Meredith Peddie, Jennifer Gale, Millie M Harland, Sophie Grenfell, Xaviour Walker, David Gerrard, Takiwai Russell-Camp, Hamish Osborne, Eduardo C Costa, Debra L Waters, Lara Vlietstra
{"title":"Dietary Intakes of Older Retired Olympic and Commonwealth Games Athletes: A Cross-Sectional Study.","authors":"Meredith Peddie, Jennifer Gale, Millie M Harland, Sophie Grenfell, Xaviour Walker, David Gerrard, Takiwai Russell-Camp, Hamish Osborne, Eduardo C Costa, Debra L Waters, Lara Vlietstra","doi":"10.1080/21551197.2026.2733707","DOIUrl":"https://doi.org/10.1080/21551197.2026.2733707","url":null,"abstract":"<p><p>The aim of this study was to describe the dietary intakes of a sample of older retired New Zealand Olympics and/or Commonwealth Games athletes and compare intakes to the suggested dietary targets. Participants were recruited via the researchers' networks and by snowballing techniques. Dietary intake was estimated using three 24-h dietary recalls. Thirty-three adults (mean age 76 (8) years) who had represented New Zealand at an Olympic or Commonwealth Games between 1956 and 1990 participated. Men reported consuming 9499 (2646) kJ/day, while women were consuming 7404 (701) kJ/day. Both sexes consumed less carbohydrate, and more total and saturated fat, than recommended by the Acceptable Macronutrient Distribution Ranges (AMDRs). All women, and 56% of men had calcium intakes below the estimated average requirement (EAR), while a substantial proportion of men were also at risk of inadequate magnesium (41%) and zinc (66%) intakes. Despite higher overall energy, macronutrient and micronutrient intakes than the general population of similar age, being an older retired elite athlete does not confer protection against age-related or population-wide dietary challenges. Targeted dietary interventions may be warranted to support healthy aging in this group.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sujit Abraham, Nicole Detlor, Cynthia Riddle, Sean Duffy, Kavvya Sharma, Chunhai Wu, Jennifer Shamblaw, Emily Parkinson, Fateema Kassam, Catherine E Tong, Linda Sheiban Taucar
{"title":"Easy Eats: A College-Community Collaboration to Create Recipes and Test Texture Modified Foods for Long-Term Care Residents with Dysphagia.","authors":"Sujit Abraham, Nicole Detlor, Cynthia Riddle, Sean Duffy, Kavvya Sharma, Chunhai Wu, Jennifer Shamblaw, Emily Parkinson, Fateema Kassam, Catherine E Tong, Linda Sheiban Taucar","doi":"10.1080/21551197.2026.2730936","DOIUrl":"https://doi.org/10.1080/21551197.2026.2730936","url":null,"abstract":"<p><p>In long-term care (LTC), the prevalence of dysphagia can range from 7-70%. A common part of a dysphagia treatment plan is the recommendation of a texture modified diet (TMD). In the LTC setting, TMDs are strongly associated with undernutrition and unintended weight loss, and researchers have called for more sensorially appealing and nutritious texture modified foods (TMFs). The aim of this partner-driven, applied research project was to improve the palatability of TMFs for residents in LTC, while being cognizant of the realities and needs of the sector. Together with frontline staff, our work included the creation and testing of 15 recipes, along with an e-cookbook and instructional videos. Our vibrant and flavorful garnishes (e.g. Green Herb oil), all a Food Level Three (liquidized food) on the International Dysphagia Diet Standardized Initiative (IDDSI), can enhance a variety of meals. We also conducted texture tests with common ingredients and found that different blenders produce food purees that are different IDDSI levels. All involved in serving TMFs should be aware of the IDDSI levels and know how to test for these, given that different appliances will render distinct textures. Our recipes and texture analyses support the provision of TMDs in LTC.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ravish Huchegowda, Vijaykumar Harbishettar, Preeti Sinha, Sameeksha Das, Sivakumar Pt, John P John
{"title":"Vitamin B12, Homocysteine, and Cognitive Function in the Older Adults Attending a Tertiary Geriatric Psychiatry Center: A Retrospective Case Notes-Based Study.","authors":"Ravish Huchegowda, Vijaykumar Harbishettar, Preeti Sinha, Sameeksha Das, Sivakumar Pt, John P John","doi":"10.1080/21551197.2026.2713421","DOIUrl":"https://doi.org/10.1080/21551197.2026.2713421","url":null,"abstract":"<p><strong>Background: </strong>Cognitive impairment in older adults has been linked to low serum Vitamin B12 (B12) and elevated homocysteine (HCY) levels, but evidence remains inconclusive. This study examined their relationship with cognitive impairment among older adults in India.</p><p><strong>Methods: </strong>This retrospective case note-based study included 96 subjects: cognitively normal (<i>n =</i> 21), Alzheimer's disease (AD; <i>n =</i> 42), and other cognitive disorders (<i>n =</i> 33). The mean age was 70.1 (± 8.9) years, with 58% males. Cognitive function was assessed using the Hindi Mental Status Examination (HMSE). Serum B12 (pg/ml) and HCY (micromol/L) levels were measured. Pearson's correlation, multiple linear regression, and bootstrapped mediation analyses were performed.</p><p><strong>Results: </strong>Elevated HCY (>15 micromol/L) was seen in 72%, and low B12 (<200 pg/mL) in 33%. The mean HMSE score was 16.9 (± 8.5). No significant correlation was found between HMSE scores and HCY (<i>r =</i> -0.006, <i>p =</i> 0.95) or B12 (<i>r =</i> 0.12, <i>p =</i> 0.23). HCY levels were higher in cognitively impaired groups than controls, but not significantly. Regression analysis showed gender as a significant predictor, while B12, HCY, and age were not.</p><p><strong>Conclusion: </strong>B12 and HCY levels were not independently associated with cognitive performance. No significant moderation effect between B12 and HCY on HMSE scores was observed.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strengthening the Aging Network: Development and Impact of a Virtual Course for Nutrition Professionals.","authors":"Catherine S Rudolph, Sarah L Francis, Eva C Wood","doi":"10.1080/21551197.2026.2660689","DOIUrl":"10.1080/21551197.2026.2660689","url":null,"abstract":"<p><p>As the U.S. population ages, the Older Americans Act (OAA) Title III-C senior nutrition program (SNP) must evolve to meet emerging needs. The National Resource Center on Nutrition and Aging (NRCNA) developed <i>ican!</i>, a free, online course designed to strengthen the capacity of SNP professionals. This article describes the theory-based development of <i>ican!</i> and evaluates its impact using a mixed-methods design. Quantitative data from survey respondents (<i>n</i> = 801) revealed positive course perceptions across several metrics (engagement, relevance, satisfaction, knowledge, skills, attitudes, and commitment). Qualitative interviews (<i>n</i> = 10) provided insight into how the course was utilized, including training staff or local service providers, advancing user knowledge, and informing organizational planning. Interviewees praised the course's user-friendly design, clear language, and flexible format. The findings suggest that <i>ican!</i> is a well-received, valuable training tool for SNP professionals. The study also highlights the importance of theory-driven design, audience input, and ongoing evaluation in developing impactful educational resources. These insights can inform future training efforts within the Aging Network and support broader goals of program sustainability and workforce development.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"105-121"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malnutrition as Independent Predictor of Geriatric Syndromes in Older Individuals with Diabetes Living in Urban Slums: A Cross-Sectional Study.","authors":"Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi","doi":"10.1080/21551197.2026.2695580","DOIUrl":"10.1080/21551197.2026.2695580","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition is a critical but often under-recognized associated with adverse health outcomes in older adults with diabetes. This study aimed to examine the relationship between nutritional status and geriatric syndromes in a low-resource context.</p><p><strong>Methods: </strong>We conducted a cross-sectional study among 100 older adults with diabetes in urban slums of Casablanca, Morocco. Standardized tools were used to assess nutritional status, cognitive function, depressive symptoms, functional status, quality of life, and comorbidity burden. Descriptive, bivariate, and multivariable linear regression analyses were performed using Jamovi version 2.3.</p><p><strong>Results: </strong>In adjusted models, better nutritional status was independently associated with improved cognitive function (<i>β</i> = 1.31, <i>P</i> < 0.001), reduced depressive symptoms (<i>β</i> = -0.508, <i>P</i> < 0.001), higher quality of life (<i>β</i> = 2.80, <i>P</i> < 0.001), greater functional independence (Katz: <i>β</i> = 0.330, <i>P</i> < 0.001; Lawton: <i>β</i> = 0.497, <i>P</i> < 0.001), and lower comorbidity burden (<i>β</i> = -0.115, <i>P</i> = 0.002). These associations remained significant after adjusting for HbA1c and physical activity.</p><p><strong>Conclusions: </strong>Nutritional status is a central independent predictor of geriatric syndromes in older adults with diabetes. Routine nutritional screening may help identify individuals at increased risk of functional impairment, cognitive decline, and reduced quality of life.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"91-104"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring AI-Driven Interventions for Preventing and Managing Malnutrition in Older Adults: A Systematic Review.","authors":"James Axisa, David Llewellyn Whitehead","doi":"10.1080/21551197.2026.2695588","DOIUrl":"10.1080/21551197.2026.2695588","url":null,"abstract":"<p><strong>Purpose: </strong>The primary objective of this systematic review is to explore the role of AI-driven interventions in preventing and managing malnutrition in older adults.</p><p><strong>Methods: </strong>Using PRISMA guidelines, the authors searched electronic databases for relevant studies from the past five years. The authors appraised selected studies on AI-driven nutritional interventions for older adults using Critical Appraisal Skills Programme tools, assessing for potential bias before synthesizing the findings.</p><p><strong>Results: </strong>The review found that AI-driven intervention, such as personalized meal plans and self-monitoring apps, hold promise for improving dietary habits. AI models also showed high accuracy in predicting malnutrition risks and screening for early signs, like swallowing difficulties. Preventative tools were identified as valuable for proactive care, and the importance of user-centred design and the role of healthcare professionals in improving technology adoption was highlighted.</p><p><strong>Key conclusions: </strong>AI-driven interventions have significant potential for improving nutrition care for older adults through personalized strategies. However, challenges like usability, data privacy, and the need for validation in diverse settings must be addressed. Future research should focus on refining these technologies and including underrepresented populations to improve the health and quality of life of older adults.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"53-90"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily A Johnston, Noor Abi Rached, April R Williams, Joshua Chodosh
{"title":"Nutrition in Geriatrics-Focused Continuing Medical Education.","authors":"Emily A Johnston, Noor Abi Rached, April R Williams, Joshua Chodosh","doi":"10.1080/21551197.2026.2653489","DOIUrl":"10.1080/21551197.2026.2653489","url":null,"abstract":"<p><p>One in four US adults age ≥ 65 have two or more chronic conditions, many of which can be prevented or managed through nutritional interventions. Despite known benefits, nutrition is not prioritized in undergraduate or graduate medical education. We reviewed agendas of three major geriatrics-related continuing medical education (CME) conferences from 2018 to 2025 to understand the extent to which deficits in nutrition training could be addressed via CME. We searched 19 conference agendas for the terms: \"nutrition,\" \"diet,\" \"lifestyle,\" \"food,\" \"fat,\" \"carbohydrates,\" \"protein,\" \"vitamin,\" \"mineral,\" \"weight,\" and \"nutrients.\" Our results showed that nutrition topics were inconsistently offered at geriatrics-related CME conferences, with some conferences offering no nutrition-related talks, and some offering as little as 8 minutes of nutrition-related talks. Few sessions addressed malnutrition or food security. This is the first known review of nutrition education at geriatrics-focused CME conferences. We found insufficient practical nutrition education for providers at CME events to overcome training gaps in medical education. Improved interdisciplinary participation at CME events could increase availability of nutrition education for physicians.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Luíza Lopes Gonçalves, Thiago Neves, Juliana Cristina Lemos de Souza Marchesi, Natália Maira da Cruz Alves, Tatiane Lopes de Pontes, Guilherme da Silva Rodrigues, Karina Pfrimer
{"title":"Assessment of Dietary Consumption in Independent Community-Dwelling Older Adults with and without Sarcopenia.","authors":"Ana Luíza Lopes Gonçalves, Thiago Neves, Juliana Cristina Lemos de Souza Marchesi, Natália Maira da Cruz Alves, Tatiane Lopes de Pontes, Guilherme da Silva Rodrigues, Karina Pfrimer","doi":"10.1080/21551197.2026.2653482","DOIUrl":"10.1080/21551197.2026.2653482","url":null,"abstract":"<p><strong>Objective: </strong>Characterize and compare the food consumption of independent community-dwelling older adults with and without sarcopenia.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted with data from 50 community-dwelling older adults receiving care at the secondary level of health in a city in southeastern Brazil in 2017. Three criteria were used to diagnose sarcopenia: dual X-ray absorptiometry, hand grip strength and walk speed. Diet intake data was obtained by three 24-h Multiple Pass Recalls. The consumption of energy, macro and micronutrients was compared between the participants without sarcopenia and those with sarcopenia. The t-Student test was performed to compare dietary consumption. The adopted significance level was <i>p</i> < 0.05.</p><p><strong>Results: </strong>Men with sarcopenia had lower intake of animal protein (g) compared with those without sarcopenia (<i>p</i> < 0.05). In women, those with sarcopenia had higher intake of carbohydrate (%) and lower intake of protein (g), animal protein (g) and saturated fatty acids (SFAs) (%) (<i>p</i> < 0.05). The mean consumption of vitamin D, vitamin E and calcium was lower than the Estimated Average Requirement in all groups.</p><p><strong>Conclusion: </strong>The lower intake of important nutrients for muscle health by both groups of participants can be a risk factor for developing and aggravating sarcopenia.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"33-43"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Energy Intake and Clinical Trajectories in End-Stage Aspiration Pneumonia: A Retrospective Cohort Study.","authors":"Daiki Kobayashi, Yoshihiro Yoshimura, Takashi Mori, Fumihiko Nagano, Ayaka Matsumoto, Eiji Hashizume","doi":"10.1080/21551197.2026.2617890","DOIUrl":"10.1080/21551197.2026.2617890","url":null,"abstract":"<p><p>This study investigated whether sufficient energy intake is associated with clinical trajectories in patients with end-stage aspiration pneumonia. A retrospective cohort study was conducted in patients with end-stage aspiration pneumonia in a long-term care ward (LTCW). Patients were classified into sufficient and poor energy intake groups, with sufficient intake defined as exceeding estimated energy needs. The primary outcome was swallowing recovery, defined as an improvement of ≥1 point on the Food Intake Level Scale (FILS). Secondary outcomes included survival discharge and 60-day survival in the LTCW. Multivariate logistic regression analyses were performed to assess associations between energy intake and outcomes, adjusting for confounders. Among 240 patients (mean age 84.6 ± 8.3 years, 51.3% male), 33 received sufficient energy intake. After adjustment for confounders, sufficient energy intake was significantly associated with swallowing recovery (OR: 5.29, <i>p</i> = 0.006) and survival discharge (OR: 8.33, <i>p</i> < 0.001). However, no significant association was observed between sufficient energy intake and 60-day survival (OR: 1.32, <i>p</i> = 0.530). Overall, sufficient energy intake may promote swallowing recovery and facilitate survival discharge in patients with end-stage aspiration pneumonia. These findings highlight the potential role of nutrition management in optimizing care strategies for this vulnerable population.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eline Cornelia Pieternella van Buuren, Jenny Theodora van der Steen, Marieke Perry, Raymond Theodorus Catherina Maria Koopmans, Christian Bakker
{"title":"Incidence of Resistive Behavior Adversely Affecting the Intake of Food and Fluids in Younger and Older People with Dementia.","authors":"Eline Cornelia Pieternella van Buuren, Jenny Theodora van der Steen, Marieke Perry, Raymond Theodorus Catherina Maria Koopmans, Christian Bakker","doi":"10.1080/21551197.2026.2616811","DOIUrl":"10.1080/21551197.2026.2616811","url":null,"abstract":"<p><p>People with dementia can develop resistive behavior that adversely affects the intake of food and fluids. This behavior, including (non-)verbal refusal, such as pushing away cutlery or an assisting person, can lead to malnutrition, dehydration, and increases mortality risk. However, it is unclear how common this behavior is in residents with young-onset dementia (YOD; symptoms under age 65) and how it compares to late-onset dementia (LOD). This study investigated the incidence and characteristics of these behaviors. We conducted a prospective cohort study with a twelve-month follow-up period, including thirty-six care units comprising 424 beds in twelve nursing homes across the Netherlands. Monthly registration of the total number of residents at risk informed the denominator, and the numerator was determined by the number of incident cases. Of forty reported cases, sixteen were incident, resulting in an incidence rate of 32/1000 person-years. The incidence rate was higher in residents with YOD (45/1000 person-years) than in LOD (26/1000 person-years). In all cases, at least two symptoms were observed. In fourteen of sixteen cases there was a prioritized global care goal aimed at providing comfort care and accept persisting resistive behavior. The findings might imply that young residents are at greater risk of developing these behaviors, and professional and informal caregivers should be prepared for the occurrence of specific resistive behaviors in younger residents.</p>","PeriodicalId":38899,"journal":{"name":"Journal of Nutrition in Gerontology and Geriatrics","volume":" ","pages":"17-32"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}