Healthy aging: Nutrition matters, start early and screen often

Authors: ROBERTS, SUSAN - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; SILVER, RACHEL - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; DAS, SAI KRUPA - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; FIELDING, ROGER - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; GILHOOLY, CHERYL - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; JACQUES, PAUL - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; KELLY, JENNIFER - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; MASON, JOEL - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; MCKEOWN, NICOLA - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; REARSON, MEAGHAN - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; ROWAN, SHELDON - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; SALTZMAN, EDWARD - FRIEDMAN SCHOOL OF NUTRITION; Shukitt-Hale, Barbara; SMITH, CAREN - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; TAYLOR, ALLEN - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; WU, DAYONG - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY; ZHANG, FANG FANG - FRIEDMAN SCHOOL OF NUTRITION; PANETTA, KAREN - TUFTS UNIVERSITY; BOOTH, SARAH - JEAN MAYER HUMAN NUTRITION RESEARCH CENTER ON AGING AT TUFTS UNIVERSITY

Submitted to: Advances in Nutrition
Publication Type: Review Article
Publication Acceptance Date: 2/26/2021
Publication Date: 4/10/2021
Citation: Roberts, S., Silver, R., Das, S., Fielding, R.A., Gilhooly, C., Jacques, P.F., Kelly, J.M., Mason, J.B., McKeown, N.M., Rearson, M., Rowan, S., Saltzman, E., Shukitt-Hale, B., Smith, C.E., Taylor, A., Wu, D., Zhang, F., Panetta, K., Booth, S.L. 2021. Healthy aging: Nutrition matters, start early and screen often. Advances in Nutrition. https://doi.org/10.1093/advances/nmab032.
DOI: https://doi.org/10.1093/advances/nmab032

Interpretive Summary:

Technical Abstract: The amount of time spent in poor health at the end of life is increasing. This narrative review summarizes consistent evidence indicating that healthy dietary patterns and maintenance of a healthy weight in the years leading to old age are associated with broad prevention of all the archetypal diseases and impairments associated with aging including: noncommunicable diseases, sarcopenia, cognitive decline and dementia, osteoporosis, age-related macular degeneration, diabetic retinopathy, hearing loss, obstructive sleep apnea, urinary incontinence, and constipation. In addition, randomized clinical trials show that disease-specific nutrition interventions can attenuate progression-and in some cases effectively treat-many established aging-associated conditions. However, middle-aged and older adults are vulnerable to unhealthy dietary patterns, and typically consume diets with inadequate servings of healthy food groups and essential nutrients, along with an abundance of energy-dense but nutrient weak foods that contribute to obesity. However, based on menu examples, nutrient-dense plant based and moderately-low glycemic load diets are better equipped to meet the nutritional needs of many older adults than current recommendations in U.S. Dietary Guidelines. These summary findings indicate that healthy nutrition is more important for healthy aging that generally recognized. Improved public health messaging about nutrition and aging, combined with routine screening and medical referrals for age-related conditions that can be treated with a nutrition prescription, should form core components of a national nutrition roadmap to reduce the epidemic of unhealthy aging.