foods for healthy ageing · 2019. 7. 17. · older women (aged 51-70 years) scored higher for...

Dr Natalie Luscombe-Marsh CSIRO Nutrition amp Health Program

APAC Healthy Ageing Summit Singapore Thursday 11th July 2019

Foods for Healthy Ageing -Societal Challenge and Market Opportunity

Overview of talk

bull The challenge around foods for healthy ageing

bull How can we help

bull Issues with current eating patterns

bull Lessons learnt from CSIRO research

bull Market opportunities to create a competitive edge

Dr Natalie Luscombe-Marsh Senior Research Scientist CSIRO Nutrition amp Health Program2 |

What is the 2050 challenge

3 |

M A L N U T R I T I O N amp

N O N -CO M M U N I C A B L E

D I S EA S E

4 6 M O R E P ROT E I N

F O O D S EC U R I T Y SA F E T Y amp

EQ U I T Y

1 0 B I L L I O N P EO P L E

amp BY 2 0 5 0gt 2 2

W I L L B E 6 5 + Y EA RS

C H A N G I N G M A R K E T S amp I N D U ST R I ES

C L I M AT E C H A N G E

UN Sustainable Development Goals

Willet et al Food in the Anthropocene the EATndashLancet Commission on healthy diets from sustainable food systems LANCET 2019 393447-92Hajkowicz et al Our Future World Global megatrends that will change the way we live The 2012 Revision CSIRO Australia

Dr Natalie Luscombe-Marsh Senior Research Scientist CSIRO Nutrition amp Health Program

How can we help

4 | Dr Natalie Luscombe-Marsh Senior Research Scientist CSIRO Nutrition amp Health Program

CSIROrsquoS research on diet amp lifestyle strategies for managing body weight and associated non-communicable disease

5 |

Translation of scientific knowledge into educational resources for health professionals and the public


How is Australia doing it

6 |

Hendrie et al Overconsumption of Energy and Excessive Discretionary Food Intake Inflates Dietary Greenhouse Gas Emissions in Australia Nutrients 2016 Oct 318(11) Hendrie et l 2016 CSIRO Healthy Diet Score 2016


Older women (aged 51-70 years) scored higher for discretionary

foods than men

1 contributor to discretionary food intake was alcohol intake amp

older adults regardless of gender consumed more than the young

Older women scored higher for meat and alternatives

For vegetable intake women scored 11 points or more higher than

men across all age groups

How are older Australians doing it


Hendrie G Baird D Golley S Noakes M (2016) CSIRO Healthy Diet Score 2016httpsmytotalwellbeingdietcomhealthy-diet-score

A focus on protein intake ndash Australianrsquos are consuming the wrong sources

8 |

Opportunities

bull Reduce indulgence foods

bull Create healthier meats cereals and grain based food

bull Fortify some core foods with protein

bull More plant based proteins


Noakes M (2018) Protein Balance New Concepts for Protein in Weight Management CSIRO Australia

Whatrsquos the dream

9 |

Healthy Sustainable Diverse Food Supply

For All


Food is culturally defined

bull What is considered a food in culture A is not considered a food in Culture B

10 |

In Western culturesbull conveniencebull social interactionsbull reward of positive behaviours celebratingbull suppressing negative emotionsbull habitsbull availabilitybull economicsbull losing weight being skinny

In traditional AsianMediterranean culturesbull giving life purposebull being outdoors amp staying activebull connecting with family amp friendsbull religionbull ritualbull connection to earth bull spirituality


Lessons from longevity hotspots


‒ Eating patterns vary

‒ No lsquoone size fits allrsquo regarding effective strategies for management of health and wellbeing

‒ Eat mindfully amp enjoy

‒ Remain active (physically amp socially)

‒ There is a need for personalized solutions variety of vegetables amp fruit wholegrains amp cereals healthy fats mixed source of high-quality protein

particularly gt plant- amp fish based herbs amp spices for flavour

Global dietary guidelines may not be optimal for protein


Protein intakes need to be personalised

bull age

bull gender

bull actual body weight

bull physical activity

bull health statusmedications

bull energy needs (different for weight maintenance weight loss or weight gain)

Situation Females 19 to gt70 years [71 kg] Male 19 to gt70 years [86 kg]

RDI[08 gproteinday]

46 - 57 gproteinday 64 gproteinday

Weight loss or gain[11-16 gkgday]

85-114 gproteinday 103-138 gproteinday

Who benefits most from gt08 g of protein kgday


OverweightObese to reduce weight optimise body composition maintain strengthfunction amp reduce disease

Ageing Adults any adult aged gt30 years to slow age related muscle loss or following a period of hospitalisation

VegetariansVegans to ensure they consume a enough protein and a complete array of amino acids from plant based foods

13 |

Protein is important for managing obesity


bull 30 calorie restricted diets followed for gt 1 yr bull ~14 g of Protein kgd vs ~1 g of Proteinkgd

bull 044 kg gt reduction in fat massbull FFM preservedbull 017 mmolL gt reduction in triglyceridesbull 022 mUL gt reduction in fasting insulinbull = improvements in lipids blood pressure glucose control inflammation

Protein protects against unintentional weight loss frailty amp dementia

Unintentional weight loss increases with age

Weight change gt5 per year increases disease amp mortality risk

Muscle mass decreases and central and visceral adiposity increase from ~

30-40 years (even if weight stable) Fat infiltrates organs including muscle

21 year old female

63 year old female


Arjuna et al Nutrients 2016Body weight of South Australian Nursing home residents

A focus on protein for adults aged ~60 plus years


~1-14 gkg of BW day for healthy ~12-16 gkg BWday for pre-frailfrail ~08 gkg BWday for those with GFR lt 30

mlmin

Distribution 25-40 gmeal Mixed source high quality protein for complete

amino acid profile amp other specific nutrients

Increased Protein Found to Prevent Preserve muscle protein synthesis after hospitalisation Increase lean mass particularly when combined with

resistance exercise Improve some aspects of physical function (ie namely

grip and gait speed) amp quality of life

Key Recommendations

Current protein intakes by Australians


Noakes M (2018) Protein Balance New concepts for Protein in Weight Management CSIRO Australia

bull Sustainable ethical affordable

bull Appetising culturally diverse

bull Nutrient-dense Increase variety plant- or flexitarian-protein foods

bull Protein + resistant starchprebiotic + healthy fatty acids will be key

bull Portion sizes customised for different life stages

beverages meals amp snack options

bull Provide array of other nutrients vitamins minerals trace elements


The need for sustainable alternative diverse protein sources represent a huge opportunity for food industry amp food service

18 |

Case study 1 Lessons from Australian age care food service provider

19 |

Arjuna T et al 2018360-73

Can fortifying lunch time meals provided to elderly help maintain function amp quality of life

Study design

Partially randomised 12 week trial

3 to 5 lunch meals per week

lsquoStandard lunchrsquo (STD) or

lsquoEnergy + protein enriched lunchrsquo (HEHP each component fortified high fat amp protein ingredients ie Beneprotein skim milk powder cream cheese)

lsquoCONTROLrsquo ndash education only

Participants

41 nutritionally at risk enrolled (screened 114)

29 41 completed all assessments

bull (70 starters 25 referrals)

bull HEHP = 12 STD =7 C = 10

bull Withdrew meals transitioning to nursing home poor

health unspecified

Findings

At lunch HEHP cf STD uarr energy intake by ~2MJd (P=0002)

uarr protein intake by ~ 19gd (P=001) uarr MNA score

(P=001)

Energy amp protein intakes at breakfast amp mid-meals remain

suboptimal

No differences on physical function quality of life or hospital

admissions between groups

Conclusion

While fortifying single meals can assist aged care food services to maintain the function amp quality of life of frail older adults what could be achieved if - smaller nutrient dense options at every meal snack and

beverage- other nutrients which elderly are deficient in were also

added



Key FindingsFor pre-frail older adults a program of twice daily whey or rice protein supplements had equal effects on

strength physical function

times whey supplement associated with gt gut symptomstimes tasteamp texture of rice protein needs improvement

Suggests the quality of protein may not be as critical for maintaining physical function as long as a sufficient amount (ge 12 gday) is consumed but

Product development need to improve tastetexture of plant-based protein supplements

Case Study 2 Lessons from a protein supplement study in elderlyCan providing protein supplements as mid meal snacks help maintain function amp quality of life amp does the source of protein matter

Case Study 3 Lessons from creating value from food loss


Effective as a supplement for vegetable intake

Fresh vegetables2 servesd

~11 mg carotenoidsd

Carrot powder2 servesd

5 mg carotenoidsd

Product development needed to increase market acceptability

VS

INTERVENTION4 weeks 42 healthy adults RESULTS CONCLUSIONS IMPACT

Increase in plasma carotenoids similar

Participants preferred fresh vegetables

darr consumer acceptance

Castro M et al Journal of Functional Foods 60 (2019) 103421

Future opportunity novel nutrient supplements from other food wastes


Future opportunity V2 Foods ndash plant-based meat


GPDietitian and patient relationship ndash Education on when amp how to correct nutritional excesses amp deficiencies is required


What gives products a commercial edge

25 |

Outback Harvest- develop gluten-free foods made from Australian-grown teff (an ancient Ethiopian grain)

Clextral Pacific - developed a world first transformative technology that could develop brand new food products with improved functionality using far less energy than currently needed

Community Chef ndash developing meal solutions to support the long term food security and nutritional well-being of those most vulnerable in the community

JBS Australia - showed that spray chilling reduced chilling shrink loss hence improving saleable meat yield without any loss of storage life compared with non-spray chilled sides

Clover-NuMega Ingredients -developing a technology that encloses microscopic droplets of fish oil in a food grade material MicroMAXreg masks the fishy flavour and extends the shelf life of omega-3 oils so it can be added to a range of beverages and foods

Preshafood ndash use very high pressures instead of heat to kill yeasts moulds and bacteria in their range of premium fruit juices seasonal fruit blends smoothies and vegetable juices

RampD - CSIRO amp Food Innovation Australia Ltd Success Stories


What gives products a commercial edgeCSIRO assists navigate food regulations for health

bull Support the health claim regulatory system

bull Systematic literature reviews amp meta-analyses

bull Health Claim dossiers complying with regulations

bull Advice on nutrition and health messages complying to regulations

bull Scoping product concepts to carry nutrition or health claims

bull Analysing population survey data ndash identify areas of need justify target markets


For more information httpswwwcsiroauenResearchHealthHealthier-safer-foods

Contact DetailsDr Natalie Luscombe-MarshSenior Research Scientist CSIROamp Affiliate adjunct lecturer The University of AdelaideT +61 08 83050605E natalieluscombe-marshcsiroau

Thankyou


AcknowledgmentsNutrition and Health ProgramDr Welma StonehouseMaria CastroDr Grant BrinkworthDr Pennie TaylorDr Lynne CobiacDr Beverly MulhauslerDr Jane BowenDr Gilly HendrieDr Malcolm RileyDanielle BairdAg amp Food ProgramDr Maryann AugustinDr Luz SanguansriAdelaide UniversityDr Renuka VisvanathanDr Agathe Daria JadzackDr Tony Arjuna

Overview of talk

bull The challenge around foods for healthy ageing

bull How can we help

bull Issues with current eating patterns

bull Lessons learnt from CSIRO research

bull Market opportunities to create a competitive edge



3 |



D I S EA S E



EQ U I T Y


amp BY 2 0 5 0gt 2 2







How can we help



5 |




6 |




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




3 |



D I S EA S E



EQ U I T Y


amp BY 2 0 5 0gt 2 2







How can we help



5 |




6 |




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou



How can we help



5 |




6 |




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




5 |




6 |




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




6 |




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




foods than men










8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




8 |

Opportunities








9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




9 |


For All




10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou





10 |















bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou














bull age

bull gender






RDI[08 gproteinday]









13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou








13 |










21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou












21 year old female

63 year old female






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou






mlmin






Key Recommendations













18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou















18 |


19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou




19 |



Study design






Participants






health unspecified

Findings



(P=001)


suboptimal



Conclusion



added













~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou














~11 mg carotenoidsd


5 mg carotenoidsd


VS













25 |



















Thankyou










25 |



















Thankyou













Thankyou



foods for healthy ageing · 2019. 7. 17. · older women (aged 51-70 years) scored higher for...

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