Healthy Middle YearsHealthy Middle Years

Gaynor BussellGaynor Bussell

RD, RPHNutrRD, RPHNutr

What are the middle What are the middle years?years? Around 45-65; known as ‘baby boomers’ Around 45-65; known as ‘baby boomers’

in the Statesin the States Probably still working and possibly with Probably still working and possibly with

more responsibility than ever, yet may more responsibility than ever, yet may also have elderly parents and children also have elderly parents and children that are still in full tome education that are still in full tome education (especially with the trend of having kids (especially with the trend of having kids later)later)

Can be stressful time, Can be stressful time, There is a desire to indulge in comfort, There is a desire to indulge in comfort,

high quality food and drink (because you high quality food and drink (because you deserve it) deserve it)

There is a market for such food, but it There is a market for such food, but it also may need to deliver health benefitsalso may need to deliver health benefits

Middle years and chronic Middle years and chronic diseasedisease

Symptoms of chronic disease can Symptoms of chronic disease can start at this timestart at this time

But it’s not too late to prevent first But it’s not too late to prevent first symptoms developing into later symptoms developing into later long term disability and decreasing long term disability and decreasing quality of lifequality of life

Is there a role for food and Is there a role for food and supplement industry?supplement industry?

What are the health concerns of What are the health concerns of middle years?middle years?

Cardiovascular. incl blood pressure, Cardiovascular. incl blood pressure, high cholesterol and metabolic high cholesterol and metabolic syndromesyndrome

DiabetesDiabetes Cognitive functionCognitive function Gut healthGut health Weight gain- becoming ‘apple’ shapedWeight gain- becoming ‘apple’ shaped Physical fitness and muscle strengthPhysical fitness and muscle strength Skin and beautySkin and beauty Joint and bone healthJoint and bone health MenopauseMenopause CancersCancers

Type 2 diabetesType 2 diabetes Used to be known as a disease of Used to be known as a disease of

middle yearsmiddle years Caused by poor lifestyle factors such Caused by poor lifestyle factors such

as overeating, not enough exerciseas overeating, not enough exercise Usually preceded by insulin Usually preceded by insulin

resistanceresistance Lifestyle factors are the main cause, Lifestyle factors are the main cause,

especially weight, activity levels and especially weight, activity levels and balance of dietbalance of diet

What can offset this?What can offset this? ““Healthy and achievable physical Healthy and achievable physical

activity and dietary goals among activity and dietary goals among older adults, including:older adults, including:

moderate leisure-time activity and moderate leisure-time activity and walking pace,walking pace,

higher intake of dietary fibre and higher intake of dietary fibre and polyunsaturated fat, andpolyunsaturated fat, and

lower intake of trans fat and easily lower intake of trans fat and easily digestible [high GI] carbohydrates.”digestible [high GI] carbohydrates.”

April 27, 2009 issue of the Archives of Internal MedicineApril 27, 2009 issue of the Archives of Internal Medicine

Cardiovascular diseaseCardiovascular disease Diseases of the heart and circulatory Diseases of the heart and circulatory

system (cardiovascular disease or CVD) system (cardiovascular disease or CVD) are the main cause of death in the UK are the main cause of death in the UK

More than one in three deaths are from More than one in three deaths are from CVD each year.CVD each year.

The main forms of CVD are coronary The main forms of CVD are coronary heart disease (CHD) and stroke. heart disease (CHD) and stroke.

CHD, by itself, is the most common cause CHD, by itself, is the most common cause of premature death in the UK. About one of premature death in the UK. About one fifth (19%) of premature deaths in men fifth (19%) of premature deaths in men and one in ten (10%) premature deaths and one in ten (10%) premature deaths in women were from CHD in women were from CHD

MenopauseMenopause

Healthy diet and being physically activeHealthy diet and being physically active Keep weight downKeep weight down Watch caffeine intake and alcoholWatch caffeine intake and alcohol Soya, calcium, vitamin D, vitamin E, Soya, calcium, vitamin D, vitamin E,

EPO, LC omega 3s, probiotics, EPO, LC omega 3s, probiotics, magnesium, magnesium,

But hard to make claims on foods and But hard to make claims on foods and supplements for supplements for

menopause as not amenopause as not a

diseasedisease

Bone healthBone health 1 in 3 women over 50 will experience 1 in 3 women over 50 will experience

osteoporotic fractures, as will 1 in 5 menosteoporotic fractures, as will 1 in 5 men In women over 45 years of age, In women over 45 years of age,

osteoporosis accounts for more days osteoporosis accounts for more days spent in hospital than many other spent in hospital than many other diseases, including diabetes, myocardial diseases, including diabetes, myocardial infarction and breast cancer infarction and breast cancer

Up to 90 % of peak bone mass is acquired Up to 90 % of peak bone mass is acquired by age 18 in girls and age 20 in boys, by age 18 in girls and age 20 in boys, which makes youth the best time to which makes youth the best time to “invest” in bone health. “invest” in bone health.

After around 30, bone is gradually lost at After around 30, bone is gradually lost at a rate of about 0.5% a year. In women a rate of about 0.5% a year. In women this escalates to about 5% a year during this escalates to about 5% a year during the time of the menopausethe time of the menopause

What can be done?What can be done? Calcium and vitamin DCalcium and vitamin D Balanced diet with plenty of fruit Balanced diet with plenty of fruit

and vegand veg Weight bearing exerciseWeight bearing exercise Moderate alcoholModerate alcohol Other factors may be relevant;Other factors may be relevant; Vitamin K, magnesium, soya, Vitamin K, magnesium, soya,

antioxidantsantioxidants

Prostate cancerProstate cancer In UK, this cancer is the most In UK, this cancer is the most

common cancer in men and common cancer in men and incidence rate is risingincidence rate is rising

Lifestyle factors heavily involvedLifestyle factors heavily involved Lycopene, Vitamin D and soya may Lycopene, Vitamin D and soya may

protect, high calcium diet are a protect, high calcium diet are a probable causeprobable cause

Selenium and vitamin E ruled out as Selenium and vitamin E ruled out as protective and may actual increase itprotective and may actual increase it

Again obesity and lack of physical Again obesity and lack of physical activity may also promoteactivity may also promote

Five main considerations in Five main considerations in middle years as markers of middle years as markers of

healthhealth SmokingSmoking Weight-BMI and fat distributionWeight-BMI and fat distribution Alcohol intake-pattern and amountAlcohol intake-pattern and amount Exercise (minimum 5 times a week Exercise (minimum 5 times a week

for 30 mins at moderate pace)for 30 mins at moderate pace) Amount of fruit and veg consumedAmount of fruit and veg consumed

failing on the above can lead to ill failing on the above can lead to ill health, whereas meeting the criteria health, whereas meeting the criteria for each of these leads to better for each of these leads to better health outcomehealth outcome

Evidence that middle years are Evidence that middle years are ignoring health adviceignoring health advice

Getting fatterGetting fatter Drinking the sameDrinking the same Not exercising as muchNot exercising as much Not eating sufficient fruit and vegNot eating sufficient fruit and veg Why? “Middle years just want to have Why? “Middle years just want to have

fun”fun” So need to keep taste and fun So need to keep taste and fun

element of food, yet make it healthyelement of food, yet make it healthy

Weight lossWeight loss Does it matter how you do it?Does it matter how you do it? Satiety, e.g. GI, fibreSatiety, e.g. GI, fibre Protein factorProtein factor Portion sizePortion size Energy densityEnergy density Tom Sanders will elaborate on Tom Sanders will elaborate on

weight loss laterweight loss later

FluidFluid

Eat well plate does not show fluid.Eat well plate does not show fluid. Thirst mechanism decreases with Thirst mechanism decreases with

age, so if you don' t think about age, so if you don' t think about drinking water, you may become drinking water, you may become dehydrated. dehydrated.

Too much caffeine and alcohol can Too much caffeine and alcohol can act as a diureticact as a diuretic

ExerciseExercise Vital and its never too old to startVital and its never too old to start Strength, Stamina and suppleness Strength, Stamina and suppleness

should all be consideredshould all be considered

AlcoholAlcohol Alcohol units may have started to Alcohol units may have started to

creep up, especially if life is creep up, especially if life is stressful!stressful!

Alcohol is very calorificAlcohol is very calorific Too much causes a variety of Too much causes a variety of

health problems including health problems including increase risk of several cancersincrease risk of several cancers

Drinking within limits Drinking within limits shown to be protective , shown to be protective , but not in women?but not in women?

Health and well being Health and well being marketmarket Biggest driver for NPD- seems so even Biggest driver for NPD- seems so even

due to recession due to recession But, low fat/low sugar products only 6% of But, low fat/low sugar products only 6% of

market and dieting in general is market and dieting in general is marginalisedmarginalised

So what is in: functional ingredients So what is in: functional ingredients supporting digestive health, immune supporting digestive health, immune support and mental functionssupport and mental functions

Anti-ageing and beauty ingredients are Anti-ageing and beauty ingredients are emerging trendsemerging trends

Positive on pack messaging is in!Positive on pack messaging is in!MintelMintel

What about functional foods and What about functional foods and ingredients for healthy middle ingredients for healthy middle

years?years? My starter for 10 for ingredients: folic My starter for 10 for ingredients: folic

acid, omega 3s, plant sterols and stanols, acid, omega 3s, plant sterols and stanols, dietary fibre, pre and probiotics, soya, dietary fibre, pre and probiotics, soya, vitamin D, Co enzyme Q10, vitamin D, Co enzyme Q10, phytochemicalsphytochemicals

functional foods: low GI, high satiety functional foods: low GI, high satiety foods, low energy dense, high protein, foods, low energy dense, high protein, higher monosats, wholegrainhigher monosats, wholegrain

Over to speakers to qualify some of Over to speakers to qualify some of thesethese

What claims can be made?What claims can be made? New health claims rules will mean New health claims rules will mean

populous nutrition as read in Daily populous nutrition as read in Daily Mail, will not be able to find itself on Mail, will not be able to find itself on to our food and drink packages or to our food and drink packages or advertsadverts