tailieunhanh - Trends in dietary habits of the elderly: The Indonesian case

Strategic actions aiming at elderly health are: implementing the Caderneta de Saúde for the elderly, with relevant information about their health, permitting better follow-ups by healthcare workers; Family Health Strategy; stimulating the Permanent Distance Education Program, implementing permanent education activities in the field of aging and elderly health, focused on workers in the basic healthcare network; establishing the Welcoming, by reorganizing the process of welcoming elderly patients in healthcare units; establishing Pharmaceutical Care, developing actions that aim at qualifying care delivery and access of the elderly population; guaranteeing Differentiated Care upon Admission, establishing global gerontological evaluation, performed by a multidisciplinary team, to all seniors admitted in a hospital, seen in an out-patient clinic, either institutionalized. | Asia Pacific J Clin Nutr 2002 11 Suppl. S351-S354 S351 Review Article Trends in dietary habits of the elderly The Indonesian case R Boedhi-Darmojo MD ProfMed Department of Internal Medicine Geriatric Unit Medical Faculty Diponegoro University Semarang Indonesia Based on community surveys of the elderly of their nutritional habits in big cities throughout Indonesia and in urban and rural areas the following observations are reported i the elderly tend to reduce their food intake by themselves in calories carbohydrate fat protein content 15-30 less ii they even reduce their traditional fatty food by themselves in spite of their already low fat intake daily 30-40 less iii they very seldom eat snacks between meals of the respondents only iv they tend to eat very seldom - never new trendy foods 78-95 such as hamburger pizza fried chicken etc. which are available in big cities v the elderly usually eat just enough before satiety vi the majority of the elderly usually eat rice or other local staple foods with mostly vegetables every day 50-80 especially the traditional témpé soybean cake and tahu soybean curd and green vegetables 80 fruits are consumed less than vegetables 40 vii milk consumption still needs to be improved viii fish consumption the best healthy animal protein source still needs to be promoted to the whole country especially to the elderly on Java island and ix an urban-rural difference was noted the urban elderly having a higher intake of calories fat and protein. Gender differences were practically not observed except the higher calorie intake in men. The following findings support the aforementioned observations. The elderly have a lower mean body mass index BMI only are overweight and only are obese although it is admitted that there are many elderly people who are underweight and malnourished. They also have lower mean cholesterol triglyceride and haemoglobin values but a higher prevalence of glucose intolerance hypertension .