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6 Research Gaps
Pages 105-112

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From page 105...
... She called for broad training and exposure to the many problems older people face. She also stressed that dietitians need an appreciation of related social and health professions so they can function effectively within health care teams and systems that serve older adults.
From page 106...
... Furthermore, if current evaluations tying these programs to Medicare and Medicaid outcomes show ineffectiveness and do not result in reduced health care spending, it must be determined why they are unsuccessful so improvements can be made. Wellman also emphasized the need for more outcome data on the cost effectiveness of the OAA Nutrition Program.
From page 107...
... USE OF FORTIFIED FOODS AND DIETARY SUPPLEMENTS Johnson pointed to the need to conduct basic and translational research on the development, evaluation, and appropriate use of fortified foods and dietary supplements to maintain and enhance health and well-being. She said there is a need to establish an evidence base for specific nutrients and supplements with an evidence base of effectiveness and to help health care professionals and consumers make appropriate choices.
From page 108...
... Another research gap that remains, according to Costello, includes preclinical and clinical studies to • better distinguish which population groups of older adults may need dietary supplements, • evaluate supplement safety and efficacy, • capture usual dietary intakes and total daily intakes of nutrients, • evaluate drug-nutrient interactions, and • determine micronutrient needs of an aging population. NUTRIENT REQUIREMENTS Costello identified another research gap as the need for improved methodologies, including biomarkers, analytical methods, diet assessment tools, and systematic reviews.
From page 109...
... . Russell pointed out that safe upper levels of nutrients must also be evaluated in light of the elevated usage of dietary supplements by older adults; for example, as mentioned by Katherine Tucker, folate intake is a concern (see Chapter 2)
From page 110...
... Nancy Cohen stated that the study of food deserts is important, with focus on policy changes that communities can make to enhance food availability and food access. Karen Jackson Holzhauer identified the role of community gardens, local produce, and food banks in increasing food availability in food deserts.
From page 111...
... Nutrition is one of a variety of criteria that can be evaluated. OTHER RESEARCH GAPS Marketing research is another significant gap identified by workshop participants.


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