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Recommended micronutrient supplementation for institutionalized elderly.

Y Dror1, F Stern, Y N Berner

  • 1Yosef Dror, PhD, Institute of Biochemistry, Food Science and Nutrition, Faculty of Agricultural, Food and Environmental Quality Sciences, P.O.Box 12, Rehovot 76100, Israel. Telephone: 972-8-9489280. Fax: 972-8-9476189. dror@agri.huji.ac.il

The Journal of Nutrition, Health & Aging
|December 11, 2002
PubMed
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This study recommends daily micronutrient supplements for elderly individuals in health ministry-supervised institutions. These supplements aim to provide essential vitamins and minerals, supporting the balanced nutrition policy for older adults.

Area of Science:

  • Gerontology
  • Nutritional Science
  • Public Health Policy

Background:

  • Elderly populations, particularly those in institutional settings, often have unique nutritional needs.
  • Existing literature and international recommendations were reviewed to inform supplementation guidelines.
  • The Israel Ministry of Health sought to establish a standardized micronutrient policy for institutionalized elderly.

Purpose of the Study:

  • To propose a daily micronutrient supplementation regimen for institutionalized elderly.
  • To define the specific composition and dosage of recommended micronutrients.
  • To ensure the recommendations align with broader public health and nutrition goals.

Main Methods:

  • A committee reviewed scientific literature and national/international guidelines.

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  • Recommendations were developed for a specific micronutrient preparation.
  • Exclusions and specific formulation requirements (e.g., microencapsulation) were determined.

    • Main Results:

    • A daily micronutrient supplement is proposed, containing approximately half the Recommended Dietary Allowance (RDA) for most vitamins and some minerals.
    • Higher-than-half RDA levels are suggested for biotin, vitamins C, D, B12, zinc, copper, chromium, and molybdenum.
    • Calcium, magnesium, phosphorus, vitamin K, and iron are excluded and require separate supplementation; fluorine is included at a lower level.

    Conclusions:

    • The proposed micronutrient supplementation is a key component of the Ministry of Health's balanced nutrition policy for institutionalized elderly.
    • These recommendations are also deemed applicable to the free-living elderly population.
    • Specific formulation requirements, such as microencapsulation of fat-soluble vitamins, are crucial for efficacy.