Tips and advice

What is Malnutrition and Why It Matters

Malnutrition occurs when the body doesn’t receive enough energy or essential nutrients. This can result from sickness, reduced appetite, or other changes that make eating difficult. Without adequate nutrition, older adults may lose muscle mass, become weaker, and struggle to stay strong.  

How Age Affects Muscle Strength & Resilience

As people get older, natural physiological changes can reduce muscle strength and resilience. Several factors may contribute to this: decreased appetite, less physical activity, long-term illness, hospital stays or bed-rest, digestive issues, and hormonal changes. These changes can seriously impact health over time. Once-minor illnesses or events can lead to more serious consequences such as falls, fractures, longer recovery times, infections, or prolonged hospital stays. 

Why Nutrition & Muscle Health Matter as We Age

Losing weight or strength may seem like an inevitable part of aging - but it doesn’t have to be.

With the right balance of protein, energy, vitamins and minerals, older adults can preserve muscle health, support strength, and reduce the impact of frailty. This not only helps maintain independence and quality of life - but also lowers the risk of complications from illnesses, falls or prolonged recovery.  

When to Seek Help: Recognising Warning Signs

If you, or someone you care about, begin to notice unexplained weight loss, increasing weakness, slower mobility or fatigue, it may signal early frailty or malnutrition.

Other warning signs include:

  • Clothes or jewellery feeling looser than usual
  • Changes in appetite or disinterest in food
  • Difficulty walking or rising from a chair
  • Frequent fatigue, low mood, or reduced ability to manage daily tasks

Nutritional Support: What It Might Look Like

A healthcare professional may recommend assessing your diet and muscle health to check for deficiencies or early signs of muscle loss.

When needed — especially in cases of significant weight or muscle loss — they may suggest oral nutritional supplements (ONS) like Ensure* to help meet daily needs of protein, calories, vitamins and minerals, even when appetite or physical ability to eat and exercise is limited.

Supplementing your regular meals in this way can support recovery, help preserve strength, and improve overall wellbeing as you age.

Notes:

**Ensure is a Food for Special Medical Purposes. Use only under medical supervision.

Discover more tips and resources

References:

  • Dietitians Australia (2025) Malnutrition [Online]. Dietitians Australia. Available at:https://dietitiansaustralia.org.au/health-advice/malnutrition, Accessed: 25/11/25.
  • Xue, Q. (2011) ‘The frailty syndrome: definition and natural history’, Clinical Geriatric Medicine, 27(1), pp. 1–15.
  • Volpi, E., Nazemi, R. and Fujita, S. (2004) ‘Muscle tissue changes with aging’, Current Opinion in Clinical Nutrition and Metabolic Care, 7(4), pp. 405–410.
  • NHS (2023) Malnutrition [Online]. Available at:https://www.nhs.uk/conditions/malnutrition, Accessed: 26/11/2025.
  • Argilés, J.M., Campos, N., Matos-Nieves, A. and Lopez-Soriano, F.J. (2016) ‘Cachexia: understanding the role of metabolism’, Journal of the American Medical Directors Association (JAMDA), 17, pp. 789–796.
  • Malnutrition Pathway (2021) Sarcopenia: loss of muscle mass [Online]. Available at:https://www.malnutritionpathway.co.uk/library/factsheet_sarcopenia.pdf, , Accessed: 26/11/2025
  • Flakoll, P., Sharp, R., Baier, S., Levenhagen, D., Carr, C. and Nissen, S. (2004) ‘Effect of β-hydroxy-β-methylbutyrate, arginine, and lysine supplementation’, Nutrition, 20, pp. 445–451.
  • Evans, C. (2005) ‘Malnutrition in the elderly: a multifactorial condition’, The Permanente Journal, 9(3), pp. 38–41.
  • Roberts, C., Denison, H.J., Martin, H.J. and Cooper, C. (2021) ‘Sarcopenia and its management’, Nutrients, 13, p. 2316.
  • FDA (2017) The Voice of the Patient: Sarcopenia [Online]. Available at:https://www.fda.gov/files/about%20fda/published/The-Voice-of-the-Patient--Sarcopenia.pdf, Accessed: 26/11/2025.
  • Age UK (2020) Understanding Frailty [Online]. Available at:https://www.ageuk.org.uk/our-impact/policy-research/frailty-in-older-people/understanding-frailty/, Accessed: 26/11/2025
  • Baum, J.I., Kim, I.Y. and Wolfe, R.R. (2016) ‘Protein supplementation and sarcopenia’, Nutrients, 8, p. 359.
  • Deutz, N.E.P. et al. (2021) ‘Protein intake and muscle health’, Clinical Nutrition, 40(3), pp. 1388–1395.