Click on the main headings below to download additional resources about therapeutic nutrition that you can share with employers, mature workers, and caregivers in your community.
This section provides references, tools and resources that health professionals can use to communicate the health and business benefits of therapeutic nutrition.
Tools and Resources
Medline Plus: a service of the US National Library of Medicine and National Institutes of Health:
- Nutrition for Seniors
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Get Caregivers update alerts: a free email subscription service
References about Caregiving and Older Adults
Arno P, Levine C, Memmott MM. The economic value of informal caregiving. Health Aff 1999;18(2):182-8.
Buyck JF, Bonnaud S et al. Informal caregiving and self-reported mental and physical health: results from the Gazel Cohort Study. Am J Public Health 2011;101:1971-79.
Feinberg L, Reinhard S et al. Valuing the Invaluable: 2011 Update. The Growing Contributions and Costs of Family Caregiving. Washington, DC: AARP, 2011. Available at: www.aarp.org
Ferrario SR, Cardillo V et al. Advanced cancer at home: caregiving and bereavement. Palliat Med 2004;18:129-36.
Foster L, Kleinman R. Supporting Family Caregivers through Title III of the Older Americans Act. Mathematica Policy Research. Research Brief #5, Sept 2011.
Gibson MJ, Houser A. Valuing the Invaluable: A New Look at the Economic Value of Family Caregiving. Washington, DC: AARP, June 2007. www.aarp.org
Grunfeld E, Coyle D et al. Family caregiver burden: results from a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 2004;170: 95-1801.
Johnson R, Weiner J. A Profile of Frail Older Americans and Their Caregivers. The Retirement Project, Occasional Paper No. 8. Washington, DC: Urban Institute, February 2006. http://www.urban.org/UploadedPDF/311284_older_americans.pdf
Johnson RW, Lo Sasso AT. The impact of elder care on women’s labor supply. Inquiry 2006;43(3): 195-210.
McMillan SC. Interventions to facilitate family caregiving at the end of life. J Palliat Med 2005;8:S132-S139.
Pinquart M, Sorensen S. Differences between caregivers and non-caregivers in psychological health and physical health: a meta-analysis. Psychol Aging 2003;18:250-267.
Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004;12:240-49.
Spillman BC, Long SK. Does High Caregiver Stress Lead To Nursing Home Entry? Urban Institute, Jan 26, 2007 Prepared for Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, US DHHS. http://aspe.hhs.gov/daltcp/reports/2007/NHentry.pdf
Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one’s physical health? A meta-analysis. Psychol Bull 2003;129:946-72.
References about Nutrition and Aging:
- Position Papers:
- Food and Nutrition Programs for Community-Residing Older Adults: Position Statement of the Academy of Nutrition and Dietetics (formerly the American Dietetic Association), American Society for Nutrition, and Society for Nutrition Education. J Am Diet Assoc. 2010;110:463-72http://eatright.org/About/Content.aspx?id=6442451115
- Individualized Nutrition Approaches for Older Adults in Health Care Communities. Position Statement of the Academy of Nutrition and Dietetics (formerly the American Dietetic Association). J Am Diet Assoc 2010;110:1554-63.
- Food and Nutrition for Older Adults: Promoting Health and Wellness. Position Statement of the Academy of Nutrition and Dietetic. J Acad nutr Diet 2012;112:1255-77. http://www.eatright.org/About/Content.aspx?id=8374
- Buyken AE, Flood V, et al. Carbohydrate nutrition and inflammatory disease mortality in older adults. Am J Clin Nutr 2010;92:634-43.
- Chalé A, Unanski AG, Liang RY. Nutrition initiatives in the context of population aging: where does the United States stand? J Nutr Gerontol Geriatr 2012;31:1-15.
- Hung HC, Joshipura KJ et al. Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 2004;96:1577-84.
- Lee JS, Johnson MA et al. Food security of older adults requesting Older Americans Act Nutrition Program in Georgia can be validly measured using a short form of the US Household Food Security Survey module J. Nutr 2011;141:1362-68;
- McNaughton SA, BatesCJ, Mishra GD. Diet quality is associated with all-cause mortality in adults aged 65 years and older. J. Nutr 2012;142:320-25.
- Shea MK, Nicklas BJ, Houston DK et al. The effect of intentional weight loss on all-cause mortality in older adults: results of a randomized controlled weight-loss trial. Am J Clin Nutr 2011;94:839-46;
- Silver HJ, Wellman NS et al. Family caregivers of older adults on home enteral nutrition have multiple unmet task-related training needs and low overall preparedness for caregiving. J Am Diet Assoc 2004;104:43-50.
Silver HJ, Wellman NS. Nutrition education may reduce burden in family caregivers. J Nutr Educ Behav. 2002;34:S53-S58.
- Silver HJ. The nutrition-related needs of family caregivers. Generations 2004;28(3):61-64.
- Skarupski KA, Tangney C, Li H et al. Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time Am J Clin Nutr 2010;92:330-35.
- Troyer JL, Racine EF et al. The effect of home-delivered Dietary Approach to Stop Hypertension (DASH) meals on the diets of older adults with cardiovascular disease. Am J Clin Nutr 2010;91:1204-12.
- Vinknes KJ, de Vogel S et al. Dietary intake of protein is positively associated with percent body fat in middle-aged and older adults. J. Nutr. 2011;141:440-46.
References about Home and Community Care:
Food and Nutrition Programs for Community-Residing Older Adults: Position Statement of the Academy of Nutrition and Dietetics (formerly the American Dietetic Association), American Society for Nutrition, and Society for Nutrition Education. J Am Diet Assoc. 2010;110:463-72
Long-term services and supports (LTSS): National Council on Aging www.ncoa.org leads a national coalition of aging and disability organizations, called the Friday Morning Collaborative. It is working to protect LTSS for those who need it. The national Affordable Care Act has provisions that make it easier for people to access LTSS. Below is a list of LTSS programs:
- Money Follows the Person MFP gives states an enhanced federal Medicaid match to help people transition from a nursing home or other institution back into the community.
- Balance Incentive Payments Program Eligible states can apply for federal grants to direct more funds to community-based care instead of institutions.
- Community First Choice Option States can choose to provide a broad range of personal attendant services and supports to eligible individuals and receive additional federal funding.
- Medicaid HCBS State Plan Option States have gained greater flexibility with this Medicaid state plan option thanks to health reform.
THE NATIONAL AGING NETWORK: established by the Older Americans Act; administered through the US Administration on Aging http://aoa.gov/AoARoot/AoA_Programs/OAA/Aging_Network/Index.aspx
- US Administration on Aging: www.aoa.gov
the federal government’s primary agency focused on older adults that developed the aging network under the Older Americans Act in the 1970s.
- National Association of State Units on Aging and Disabilities: www.nasuad.org
represents the nation’s 56 state and territorial agencies on aging and disabilities; supports state leadership and innovation that support home and community based services for older adults and individuals with disabilities.
- National Association of Areas Agencies on Aging: www.n4a.org
national network of 629 AAAs and 246 Title VI Native American aging programs that focuses on aging issues related to the Older Americans Act.
- Meals on Wheels Association of America: www.mowaa.org
membership organization of local providers in community-based Senior Nutrition Programs in states and U.S. Territories.
- National Association of Nutrition and Aging Services: www.nanasp.org
membership organization for persons across the country working to provide older adults healthful food and nutrition through community-based services.
Statistics on Aging:
Profile of Older Americans 2011: US Administration on Aging: Available at
Older Americans 2012: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. June 2012. Available at
US Census Bureau: www.census.gov
- The Older Population: 2010. C2010BR-09, Nov 2011.
- 90+ in the United States: 2006-2008. ACS-17, Nov 2011.
- THE NEXT FOUR DECADES: The Older Population in the United States: 2010 to 2050. P25-1138, May 2010.
- The Research SUPPLEMENTAL POVERTY MEASURE: 2010. P60-241. Nov 2011.
The SMP result is a higher poverty measure for persons age 65+ of 15.9% (an increase of more than 75% over the 9.0%official rate). In contrast, the poverty rate for children is somewhat lower (22.5%, official rate vs. 18.2%, SMP). The SMP takes into account regional variations in the cost of housing etc. and, even more significantly, the impact of both non-cash benefits received (e.g., SNAP/food stamps, low income tax credits, WIC, etc.) and non-discretionary expenditures including medical out-of-pocket (MOOP) expenses. For persons 65 and over, MOOP was the major source of the significant differences between these measures.
Multimedia and Assistive Technology Resources
Many resources and assistive devices are available to help employers support caregiving employees and mature workers in conjunction with this Therapeutic Nutrition Toolkit. Below is a list of multimedia educational resources, such as webinar recordings, videos, photos, caregiving tips and techniques in multiple languages and other helpful resources that are available for employers and employees who are caregivers or mature workers.
Another section, assistive technology includes a few general websites that lead to information about devices such as personal safety alerts and systems for personal health record tracking, caregiving coordination, medication support, and telemedicine.
US Administration on Aging Multimedia Gallery
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Blogs and Hotlines
- AARP Caregiver Group: This public group is for anyone who is a caregiver, past or present, who is taking care of anyone—or anyone who has anything to offer to caregivers. It is a place to talk, ask questions, let off steam … just anything you want and need to talk about.
- Alzheimer’s Disease
- American Cancer Society:
- Expert Voices Blog: http://www.cancer.org/Cancer/news/ExpertVoices/default
- Kushi LH, Doyle C et al, and American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society guidelines on nutrition and physical activity for cancer prevention. CA: American Cancer Journal for Clinicians, 2012;62:30-67.
- National Caregiving Alliance
- National Caregivers of Veterans Support: www.caregiver.va.gov
- National Caregiver Support Hotline: Monday – Friday 8:00 a.m. to 11:00 p.m. and Saturday 10:30 a.m. to 6:00 p.m. Eastern Time. Toll-Free number: 1-855-260-3274.
- National Family Caregivers Association http://www.thefamilycaregiver.org/
- The Family Caregiver Forum: http://caregiveraction.org/forum/
Assistive Technology Resources:
Assistive technology included devices and systems that may help older adults be more independent and stay in their homes longer. Older adults will often learn to use assistive technology to ease burdens on their caregiver family members. Nevertheless, these devices do not replace caregivers.
For information about devices, including personal safety alerts, personal health record tracking systems, caregiving coordination systems, medication support systems (pill organizers and reminders), and telemedicine systems (tracks heart rate, temperature, blood pressure, oxygen saturation, etc.), visit these general websites.
- Center for Assistive Technology and Environmental Access: www.assistivetech.net
- Able Data: www.abledata.com “Your source for assistive technology information;” it doesn’t sell products but helps caregivers locate companies that do.