Dr Max Gowland PhD

Ageingand

Musculo-Skeletal Health

Dr Max Gowland PhD

Why the Over 50sDO

Need to Supplement

BUT………What about the over 50s?

Are Seniors Different?

Loss in Bone Density

Cognition Issues

Lower Immunity

Muscle Loss

Hypertension

PolyPharmacy

Macular Degeneration

Lack of Energy

Loss of appetite

Diabetes

Poor absorption nutrients in

Gut

Poor B12 Absorption

Vit D synthesis

slowCataracts

More prone to Cancers

Life expectancy , England, 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

• Life without Chronic 7 years

Morbidity

BUT

Musculo-Skeletal

Impairment

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

So, what do we need to Stay Active?

Muscle

Qualityand Ageing

-1400

-1200

-1000

-800

-600

-400

-200

0

28 DAYS 10 DAYS 3 DAYS

Effect of

Inactivity

Loss of

Lean MassPaddon-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% adults > 50yrs sought treatment

• NHS- 3rd largest budget spend

• Will grow with ageing population……

50% of ‘disablement’

due to musculoskeletal

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 2004Danish National Survey Dietary Habits

2002ENCAT Spain 2003Catalan Nutrition Survey 2003National FINDIET Survey 2007SLAN Ireland 2007INN CA Study ItalyNorkost Survey 1997 NorwayEpiPorto Portugal Survey 2003Riksmaten Sweden 1978UK NDNS 2000

Seniors need MORE

protein too!

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

WHO~ 60g / day

Latest Science90-110g /day

X

How do I eat 100gms Protein?!

Fighting an uphill battle re Nutrients

Lower micros in food

MedicationPolypharmacy

Cooking methods

Low protein vs needs

VegetarianismVeganism

Slower absorption

in gutSlower

synthesis Vit D

Insufficient IntakesMICROS

Low omega3,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

PRIME

FIFTY

Food Intake studies Scientific

papers

Academics

DieticiansNutritionists

Linus Pauling Inst

Tufts School of Nutrition

Other Key Health Areas…….

www.primefifty.co.uk