Malnutrition: adapted textures, finger food, what tips to help seniors?

Maintaining the joy of dining for as long as possible is vital for the well-being of elderly individuals. © Freepik – gpointstudio

As individuals age, many seniors experience a decline in appetite, often due to feelings of loneliness and a decrease in enjoyment when it comes to food. This phenomenon can lead to malnutrition, posing a significant issue for a large number of elderly individuals. It is crucial, therefore, to implement strategies to rekindle their desire to eat and ensure a balanced diet. Modifying food textures or embracing the trend of “finger food” are among the potential solutions that can help seniors rediscover their enjoyment of food…and life.

As of January 1, 2024, France had around 14.7 million individuals aged 65 and older, accounting for 22% of the population. Thankfully, not all of them struggle with appetite issues! However, as people age, some seniors find that their enjoyment of food diminishes, often due to sensory impairments, chewing difficulties, or social isolation.

This loss of interest in food can lead to malnutrition, compromising their overall health, particularly among the eldest who may be partially or fully dependent. Whether at home or in care facilities, it is essential to discover solutions that restore their enjoyment of meals and promote sufficient, balanced nutrition. Through specialized training and innovative initiatives, it is possible to transform institutional dining into a moment of warmth and joy, crucial for stimulating appetite and enhancing well-being.

Physical and Sensory Changes

Aging brings physiological changes that affect taste sensations. The prevalence of hyposmia (reduced sense of smell) and hypogeusia (reduced sense of taste) leads to a diminished perception of flavors. Reduced saliva production (xerostomia) causes difficulty in chewing and hampers digestion.

Additionally, vision impairment can lessen the appeal of dishes, while dental issues may make consuming certain foods painful. The use of medications can also result in decreased appetite.

Psychological and Social Factors

Social isolation, depression, and grief are significant contributors to the decline in enjoyment of food. Meals are often synonymous with sharing and social engagement. When an elderly person finds themselves alone, their appetite and interest in food tend to wane.

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The loss of autonomy can also trigger frustration associated with the difficulty of preparing meals independently.

Environmental and Institutional Factors

In healthcare facilities (nursing homes, rehabilitation centers, hospitals, etc.), collective dining is often viewed as standardized and uninviting. The lack of meal personalization, impersonal atmosphere, and monotony of dishes can contribute to a decline in the pleasure of eating.

Enhancing Meals

To combat the risk of malnutrition, it is vital to enrich meals with protein and energy. Adding milk powder, grated cheese, vegetable oils, or nut purees can significantly increase the nutritional density of dishes.

Meal Fractionation

Offering smaller, more frequent meals throughout the day aligns better with seniors’ reduced digestive capacities. Protein-enriched snacks (such as yogurt, nuts, and hard-boiled eggs) can help meet nutritional needs without overwhelming the stomach.

Proper Hydration

Hydration is often overlooked among older adults. Providing soups, herbal teas, flavored waters, or hydrating jellies can help maintain adequate hydration levels.

Presenting Dishes Well and Playing with Textures

Visual perception plays a critical role in appetite. Using contrasting colors and presenting food aesthetically can stimulate interest in eating. Culinary preparations should accommodate seniors’ chewing abilities. It’s essential to offer modified textures while maintaining the sensory identity of the dishes.

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Moreover, enhancing flavors with herbs and spices (like turmeric, basil, or cinnamon) can intensify taste perceptions. Instead of serving a single dish in puree form, separating vegetables and meats—even if pureed—might be more effective in stimulating appetite.

Organizing Shared Meals to Combat Loneliness

Initiating communal dining, inviting family and friends, or organizing themed meals can help rebuild social connections. Social interactions promote increased food intake and improved digestion.

Involving Seniors in Meal Preparation

Culinary activities can be a means of cognitive stimulation and sensory enjoyment. Participating in meal preparation, peeling vegetables, or kneading dough can reignite the connection with food.

Handheld Eating

Eating with hands is not a customary practice in our Western societies. However, innovations such as the “Finger Food” concept, developed by life coach Fabienne Verdureau who specializes in caregiver support, are helping to promote independence.

This concept allows seniors with motor impairments to eat without utensils, reducing stigma around the process. The benefits of handheld eating include:

  • It promotes seniors’ independence, enabling them to feed themselves without assistance, even if they have motor or cognitive issues.
  • By eliminating the need for cutlery, tactile engagement with food is enhanced. This sensory experience encourages eating and avoids the monotony of pureed meals.
  • Handheld eating also aids in preventing malnutrition by making meals more accessible and instinctual, particularly for individuals with neurodegenerative conditions like Alzheimer’s.
  • It boosts social interactions, allowing seniors to actively participate in communal meals without relying on external assistance.

Technology in the Kitchen

The goal for the next 15 to 20 years is to have access to enhanced culinary aids that ease the cooking processes for chefs. Meal customization in care facilities will become increasingly straightforward due to artificial intelligence. This technology can assist in managing orders and inventory, catering to each senior’s nutritional needs individually.

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Personalizing nutrition through DNA testing, which reveals specific preferences that seniors might no longer express directly, is currently prohibited in France. However, it is being implemented in other countries where it has shown effectiveness. Should this practice be adopted in the future, it could facilitate the development of tailored meal planning.

Raising Awareness Among Care Staff and Families

Caregivers need training on the significance of food enjoyment and recognizing signs of malnutrition. Initiatives like those from the Nutrition Institute in Lyon aim to integrate innovative approaches into collective dining.

In conclusion, restoring the pleasure of eating among seniors is crucial for safeguarding their physical and mental health. By addressing the specific needs of elderly individuals from both nutritional and sensory perspectives, it is possible to adopt innovative solutions that rekindle their appetite and joy at the dining table.

Simple strategies such as modifying food textures, organizing shared meals, and involving seniors in meal preparation can combat isolation and dietary monotony. Furthermore, the incorporation of technologies like AI-driven meal personalization opens new avenues for adapting diets to meet the unique needs of each senior. The integration of adapted gastronomy in culinary training programs offers promising gastronomic perspectives for the future.

The topic of senior nutrition was central to discussions at the 5th edition of the “Nutrition Institute 2025 Meetings,” held on February 18, 2025, at the International City of Gastronomy in Lyon. The day’s theme was “INNOVATION FOR THE ENJOYMENT OF MEALTIME FOR VULNERABLE INDIVIDUALS.”