Identifying and Addressing Food Insecurity in Older Loved Ones
As a caregiver, you want to ensure your loved one is not only safe and comfortable, but also well-nourished. Yet for many older adults, consistent access to nutritious food can be a challenge. Food insecurity—the lack of reliable access to enough affordable, nutritious food—affects millions of older adults across the country. According to Feeding America, approximately 1 in 14 seniors faces food insecurity.
Food insecurity can be difficult to spot. Many older adults have decreased appetites, so caregivers may be tempted to chalk up smaller meals and fewer groceries as a response to reduced hunger. Recognizing the signs early and taking action can make a world of difference in both their physical health and quality of life.
Recognizing the Signs of Food Insecurity
Older adults may not always openly share that they’re struggling to access food. Some may feel ashamed, while others may believe they shouldn’t “burden” their family. As a caregiver, your awareness is key. Here are some red flags that could indicate food insecurity:
- Weight loss or changes in appetite without a medical explanation
- Empty refrigerators or pantries when you visit, or limited fresh food in the home
- Spoiled or expired food being kept in the house or potentially consumed (which can then lead to foodborne illness)
- Skipping meals or saying they “aren’t hungry”
- Relying on cheap, processed foods with little nutritional value
- Trouble getting to the grocery store, whether due to lack of transportation or mobility challenges
- Difficulty affording food due to other expenses, like medications or utilities
The Impact of Food Insecurity on Older Adults
Poor nutrition can have serious consequences for older adults. It increases the risk of chronic diseases such as diabetes and heart disease, impairs immune function and contributes to frailty and falls. For those taking multiple medications, not eating regularly can also cause dangerous side effects or make treatments less effective.
Food insecurity is also linked to mental health issues, including depression and anxiety, particularly for those who feel isolated or ashamed to ask for help.
Taking Action: How Caregivers Can Help
The good news is that there are effective, compassionate ways to help an older loved one who is food insecure.
- Have a Conversation: Start by acknowledging how tough times can be and affirming that there’s no shame in seeking support. Let them know you want to work together to make things easier.
- Evaluate Their Needs: Is the issue financial, physical (e.g., difficulties cooking or mobility challenges), emotional (e.g., lack of appetite due to grief) or environmental (e.g., there are no grocery stores nearby)? The solution may vary depending on the root cause.
- Explore Local Resources: Many community programs are designed specifically to help older adults access nutritious food.
Meals on Wheels: A Trusted Option
For decades, Meals on Wheels programs have been a valuable option for food insecure adults across America. Participants receive balanced, ready-to-eat meals delivered directly to their door, helping them stay nourished and independent while aging in place. The program also accommodates certain dietary needs, making it easier for caregivers to ensure their loved ones are eating safely.
Meals on Wheels America operates in all 50 states. To find a program near you, the Meals on Wheels website offers zip code searches for local services. If you live in Cuyahoga County, we offer these services here at Benjamin Rose for Northeastern Ohioans.
Other Ways to Support Food Security
Involve community or faith groups that offer food pantries or shared meal events.
Apply for benefits like SNAP (formerly food stamps). Many older adults are eligible but don’t apply due to stigma or misunderstanding the requirements.
Coordinate grocery delivery through services like Instacart or local stores if transportation is a barrier.
Prepare and freeze meals together, so your loved one has easy access to home-cooked food.