and Musculo-Skeletal Health Dr Max Gowland PhD Why the Over 50s - - PowerPoint PPT Presentation

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and Musculo-Skeletal Health Dr Max Gowland PhD Why the Over 50s - - PowerPoint PPT Presentation

Mar 24, 2023 7 likes •259 views

Ageing and Musculo-Skeletal Health Dr Max Gowland PhD Why the Over 50s DO Need to Supplement Dr Max Gowland PhD BUTWhat about the over 50s? Are Seniors Different? Lack of Poor B12 Energy Absorption Loss in Bone More prone

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Dr Max Gowland PhD

Ageing and Musculo-Skeletal Health

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Dr Max Gowland PhD

Why the Over 50s DO Need to Supplement

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BUT………What about the over 50s?

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Are Seniors Different?

Loss in Bone Density Cognition Issues Lower Immunity Muscle Loss Hypertension Poly Pharmacy Macular Degeneration Lack of Energy Loss of appetite Diabetes Poor absorption nutrients in Gut Poor B12 Absorption Vit D synthesis slow Cataracts More prone to Cancers

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Life ife ex expec ectancy tancy , Eng Engla land, nd,

1981 to 2016

Source: Public Health England 2016

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‘Life Span’ vs ‘Health Span’ (at 65yrs old)

Life Expectancy +21 years

  • Life with ‘Activity’

11 years

  • Life without Chronic

7 years Morbidity

BUT

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Musculo-Skeletal Impairment

Source: Am J. Pub Health 2009,99/3, 540, Avendano et al.

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So, what do we need to Stay Active?

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Muscle Quality

and Ageing

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  • 1400
  • 1200
  • 1000
  • 800
  • 600
  • 400
  • 200

28 DAYS 10 DAYS 3 DAYS

Effect

  • f

Inactivity

Loss of Lean Mass

Paddon-Jones et al, Curr Opin Clin Nutr Metab Care. 2014 January

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Sarcopenia-Disease or Normal Ageing?

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Loss of Bone Mass/Strength

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  • OA most common (knee, hip, wrist,

spine, hand)

  • Bone spurs, Wear & Tear of cartilage,

Inflammation, Pain, Loss of movement

  • 8 million have osteo-arthritis
  • 50% adults > 50yrs sought treatment
  • NHS- 3rd largest budget spend
  • Will grow with ageing population……

50% of ‘disablement’ due to musculoskeletal health issues

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How to Combat these?

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But aren’t we getting all we need in our Diet?

NO!!

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Diet & Nutrition Studies (Older Adults)

German National Nutrition Survey 2(2007) Belgian Food Consumption Study 2004 Danish National Survey Dietary Habits 2002 ENCAT Spain 2003 Catalan Nutrition Survey 2003 National FINDIET Survey 2007 SLAN Ireland 2007 INN CA Study Italy Norkost Survey 1997 Norway EpiPorto Portugal Survey 2003 Riksmaten Sweden 1978 UK NDNS 2000

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Seniors need MORE protein too!

ProtAge Study J.Am Med Dir Assoc 2013,Bauer et al, 1-18

WHO ~ 60g / day Latest Science 90-110g /day

X

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How do I eat 100gms Protein?!

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Fighting an uphill battle re Nutrients

Lower micros in food Medication Polypharmacy Cooking methods Low protein vs needs Vegetarianism Veganism Slower absorption in gut Slower synthesis Vit D Insufficient Intakes MICROS Low omega3, CoQ10

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Health Issues with Low Nutrient Intakes

  • Loss of muscle and poor muscle quality/strength
  • Loss of bone density, fractures esp woman
  • Poor cartilage, collagen and poor joint health
  • Low in energy
  • Insulin Resistance -Poor Sugar management (diabetes)
  • Low Immunity
  • Hypertension
  • Heart disease, atherosclerosis, strokes
  • Vision and AMD
  • Cancers
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PRIME FIFTY

Food Intake studies

Scientific papers Academics

Dieticians

Nutritionists

Linus Pauling Inst

Tufts School

  • f Nutrition
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Other Key Health Areas…….

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www.primefifty.co.uk