For weight loss in older adults, what is a key nutrition strategy?

• A. Limit protein and calories
• B. Include adequate protein and calories to prevent malnutrition and/or pressure injuries
• C. Avoid protein entirely
• D. Rely on hydration alone

Answer: (B)

Preserving lean mass while achieving fat loss in older adults comes down to providing enough protein and overall calories. Aging reduces how efficiently muscle responds to protein, so a caloric deficit must be balanced with ample amino acids to support muscle protein synthesis and prevent malnutrition and skin-compromising issues like pressure injuries. A practical target is about 1.0–1.2 g of protein per kilogram of body weight per day, with higher amounts (1.2–1.5 g/kg/day) considered when there are wounds, high malnutrition risk, or other stressors. Spread protein intake across meals using high-quality sources such as dairy, eggs, lean meats, fish, soy, and include protein-rich snacks or supplements if needed. Pair this with a modest energy deficit to promote fat loss without sacrificing lean tissue, and ensure overall nutrient adequacy. Hydration is important, but drinking water alone won’t prevent muscle loss or support healing. When possible, combine adequate protein and calories with resistance-friendly activity to protect function and reduce complications like pressure injuries.