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Should the elderly eat cheese? Finding the right dairy choices for seniors

4 min read

According to the Centers for Disease Control and Prevention (CDC), adults aged 65 and older are at a higher risk for foodborne illnesses. This makes the question, "Should the elderly eat cheese?" a crucial one, as some cheese types pose specific risks, while others offer significant nutritional benefits for healthy aging.

Quick Summary

Seniors can safely and healthily eat many types of cheese, but should avoid unpasteurized and soft-ripened varieties due to listeria risk. Hard and pasteurized cheeses provide essential calcium and protein, boosting bone and immune health when consumed in moderation and considering individual health conditions like lactose intolerance or high blood pressure.

Key Points

  • Safer Hard Cheeses: Choose hard, aged, and pasteurized cheeses like Swiss, cheddar, and Parmesan to reduce foodborne illness risks while boosting calcium and protein intake.

  • Avoid Soft & Unpasteurized: Seniors, especially those with weakened immunity, should avoid soft, mold-ripened, and unpasteurized cheeses due to the risk of listeria.

  • Heart Health Options: For those with high blood pressure, select low-sodium cheeses like Swiss, fresh mozzarella, or ricotta and control portion sizes to manage sodium and saturated fat intake.

  • Manage Lactose Intolerance: Many aged cheeses contain very little lactose, making them easier to digest for seniors with sensitivities. Look for aged Parmesan or cheddar.

  • Portion Control is Key: Despite the health benefits, cheese can be high in calories, fat, and sodium. Consuming in moderation—about one ounce per serving—is crucial for a balanced diet.

  • Bone-Building Nutrients: Cheese provides excellent sources of calcium and protein, which are essential for preventing osteoporosis and maintaining strong bones in older adults.

In This Article

The Nutritional Power of Cheese for Seniors

Cheese can be a nutritional powerhouse for older adults, providing essential nutrients that support a healthy aging process. It offers high-quality protein, which is vital for maintaining muscle mass and strength, a critical concern for seniors. Protein also promotes satiety, which can help manage weight. Additionally, cheese is an excellent source of calcium, a mineral that is crucial for bone health and preventing osteoporosis, a common condition in older age.

Beyond calcium and protein, cheese contains other important nutrients. Many types are good sources of Vitamin A, Vitamin B12, zinc, and phosphorus. Some aged, fermented cheeses also contain probiotics, which are beneficial bacteria that support gut health and may boost the immune system, according to research.

Potential Risks and Precautions for Older Adults

While cheese offers numerous benefits, certain types pose significant health risks for the elderly, particularly those with weakened immune systems. The most notable risk is foodborne illness from bacteria like listeria, which can be found in unpasteurized and some soft-ripened cheeses.

Types of Cheese to Approach with Caution

  • Unpasteurized cheeses: Any cheese made from raw or unpasteurized milk may harbor dangerous bacteria. Always check the label for the word "pasteurized." In the US, cheese aged over 60 days may not be pasteurized.
  • Soft-ripened and mold-ripened cheeses: Soft cheeses like Brie, Camembert, and blue cheeses (such as Roquefort or Gorgonzola) carry a higher risk of listeria infection. These are generally best avoided unless they are cooked until steaming hot.

Other considerations for seniors include the high sodium and saturated fat content in many cheeses. Those managing high blood pressure or heart disease should opt for lower-sodium and lower-fat options and practice strict portion control.

The Best Cheese Choices for Senior Diets

Fortunately, many cheeses are safe and beneficial for older adults. Focus on hard, pasteurized, and low-sodium varieties to get the benefits without the risks.

Safer Options to Enjoy

  • Hard cheeses: Aged cheddars, Swiss, Parmesan, and Provolone are generally safe and nutritious options. The aging process naturally reduces lactose, making them easier to digest for some with sensitivities. A study even found that Swiss cheese may help build better bones due to unique compounds.
  • Low-lactose cheeses: Aged cheeses and certain types like Muenster and Parmesan contain lower amounts of lactose, which is helpful for seniors with lactose intolerance. Some brands also offer specifically labeled lactose-free options.
  • Low-sodium varieties: Fresh mozzarella, Swiss, ricotta, and certain cottage cheese brands (opt for no-salt-added) are lower in sodium, making them suitable for those with hypertension.
  • Probiotic-enriched cheeses: Certain Gouda cheeses with added probiotics have been shown to improve immune function in elderly volunteers.

How to Safely Incorporate Cheese into Meals

To maximize the benefits and minimize the risks, consider these tips:

  1. Read the label: Always check that the cheese is made from pasteurized milk. For those managing sodium or fat, review the nutritional information.
  2. Portion control: Keep servings to about one ounce, roughly the size of your thumb or four dice.
  3. Heat it up: Cook soft and blue cheeses thoroughly until steaming hot to eliminate bacterial risks.
  4. Pair wisely: Combine cheese with fruits, vegetables, and whole grains as part of a balanced diet.
  5. Monitor for intolerance: If you have lactose intolerance, start with small portions of aged, low-lactose cheeses to see how your body reacts.

Comparison of Cheese Types for Seniors

Feature Safer Cheeses (Hard & Pasteurized) Higher-Risk Cheeses (Soft & Unpasteurized)
Examples Aged Cheddar, Swiss, Parmesan, Fresh Mozzarella Brie, Camembert, Queso Fresco, Raw Milk Cheeses
Listeria Risk Very low to negligible Higher risk, especially for those with weakened immunity
Nutritional Profile Excellent source of calcium, protein, and vitamins. Aged types may contain probiotics. Varies by type. Can be high in fat and sodium.
Digestion Aged varieties have less lactose, potentially easier to digest for intolerant individuals. Can be harder to digest for those with lactose sensitivity.
Sodium/Fat Low-sodium and lower-fat options are available. Often higher in sodium and saturated fat.
Preparation Can be enjoyed raw or cooked. Best to eat only if cooked to steaming hot.

Finding a Balance: Moderation and Individual Health

For seniors, the key to enjoying cheese is moderation and an awareness of individual health needs. The nutritional upside—calcium for strong bones, protein for muscle mass, and probiotics for gut health—is undeniable for most healthy adults. However, the risks associated with certain soft and unpasteurized varieties should be taken seriously, especially for those with compromised immune systems.

As always, discussing dietary changes with a healthcare provider or a registered dietitian is the best approach. They can offer personalized advice based on medical history, specific health concerns like high blood pressure or lactose intolerance, and overall nutritional goals. With the right information, older adults can continue to savor the benefits of cheese while making safe, informed choices that support their health and well-being. For more information on healthy eating for seniors, consider consulting a reputable resource like the American Heart Association.

In conclusion, the elderly can and should eat cheese, provided they choose the right types and consume it responsibly. By focusing on pasteurized, hard, or low-sodium varieties, seniors can enjoy this delicious food as part of a healthy, balanced diet that supports their long-term health.

Frequently Asked Questions

The safest cheeses for seniors are hard, aged, and pasteurized varieties such as Swiss, aged cheddar, and Parmesan. Pasteurized soft cheeses like fresh mozzarella and ricotta are also good choices. Always check the label to ensure it is made with pasteurized milk.

Soft-ripened cheeses like Brie and Camembert carry a higher risk of listeria, a type of bacteria that can cause serious illness, especially in individuals with weakened immune systems, which includes many older adults.

Yes, cheese can contribute to bone health and help prevent osteoporosis. It is a rich source of calcium and protein, both of which are vital for maintaining bone density as we age. Some research also suggests certain cheeses, like Swiss, may offer additional bone-building benefits.

Many older adults with lactose intolerance can still enjoy cheese. Aged cheeses like cheddar and Parmesan contain very little to no lactose because it is broken down during the aging process. Lactose-free cheese products are also available.

Yes, cheese is an excellent source of high-quality protein, which is essential for seniors to maintain muscle mass and overall strength. It is an easy-to-eat option for those who may have difficulty chewing tougher protein sources like meat.

Some cheeses can be high in sodium, which can impact blood pressure. However, research suggests that some cheeses, particularly lower-sodium options like Swiss and ricotta, can be part of a heart-healthy diet when consumed in moderation and paired with other healthy foods.

Serving sizes matter, especially for seniors monitoring fat and sodium. A standard serving is about one ounce (four small cubes). The American Heart Association recommends two to three servings of low-fat or fat-free dairy daily for older adults, but individual needs may vary.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.