meals with a friend or neighbor, and frequenting restaurants that offer discounts for older adults.
- Consider outside help. If necessary, hire a home health aide to shop for groceries or prepare meals. Also consider Meals on Wheels and other community services, including home visits from nurses and registered dietitians. Your local Area Agency on Aging or a county social worker also might be helpful.
Remember, identifying and treating nutrition issues early can promote good health, independence and increased longevity. Take steps now to ensure your loved one's nutrition.
Nov. 16, 2017
See more In-depth
- Fávaro-Moreira NC, et al. Risk factors for malnutrition in older adults: A systematic review of the literature based on longitudinal data. Advanced Nutrition. 2016;7:507.
- Fillit HM, et al. Malnutrition in older adults. In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology. 8th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed June 29, 2017.
- Ritchie C. Geriatric nutrition: Nutritional issues in older adults. https://www.uptodate.com/home. Accessed July 29, 2017.
- Fillit HM, et al. Health promotion for community-living older adults. In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology. 8th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed June 29, 2017.
- Nutrition after 50: Tips and recipes. American Institute for Cancer Research. http://www.aicr.org/. Accessed June 29, 2017.
- Zeratsky KA (expert opinion). Mayo Clinic, Rochester, Minn. June 29, 2017.
- Takahashi PY (expert opinion). Mayo Clinic, Rochester, Minn. June 30, 2017.