Multivitamin-mineral supplements in the Older Americans Act Nutrition Program: not a one-size-fits-all quick fix
- PMID: 18511719
- PMCID: PMC2424093
- DOI: 10.2105/AJPH.2007.122762
Multivitamin-mineral supplements in the Older Americans Act Nutrition Program: not a one-size-fits-all quick fix
Abstract
We challenge the suggestion of Congress that the Older Americans Act (OAA) Nutrition Program should provide multivitamin-mineral supplements (MVMs) in addition to meals. MVMs are not a quick fix for poor diets. They do not contain calories, protein, essential fatty acids, or fiber, nor do they adequately address nutritional gaps of some vitamins and minerals. Older adults with chronic health conditions who take multiple medications are at greater risk than the general healthy population for nutrient-drug interactions and toxicity. The OAA Nutrition Program is not an appropriate venue to indiscriminately distribute MVMs, because there is insufficient evidence of their benefits and safety. The program's limited funds and efforts should instead be directed to nutrient-dense healthy meals, quality food service, and greater accessibility to individualized nutrition services.
References
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- US Administration on Aging. Highlights from the pilot study: Second National Survey of Older Americans Act Title III Service Recipients. Available at: http://www.gpra.net/nationalsurvey/files/2ndhighlights.pdf. Accessed February 5, 2008.
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- Wellman NS, Rosenzweig LY, Lloyd JL. Thirty years of the Older Americans Nutrition Program. J Am Diet Assoc. 2002;102:348–350. - PubMed
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- Serving Elders at Risk: The Older Americans Act Nutrition Programs: National Evaluation of the Elderly Nutrition Program 1993–1995. Washington, DC: US Dept of Health and Human Services; 1996.
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- Pub L No. 109-365, 120 Stat 2522–2599.
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- US Administration on Aging. FY2006 US profile of OAA programs. Available at: http://www.aoa.gov/prof/agingnet/NAPIS/SPR/2006SPR/profiles/us.pdf. Accessed February 5, 2008.
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