Ageing and Musculo-Skeletal Health Dr Max Gowland PhD
Why the Over 50s DO Need to Supplement Dr Max Gowland PhD
BUT………What about the over 50s?
Are Seniors Different? Lack of Poor B12 Energy Absorption Loss in Bone More prone Density to Cancers Diabetes Lower Immunity Muscle Loss Cognition Hypertension Poor Issues absorption Macular nutrients in Degeneration Gut Poly Vit D Pharmacy synthesis slow Loss of Cataracts appetite
Life ife ex expec ectancy tancy , Eng Engla land, nd, 1981 to 2016 Source: Public Health England 2016
‘Life Span’ vs ‘Health Span’ (at 65yrs old) Life Expectancy +21 years • Life with ‘Activity’ 11 years BUT • Life without Chronic 7 years Morbidity
Musculo-Skeletal Impairment Source: Am J. Pub Health 2009,99/3, 540, Avendano et al.
So, what do we need to Stay Active?
Muscle Quality and Ageing
Effect of Inactivity 0 28 DAYS 10 DAYS 3 DAYS -200 -400 -600 -800 -1000 Loss of -1200 -1400 Lean Mass Paddon-Jones et al, Curr Opin Clin Nutr Metab Care. 2014 January
Sarcopenia-Disease or Normal Ageing?
Loss of Bone Mass/Strength
• 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% of • 50% adults > 50yrs sought treatment ‘disablement’ due to • NHS- 3rd largest budget spend musculoskeletal • Will grow with ageing population…… health issues
How to Combat these?
But aren’t we getting all we need in our Diet? NO!!
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
Seniors need MORE protein too! X WHO ~ 60g / day Latest Science 90-110g /day ProtAge Study J.Am Med Dir Assoc 2013,Bauer et al, 1-18
How do I eat 100gms Protein?!
Fighting an uphill battle re Nutrients Insufficient Medication Intakes Slower Polypharmacy MICROS absorption in gut Slower synthesis Vit D Cooking Lower micros in methods Low protein food vs needs Vegetarianism Low omega3, Veganism CoQ10
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
Food Intake studies Scientific Tufts School of Nutrition papers PRIME FIFTY Academics Linus Pauling Inst Dieticians Nutritionists
Other Key Health Areas…….
www.primefifty.co.uk
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