M ore than 50 years ago, the World Health Organization redefined health as more than merely the absence of disease, expanding it to include the physical, mental and social well-being of populations (Damron-Rodriquez et al. 2005). One of the goals of the National Guidelines for Health Promotion and Disease Prevention (the "Healthy People 2010" report published in January 2000 by the U.S. Department of Health and Human Services) was to "extend the years of 'healthy life' in a physical, mental and social context" (US DHHS 2000).The number of older Americans is projected to double by 2030, and one in nine baby boomers is expected to live until age 90. This will place tremendous demands on retirement income, and health and social services. The rapid expansion of the population 65 years and older has already had an economic impact on health-care budgets at all levels. The greatest use of the health-care system occurs during the last years of life (Chernoff 2001), and health experts have projected that at least 7 years of one's life will be spent in ill health (Economist 2000). The health-care expenditures of those over 65, who make up about 13% of the U.S. population, account for at least 30% of the nation's annual health-care costs. Hospital use by people over 65 is about three times that of younger people, and individuals in this group fill the majority of beds in skilled-care facilities (Weimer 1998).The Institute of Medicine (2002) has called for a public health approach to promote the conditions under which people can be healthy, emphasizing health rather than disease, being proactive rather than reactive, and focusing on populations rather than individuals (Wallace 2005).This report puts into context the status of research and development on the nutrition and wellness needs of aging Americans, particularly in California. It helps establish a framework in which UC Cooperative Extension (UCCE) priorities for applied research, and nutrition and wellness education for the elderly, can be reassessed. We used data from the 2001 U.S. Census and the 2001 California Health Interview Survey (CHIS) (Wallace et al. 2003) to show the status of major chronic-disease conditions among older Californians. We also conducted a literature review of scientific research on how physiological factors contribute to the nutrition and wellness status of seniors.
Healthy aging becomes a necessityThe percentage of elders in California is growing faster than the rest of the country (Aldwin and Gilmer 2001). California's population of seniors 65 and over is about 4.1 million, or 11.2% of the total population, and county proportions vary (US Census Bureau 2010). The ethnic composition of seniors 65 and older is about 16% white, 10%Research is needed to assess the unique nutrition and wellness needs of aging Californians A public health approach to aging would promote the conditions under which people can be healthy, with emphasis on increasing wellness rather than preventing disease. Asian/Pacific Islander, 8% black, 7% American Indian, and ...