Adu|thood

Lhe perlod of llfe when one ha aLLalned full growLh and maLurlLy
?ear beLween age 21 and 30
LongeL perlod of Lhe llfe cycle and polblllLy Lhe peak producLlve year


LLabllhed Sound eaLlng hablL
O ,en are more llkely Lo have beLLer food pracLlce Lhan women
O ,oLher are prone Lo neglecL Lhelr own meal
food need Lhelr famllle
no underLandlng abouL welghL conLrol

,alnLenance of u8W
O 8y age of 60 average adulL ha accumulaLed abouL 7 exLra kllogram
O @o prevenL overwelghL and obelLy
educe Lhe dally calorlc allowance ln lncrealng age
uecreae of 3 for each decade of 3039 yr and 40 Lo 49 yr
,eLabollc raLe broughL abouL by lo of lean body ma
olble uleae
1) CverwelghL or CbelLy
a) PyperLenlon
b) ncreae level of blood choleLerol and Lrlglycerlde
c) Pyperurlcemla
d) ulabeLe
e) PearL aLLack
f) SLroke

2) underwelghL
a) Plgh rlk Lo nfecLlon and dleae
b) Low lmmune yLem

hylcal AcLlvlLy
O uegree of reducLlon ln phylcal acLlvlLy LhaL l aoclaLed wlLh advanclng age l dlfflculL
O ,en engaged ln llghL acLlvlLy are found Lo have falrly conLanL acLlvlLy paLLern b/w age 20 and
43

eference man and eference woman
eference man
O b/w age 20 and 39 and welgh 36kg
O healLhy free from dleae and phylcally flL for acLlve work
8 hr ln worklng day moderaLe acLlvlLy
8 hr ln bed
46 hr lLLlng or movlng around llghL acLlvlLy
2hr walklng acLlve recreaLlon or houehold chore
O onume adequaLe dleL and l nelLher galnlng nor lolng welghL
O AdequaLely cloLhed and houed

O 40yr old ave wL of 36kg need 44kcal/kg
eference woman
O Same wlLh reference man
O Welgh 49kg and need 1800kcal or 37kcal/kg



f|y Iood Gude for f hef|thy Adu|t

lCCu CCuS LC,,LnuLu
lce and
alLernaLlve
lce and oLher 3 Z cup cooked
1 cup rlce cooked 4 pc pan de al (abouL 17g each) 4 llce loaf
bead (17g each) 1 pack or 60g lnLanL noodle 1 cup cooked
macaronl or pagheLLl 1 malllzed rooL crop (eg kamoLe) 180g or
1 cup cooked dlced aL leaL 3x a week
,eaL and
alLernaLlve
llh/,eaL/
oulLry/
urled
8ean/nuL
2 3 ervlng
1 ervlng cooked meaL 30g or abouL 3 cm cube flh 2pc medlum
lzed (3660g) abouL 16 cm long 1 Z cup cooked drled bean/nuL
preferably Laken 3x a week
Lgg 1 plece medlum lze
3 4x a week
,llk 1 gla whole mllk (240 mL)
4 Lbp of powdered whole mllk or Z cup evaporaLed mllk dlluLed 1
gla of waLer
vegeLable Creen leafy
and yellow
cup cooked
CLher cup cooked
lrulL vlLamln
rlch
1 medlumlzed frulL or 1 llce of a blg frulL
CLher 1 medlumlzed frulL or 1 llce of a blg frulL
laL and Cll 6 8 Lp
Sugar 3 8 Lp
WaLer and
8everage
6 8 Lp













enescence
roce of growlng old or Lhe perlod of old age
Llderly or enlor clLlzen
Senlle aoclaLed wlLh an old man wlLh menLal and phylcal weaknee

Senecence ulLurbed regulaLory and funcLlonal mechanlm ln Lhe body
ulfferenL yLem
1) CaLrolnLeLlnal uecreaed LaLe Lhrehold
uecreaed moLlllLy
ulmlnlhed ecreLlon of dlgeLlve enzyme
ncreae gaLrlc ph
uecreae number of aborblng cell
conLlpaLlon and poor nuLrlLlon aborpLlon

2) lrculaLory uecreaed of myocardlal ablllLy Lo ue oxygen
Lo of elaLlclLy of blood veel
Slow raLe of blood flow coronary arLerle kldney C LracL and braln
educe cardlac ouLpuL
ncreaed preure and yLollc bp

3) LxcreLory ulmlnlhed amounL of funcLlonlng of nephron
Slow excreLlon of waLe reducLlon of glomerular fllLraLlon an lncreaed 8un

4) Lndocrlne educe enlLlvlLy Lo lnulln releae
uecreae producLlon of eLrogen and LeLoLerone Lhyroxln plLulLary
Pormone decreaed cellular meLabollm and ablllLy Lo wlLhLand Lre

3) nervou ulmlnlhed conducLance of Lhe nerve lmpule
uecreaed enory enlLlvlLy low reflex reacLlon

6) eplraLory Lo of pulmonary funcLlonal Llue
Weakenlng or replraLory mucle

7) ,uculoSkeleLal uecreae ln number and bulk of mucle flber
ncreae proporLlon of llme Lo waLer brlLLle bone decreae ln mucle
LrengLh Looped poLure Llffened
[olnL



nuLrlenL Allowance

CerlaLrlc nuLrlLlon
oncerned malnly wlLh Lhe conervaLlon of good healLh and prevenLlve chronlc degeneraLlve
dleae among elderly

ommon uleae among Llderly

a) arLhrlLl
b) rheumaLlm
c) gouL
d) coronary hearL dleae
e) dlabeLe

AdvancemenL ln medlcal knowledge rolonged llfe
mprovemenL ln SocloLconomlc condlLlon LxpecLancy
eearch ln nuLrlLlon of Lhe Aged


nuLrlenL Allowance
Lnergy
decreae calorle decreae baal meLabollm and phylcal acLlvlLle
73 each decade of 3039 and 6069
10 70y/o above

arbohydraLe and laL
3060 hould come from carbohydraLe Larche raLher Lhan ugar
2023 faL

roLeln
malnLalned aL 112gm/kg body wL baed on a neL proLeln uLlllzaLlon of 63
prevenLlon nfecLlon
rogrelve Llue waLlng
SucepLlblllLy Lo dleae
no lncreaed requlremenL for proLeln under normal clrcumLance
Cverall ma of acLlvely meLabollzlng Llue decreae wlLh age

vlLamln and ,lneral
mpalred C bloavallablllLy vlLamln 812
alclum
ron
Zlnc
ommon lack ln dleL alclum Low lnLake of
ron meaL meaL green
vlLamln A leafy vegeLable
vlLamln and frulL
Lack of alclum CLeoporol
CLeomalacla
ecommended nLake of alclum
O 300mg/day

Anemla l alo common among elderly
uecreae ln peclflc vlLamln and ,lneral
a) ron lmporLanL componenL of hemoglobln
b) vlLamln 86 caLalyze Lhe ynLhel of heme porLlon of hemoglobln molecule
c) vlLamln L affecL Lhe LablllLy of 8 membrane

d) vlLamln 812 normal blood
e) lolacln formaLlon
f) vlLamln lncreae lron aborpLlon
g) opper faclllLaLe hemoglobln formaLlon
mprove LaLe acqulLy
lnLake of zlnc
eLard ellular aglng
lnLake of vlLamln faclllLaLe aborpLlon of calclum lron and vlLamln L
nLake of Lhlamln
counLeracL poor appeLlLe
help regulaLe mucle Lone of C@
help regulaLe normal funcLlonlng of nerve
nadequaLe vlLamln u Llver n[ury
AnLlbloLlc @herapy
oor nLeLlnal AborpLlon
nadequaLe expoure Lo unllghL
WaLer
carrler of waLe producL ln Lhe body
help conLrol conLlpaLlon
6 8 glae/day
4LlLer above /day ln bedrldden elderly prevenL kldney Lone formaLlon


CerlaLrlc lll
vlLamln plll
may noL be neceary aL all for Lhe body
mulLlple vlLamln hould be precrlbed by phylclan ln order Lo prevenL overdoe

Culdellne ln leedlng Lhe Llderly

need roLecLlve lood# ame Lo Lhe adulL
no LeeLh or poor denLure reLrlcL Lhelr food
lour or flve llghL bland meal raLher Lhan Lhree ubLanLlal one are beneflclal
for havlng enlLlve dlgeLlve yLem
muL be hoL aL each meal
Soluble llber Lender vegeLable promoLe good ource of
frulL normal vlLamln and
whole graln cereal mlneral
,llk
lmporLanL dleL among elderly
good ource of proLeln calclum rlboflavln and when forLlfled excellenL ource of
vlLamln u
hoL mllk ln evenlng lnduce leep
elderly who cannoL LoleraLe ,llk
Local lood
a) ulll
b) @lnapa
c) kandull

d) Small Shrlmp
e) kuhol rovlde ,a[or ,lneral
f) @ulya
g) balloL
h) uong plllplL
l) malungga leave
[) aluyoL
llnger food are favorlLe among elderly
requlre le efforL and ealer Lo handle
lorLlfled and Lnrlched lood can help greaLly ln lmprovlng Lhe nuLrlenL lnLake ln aged
unemullfled faL may reLard dlgeLlon
f leellng dlcomforL occur Avold
a) laLLy meaL and flhe
b) gravle
c) auce
d) rlch deerL
e) dlhe conLalnlng coconuL mllk
Peavler meal be eaLen aL noon raLher Lhan nlghL
Avold coffee and Lea ln laLe day



etfry A||owfnces for the Agng fnd the Aged

lCCu ,Ln WC,Ln
3069 70+ 3069 70+
llh meaL poulLry
and oLher meaL
ubLlLuLe
3 Z ervlng 3 Z ervlng 3 Z ervlng 2 Z ervlng
Lgg 23/week 1 a day 23/week 1 a day
,llk 2 cup 1 cup 1 cup 1 cup
urled 8ean
cooked
Z cup 1/3 cup
lce ofL cooked 4 cup 3 cup 3 x cup 2 cup
ooL rop 1 medlumlzed 1 medlumlzed 1 medlumlzed 1 medlumlzed
Creen leafy and
yellow vegeLable
cup cup cup cup
vlLamln rlch
frulL
1 or more ervlng 1 or more ervlng 1 or more ervlng 1 or more ervlng
CLher lrulL 1 ervlng 1 ervlng 1 ervlng 1 ervlng
CLher vegeLable Z cup cooked Z cup cooked Z cup cooked Z cup cooked