Assessing Intake of
Food and Dietary
Supplements in
Older Adults
_____
Emily A. Callahan and Hoda Soltani,
Rapporteurs
Food and Nutrition Board
Health and Medicine Division
Proceedings of a Workshop Series
NATIONAL ACADEMIES PRESS 500 Fifth Street, NW, Washington, DC 20001
This activity was supported by a contract between the National Academy of Sciences and the National Institutes of Health’s Office of Dietary Supplements (contract no. HHSN263201800029I). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-69561-9
International Standard Book Number-10: 0-309-69561-9
Digital Object Identifier: https://doi.org/10.17226/26771
This publication is available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Copyright 2023 by the National Academy of Sciences. National Academies of Sciences, Engineering, and Medicine and National Academies Press and the graphical logos for each are all trademarks of the National Academy of Sciences. All rights reserved.
Printed in the United States of America.
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2023. Assessing intake of food and dietary supplements in older adults: Proceedings of a workshop series. Washington, DC: The National Academies Press. https://doi.org/10.17226/26771.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Victor J. Dzau is president.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.
Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.
Rapid Expert Consultations published by the National Academies of Sciences, Engineering, and Medicine are authored by subject-matter experts on narrowly focused topics that can be supported by a body of evidence. The discussions contained in rapid expert consultations are considered those of the authors and do not contain policy recommendations. Rapid expert consultations are reviewed by the institution before release.
For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
PLANNING COMMITTEE ON ASSESSING INTAKE OF FOOD AND DIETARY SUPPLEMENTS IN OLDER ADULTS1
CAROL J. BOUSHEY (Chair), Associate Research Professor, Epidemiology Program, University of Hawai‘i Cancer Center
REGAN L. BAILEY, Associate Institute Director, Institute for Advancing Health through Agriculture, and Professor of Nutrition, Texas A&M University
CLARE CORISH, Professor of Clinical Nutrition & Dietetics and Program Director, Masters in Clinical Nutrition & Dietetics, School of Public Health, Physiotherapy and Sports Science, University College Dublin
DIANE MITCHELL, Associate Research Professor and Director of the Diet Assessment Center in the Department of Nutritional Sciences, Pennsylvania State University
ROSE ANN DiMARIA-GHALILI, Senior Associate Dean for Research and Professor of Nursing, College of Nursing and Health Professions, Drexel University
ELBERT HUANG, Professor of Medicine and Public Health Sciences and Director, Center for Chronic Disease Research and Policy, University of Chicago
GORDON L. JENSEN, Senior Associate Dean for Research and Professor of Medicine and Nutrition, Emeritus, Larner College of Medicine, University of Vermont
HEATHER KELLER, Schlegel Research Chair in Nutrition & Aging, Schlegel-University of Waterloo Research Institute for Aging, and Professor, Department of Kinesiology and Health Sciences, University of Waterloo
Health and Medicine Division Staff
HODA SOLTANI, Senior Program Officer
NICOLE CUNNINGHAM, Research Associate
ANN L. YAKTINE, Director, Food and Nutrition Board
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
This page intentionally left blank.
Reviewers
This Proceedings of a Workshop Series was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
ROSE ANN DiMARIA-GHALILI, Senior Associate Dean for Research and Professor of Nursing, College of Nursing and Health Professions, Drexel University
MARIE KAINOA FIALKOWSKI REVILLA, Associate Professor in Human Nutrition, University of Hawai‘i at Mānoa
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by CHERYL ANDERSON, Herbert Wertheim School of Public Health, University of California, San Diego. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies. We also thank staff member Lida Beninson for reading and providing helpful comments on this manuscript.
This page intentionally left blank.
Contents
Organization of This Proceedings
2 FOUNDATIONS AND CURRENT STATUS OF DIETARY AND NUTRITION ASSESSMENT OF OLDER ADULTS
Introduction: Changing Demographics
Baltimore Longitudinal Study on Aging and InChianti Study
National Health and Nutrition Examination Survey
National Health and Aging Trends Study
Longitudinal Aging Study Amsterdam
Panel Discussion with Speakers
3 ADVANCES AND KEY ISSUES IN DIETARY ASSESSMENT OF OLDER ADULTS
Assessing Dietary Intakes Among Older Adults From Diverse Populations
Using Technological Approaches to Record Dietary Intakes of Older Adults
Panel Discussion with Speakers
4 NUTRITIONAL SCREENING OF OLDER ADULTS
A U.S. Experience with Screening for Malnutrition: The Nutrition Screening Initiative to 2022
An International Experience with Screening for Malnutrition
Danish Experiences with Screening
Panel Discussion with Speakers
5 NUTRITIONAL POLICIES, PRACTICES, AND CHALLENGES THAT AFFECT OLDER ADULTS
Education Policy: Teaching About Food and Nutrition in Medicare
The Big Picture and New Legislation
Panel Discussion with Speakers
C BIOGRAPHICAL SKETCHES OF WORKSHOP SPEAKERS AND PLANNING COMMITTEE MEMBERS
2-6 Algorithm to optimize estimation of nutrient intake from dietary supplements among older adults
4-1 Determine Your Nutritional Health checklist from the Nutrition Screening Initiative
4-2 2021 poverty guidelines for the 48 contiguous states and the District of Columbia
5-1 Ideal world of dietary assessment
