Should the elderly follow a low-sodium (salt) diet if they have high blood pressure? Perhaps! A low-sodium diet can help keep high blood pressure under control, and in doing so, may prevent individuals from having a stroke or heart attack. Studies have shown the benefits of therapy to reduce blood pressure in older adults up to 80 years of age. After age 80, the data are less clear as to possible benefit.
Everyone is different. If individuals are healthy and active, and are able to stick to a low-sodium diet (sometimes called a low-salt diet), than by all means they should do so. However, if they are in frail health and have a poor appetite, restricting foods that are high in sodium sometimes is not in their best interest.
Quality of life
Is it OK to allow the elderly who have high blood pressure to eat high-sodium foods? It is hard to say “yes” or “no” without knowing more about the person’s eating habits, medicines, and medical condition. Every situation is different. However, it is important to consider quality of life for older individuals. If bacon is something they really want, perhaps you can compromise on how often and how much. Try buying the lower-sodium variety of bacon, or, if they are truly insistent and get pleasure from eating this food, perhaps you should give in and let them enjoy bacon as part of an overall healthy diet.
Low-fat diet for individual with weight loss
Because so many elderly people have medical problems and/or are taking many medicines, it is hard to sort out if a low-sodium diet will lower blood pressure. In many cases, a diet will not hurt and might help. However, nutrition experts who work with the elderly agree that one way to improve the intake of a poor eater is to “liberalize” the diet. This means letting the elderly eat what they want and stopping any dietary restrictions. This change often improves food intake, increases quality of life, and results in better resistance to illnesses.
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References
American Heart Association, Council of Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention: Williams MA, Fleg JL, Ades PA, et al. Secondary prevention of coronary heart disease in the elderly (with emphasis on patients
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http://circ.ahajournals.org/cgi/content/full/105/14/1735. Accessed January 29, 2009.
American Heart Association Nutrition Committee: Lichtenstein AH, Appel LJ, Brands M, et al. Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee.
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http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.106.176158. Accessed February 2, 2009.
Niedert KC: American Dietetic Association. Position of the American Dietetic Association: liberalization of the diet prescription improves quality of life for older adults in long-term care.
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http://eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy_adar0902_ENU_HTML.htm. Accessed February 4, 2009.