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PROMOTING NUTRITION FOR THE ELDERLY: NUTRITIONAL ADVISOR
Héctor Galan Marti
ITACA - TSB
AGING PROCESS
Psychological, physiological, social
and pathological changes
Quality of Life Independency Health Status Public Health
Costs
Physiologic
Pathologic
Sociologic
Psychologic
Decreased taste Dentition Ability to shop for foods
Depression
Decreased smell Dysphagia, swallowing problems
Ability to prepare food Anxiety
Dysregulation of satiation
Diseases (cancer, CHF, COPD, ESRD, thyroid)
Financial Status, low socioeconomic
Loneliness
Delayed gastric emptying
Medications (diuretic, antihypertensive, dopamine, agonist, antidepressant, antibiotic, antihistamine)
Impaired activities of daily living skills
Emotionally stressful life events
Decreased acid gastric
Alcoholism Lack of interactions with others at meal times
Grief
Decreased lean body mass
Dementia Dysphoria
“I don’t feel like eating. I don’t have appetite..”
“I never had to cook, so now I do not know how…”
“I always eat the same for dinner: a sandwich..”
“Swallowing it’s getting difficult.”
“I always leave my shopping list at home!”
“I have difficulties when walking, so going shopping
it’s getting harder.”
“This year I found out I have diabetes. I never know what to eat.”
“I have so many pills to take… I always forget
them!”
“Carbohydr what? I don’t understand”
NUTRITIONAL LEARNING
“I prefer eating vegetables and fish, I do not like meat.”
COOKING & SHOPPING ASSISTANT
MOTIVATION & REMINDERS
CUSTOMISED DIET & MENUS
NUTRITIONAL ADVISOR SERVICE NUTRITIONAL
LEARNING COOKING & SHOPPING
ASSISTANT
MOTIVATION & REMINDERS
CUSTOMISED DIET & MENUS
Dynamic adaptation to user’s changing conditions
Efficient management
Independence from the physical location High level of personalization
OASIS NUTRITIONAL ADVISOR MAIN FEATURES
Application for the kitchen that helps older people in their daily nutritional needs. Application for the nutritionists that manages the elderly nutrition.
Creating and providing direct at home user-specific nutritional menus and advises, while helping them with tools for cooking and shopping.
WHAT
Touch PC placed in the kitchen and a mobile device for outdoors. Nutritional content is remotelly managed by nutritionists.
HOW
WHERE
According to the user’s nutritional profile: likes & dislikes, food alergies and health status.
Depending on the user’s personal situation and needs, such as ‘Remember to take your pills after eating’.
Weekly menus
Created on the basis of the suggested weely menu: the list can be printed or sent to the mobile phone
With nutritional values and instructions for cooking the meals.
Nutritional tips
Shopping lists
Easy recipes
Enhanced experienced by using external services.
Interoperability
What is OASIS? Two main objectives: • 7th FP European project that pursuits the autonomy of the elderly by creating applications that assist them in daily life processes: ie: nutritional advisor service, health monitoring & activity coach. • Focused on developing a platform that allows the interoperability and content sharing between systems, so a certain service can be enriched by functionalities offered by other applications.
- In OASIS, the Nutritional Advisor service, based on PERSONA’s NA, is interconnected with other services, physical activity management and health aspects to provide a better management of the general condition of the elderly. -
Daily Life Applications
Hea
lth
Nut
riti
on
Act
ivit
y
Bra
in
gam
es
INTEROPERABILITY & CONTENT SHARING
PLATFORM
Nutritional Profile Social Condition Physical Condition Psychical condition Economical Condition
General Info Likes/Dislikes Health Status Allergies Cultural habits Exercise
Context Information from other OASIS Services
Health Monitoring
Activity Coach
EnvironmentControl
Social Communities
Agenda
Questionnaires & surveys in electronic
format
Sharing recipes Consumed kcal/week
Biomedical parameters
Eating with… Eating compliance
filtering with user’s profile
meals and food DB
selection of meals and food tailored to user’s needs and preferences
Distribution of meals and food by days/meals & kcal adjustment
Allergie {fish} Dislike{cheese}
Adds the triggering rules
Nutritionist creates a message/advise or selects one existing
Sends it to the local application at user’s home
User’s Nutritional Profile & other services works as the trigger
Advise “Today is really hot, do not forget to drink water frequently!
Triggering Rule •Appear only if: Temperature > 30º • Alignment with Public Health Policies. •At user’s lunch •Before meals
Health Monitoring Environment
Control.
T=34º
•Test functional prototypes with elderly users. •Analysis of users’ feedback
•Slightly different results depending on users’ age, gender, IT knowledge and cultural background.
•Refinement of prototypes
•Adaptation of GUI depending on user’s profile: age, vision impairments..
Results are represented with a scoring scale of 5 points: (1 –Totally disagree, 2 – Disagree, 3 – Neutral, 4 – Agree, 5 – Totally agree)
23 users 10, >75
9, [65, 75] 4, [55, 65]
Helps the user to make the right decissions about nutrition
Proposes food and habits tailored to elderly user needs.
Helps cooking with easy instructions
Fosters the user’s independency, quality of life and overall status.
Facilitates the shopping habits with different tools.
The results show the potential of ICT technology to support nutrition assessment.
The nutritional management indications were well accepted by elderly.
Nutritionists enjoyed using the tool. Tests are currently in progress in pilot sites in Bulgaria, Romania
and Italy with 30 people. The social and cultural components of food and nutrition opens
new opportunities and needs for further research on this domain.
THANK YOU!
Complete tool to manage patient’s nutritional information. The nutritionist is able to manage:
Patient’s profile Weekly menus Questionnaires Advices
