Volume 12, Issue 1 (June 2026)
Elderly Health Journal 2026, 12(1): 80-93 |
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Sharma D. Yogic Dietary Interventions for Nutritional Health and Well-Being in Older Adults: A Systematic Review and Conceptual Framework. Elderly Health Journal 2026; 12 (1) :80-93
URL: http://ehj.ssu.ac.ir/article-1-381-en.html
URL: http://ehj.ssu.ac.ir/article-1-381-en.html
School of Buddhist Studies, Philosophy & Comparative Religions / School of Languages and Literature/Humanities, Nalanda University, Rajgir, Bihar, India , mdivyarkl@gmail.com
Abstract: (57 Views)
Introduction: Geriatric malnutrition is a pervasive clinical and public health challenge linked to functional decline, increased hospitalization rates, and diminished quality of life. Traditional Indian dietary systems, rooted in the classical frameworks of Yoga and Ayurveda, offer structured, culturally embedded philosophical approaches to nutritional management in older adults. Despite growing scholarly and clinical interest, the evidence base for Yogic dietary interventions in geriatric populations has not yet been formally synthesized.
Methods: A systematic literature search was conducted across PubMed/MEDLINE, ScienceDirect, Google Scholar, Semantic Scholar, JSTOR, and Indian databases (IAMJ, IndMED, Cureus), supplemented by hand-searching classical primary sources. Studies enrolling community-dwelling older adults who received Yogic or Ayurvedic dietary interventions and reported validated nutritional outcomes were eligible. Two reviewers independently screened records, extracted data, and assessed methodological quality.
Results: Six empirical studies and four classical textual sources were included. Yogic dietary interventions consistently improved Mini-Nutritional Assessment (MNA) scores across studies. Two RCTs and two pre-post interventional studies demonstrated consistent improvements in MNA scores and malnutrition risk reduction following dietary and nutrition education interventions. The methodologically strongest available Indian evidence demonstrated a rise in mean MNA from 21.4 ± 1.12 to 23.15 ± 1.71 (p < 0.001), substantially improving mean MNA scores from the at-risk range (21.4) to near the normal threshold (23.15). A community-based interventional study (n = 205) confirmed a significant reduction in malnutrition prevalence from 40.5% to 30.7% (p < 0.05). A novel Panchakosha-Nutritional Integration Model is proposed, mapping classical Yogic constructs onto five modern nutritional and well-being domains.
Conclusion: Yogic dietary interventions appear to be associated with improved nutritional well-being in older adults, though causal inference is limited by the observational nature of most included studies. The proposed Panchakosha model offers a translational framework for integrating these ancient principles into geriatric nutrition research and practice. Larger, multi-centre trials incorporating biochemical markers and extended follow-up are recommended.
Methods: A systematic literature search was conducted across PubMed/MEDLINE, ScienceDirect, Google Scholar, Semantic Scholar, JSTOR, and Indian databases (IAMJ, IndMED, Cureus), supplemented by hand-searching classical primary sources. Studies enrolling community-dwelling older adults who received Yogic or Ayurvedic dietary interventions and reported validated nutritional outcomes were eligible. Two reviewers independently screened records, extracted data, and assessed methodological quality.
Results: Six empirical studies and four classical textual sources were included. Yogic dietary interventions consistently improved Mini-Nutritional Assessment (MNA) scores across studies. Two RCTs and two pre-post interventional studies demonstrated consistent improvements in MNA scores and malnutrition risk reduction following dietary and nutrition education interventions. The methodologically strongest available Indian evidence demonstrated a rise in mean MNA from 21.4 ± 1.12 to 23.15 ± 1.71 (p < 0.001), substantially improving mean MNA scores from the at-risk range (21.4) to near the normal threshold (23.15). A community-based interventional study (n = 205) confirmed a significant reduction in malnutrition prevalence from 40.5% to 30.7% (p < 0.05). A novel Panchakosha-Nutritional Integration Model is proposed, mapping classical Yogic constructs onto five modern nutritional and well-being domains.
Conclusion: Yogic dietary interventions appear to be associated with improved nutritional well-being in older adults, though causal inference is limited by the observational nature of most included studies. The proposed Panchakosha model offers a translational framework for integrating these ancient principles into geriatric nutrition research and practice. Larger, multi-centre trials incorporating biochemical markers and extended follow-up are recommended.
Type of Study: Applicable |
Subject:
General
Received: 2026/05/3 | Accepted: 2026/06/14 | Published: 2026/06/20
Received: 2026/05/3 | Accepted: 2026/06/14 | Published: 2026/06/20
References
1. World Health Organization. Ageing and health [Internet]. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
2. Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider ST, et al. Introductory to the ESPEN Guidelines on enteral nutrition: terminology, definitions and general topics. Clinical Nutrition. 2006; 25(2): 180-6.
3. White JV, Guenter P, Jensen G, Malone A, Schofield M. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition. Journal of Parenteral and Enteral Nutrition. 2012; 36(3): 275-83.
4. Agarwal E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: a narrative review. Maturitas. 2013; 76(4): 296-302.
5. Rasheed S, Woods RT. Malnutrition and quality of life in older people: a systematic review and meta-analysis. Ageing Research Reviews. 2013; 12(2): 561-6.
6. Sullivan DH, Bopp MM, Roberson PK. Protein-energy undernutrition and life-threatening complications among the hospitalized elderly. Journal of General Internal Medicine. 2002; 17(12): 923-32.
7. Govindaraju T, Owen AJ, McCaffrey TA. Past, present and future influences of diet among older adults -- a scoping review. Ageing Research Review. 2022; 77: 101600.
8. Morley JE. Undernutrition in older adults. Family Practice. 2012; 29(Suppl 1): 89-93.
9. Neumann SA, Miller MD, Daniels L, Crotty M. Nutritional status and clinical outcomes of older patients in rehabilitation. Journal of Human and Nutrition and Dietetics. 2005; 18(2): 129-36.
10. Firth J, Gangwisch JE, Borsini A, Wootton RE, Mayer EA. Food and mood: how do diet and nutrition affect mental wellbeing? BMJ. 2020; 369: 2382.
11. Opie RS, Itsiopoulos C, Parletta N, Sanchez-Villegas A, Akbaraly TN, Ruusunen A. Dietary recommendations for the prevention of depression. Nutritional Neuroscience. 2017; 20(3): 161-71.
12. Kris-Etherton PM, Petersen KS, Hibbeln JR, Hurley D, Kolick V, Peoples S. Nutrition and behavioral health disorders: depression and anxiety. Nutrition Reviews. 2021; 79(3): 247-60.
13. Chapple CK, editor. The Bhagavad Gita [Sargeant W, trans]. 25th anniversary ed. Albany: State University of New York Press; 2009. Chap. 17, P. 7-10.
14. Muktibodhananda S. The Hatha Yoga Pradipika [Akers BD, trans]. Woodstock: YogaVidya.com; 2002. Chap. 1, P. 59-63.
15. Mallinson J. The shiva samhita: a critical edition and an English translation. Woodstock: YogaVidya.com; 2007. Chap. 3, P. 33-39.
16. Chordia N. Concept of yogic diet according to yoga literature. International Journal of Physiology, Nutrition and Physical Education Sports Health. 2018; 3(2): 2255-57.
17. Sharma A. Sushrut Samhita of Sushrut, Chikitsasthan. Chap. 24, Verse 68. Varanasi: Choukhamba Surbharti Prakashan; 2015: 362.
18. Shrilakshmipatishastri V. Vidyotini Hindi Tika on Yogratnakar, Nityapravruttiprakar. Varanasi: Choukhamba Prakashan; 2021. P. 140.
19. Leitzmann C. Vegetarian diets: what are the advantages? Forum of Nutrition. 2005; 57: 147-56.
20. Flanagan A, Bechtold DA, Pot GK, Johnston JD. Chrono-nutrition: from molecular and neuronal mechanisms to human epidemiology and timed feeding patterns. Journal of Neurochemistry. 2021; 157(1): 53-72.
21. Agnivesha. Charaka Samhita (revised by Charaka and Dridhabala), with Ayurveda Dipika commentary by Chakrapanidatta, ed. Yadavji Trikamji Acharya. Varanasi: Chaukhamba Sanskrit Sansthan; 2016.
22. Shuremu M, Hassen Abate K, Belachew T. Effect of nutrition education intervention to improve dietary diversity practice and nutritional status of the older people: A cluster randomized controlled trial. Food Science & Nutrition. 2023; 11(10): 6071–83.
23. Carcelén-Fraile MC, Martín-Baute MR, Ledesma-Cerrato MI, Castellote-Caballero Y, González-Martín AM, Hita-Contreras F, et al. Effects of a yoga program combined with a Mediterranean diet on nutritional status and functional capacity in community-dwelling older adults: A randomized controlled clinical trial. Nutrients. 2024; 16(11): 1601.
24. Koren-Hakim T, Weiss A, Hershkovitz A, Otzrateni I, Anbar R, Gross Nevo RF, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients. Clinical Nutrition. 2016; 35(5): 1053-8.
25. Krishnamoorthy Y, Vijayageetha M, Saya GK. Validation and reliability assessment of the Mini-Nutritional Assessment–Short Form questionnaire among older adults in South India. Indian Journal of Community Medicine. 2021; 46(1): 70–4.
26. Shalini T, Chitra PS, Naveen Kumar B, Madhavi G, Bhanuprakash Reddy G. Frailty and nutritional status among urban older adults in South India. Journal of Aging Research. 2020; 2020: 1-11.
27. Karthikeyan MS, Vijaykumar P, Chandana L, Paul AB. Impact of nutritional education in malnourished elderly patients with the comparison of mini nutritional assessment (MNA) score. Journal of Family Medicine and Primary Care. 2021; 10(3): 1167–70.
28. Meena JJ, Singh A, Gupta N, Meena GS. Effect of health education on nutritional status of elderly population in a rural area in Delhi: An interventional study. Cureus. 2025; 17(5): 1-8.
29. The Gheranda Samhita: the original Sanskrit and an English translation [Mallinson J, trans]. Woodstock: YogaVidya.com; 2004. Chap. 5, P. 16-21.
30. Manoogian ENC, Chaix A, Panda S. When to eat: the importance of eating patterns in health and disease. Journal of Biological Rhythms. 2019; 34(6): 579-81.
31. Fontana L, Partridge L, Longo VD. Extending healthy life span -- from yeast to humans. Science. 2010; 328(5976): 321-6.
32. Longo VD, Anderson RM. Nutrition, longevity and disease: from molecular mechanisms to interventions. Cell. 2022; 185(9): 1455-70.
33. Dahl WJ, Zhu H, Guan G, Telle-Hansen VH. Dietary fibre, gut microbiota and metabolic regulation -- current status in human randomised trials. Nutrients. 2023; 15(9): 1-18.
34. Cryan JF, O'Riordan KJ, Cowan CSM, Sandhu KV, Bastiaanssen TFS, Boehme M, et al. The microbiota-gut-brain axis. Physiological Reviews. 2019; 99(4): 1877-2013.
35. Lane MM, Gamage E, Travica N, Dissanayaka T, Ashtree DN, Gauci S, et al. Ultra-processed food consumption and mental health: A systematic review and meta-analysis of observational studies. Nutrients. 2022; 14(13): 1-22.
36. Valmorbida E, Trevisan C, Imoscopi A, Mazzochin M, Manzato E, Sergi G. Malnutrition is associated with increased risk of hospital admission and death in the first 18 months of institutionalization. Clinical Nutrition. 2020; 39(12): 3687-94.
37. Fernandez-Barres S, Garcia-Barco M, Basora J, Martínez T, Pedret R, Arija V, et al The efficacy of a nutrition education intervention to prevent risk of malnutrition for dependent elderly patients receiving Home Care: A randomized controlled trial. International Jourmal of Nursing Studies. 2017; 70: 131-41.
38. Gomez G, Botero-Rodriguez F, Misas JD, Garcia-Cifuentes E, Sulo S, Brunton C, et al. A nutritionally focused program for community-living older adults was associated with improved health and well-being. Clinical Nutrition. 2022; 41(7): 1549-56.
39. Morley JE, Miller DK, Perry HM, Patrick P, Guigoz Y, Vellas B. Anorexia of aging, leptin, and the Mini Nutritional Assessment. Nestle Nutrition Workshop Series: Clinical & Performance Programme. 1999; 1: 67-76.
40. Tapsell LC, Hemphill I, Cobiac L, Patch CS, Sullivan DR, Fenech M, et al. Health benefits of herbs and spices: the past, the present, the future. The Medical Journal of Australia. 2006; 185(S4): 1–24.
41. Wu KL, Rayner CK, Chuah SK, Changchien CS, Lu SN, Chiu YC, et al. Effects of ginger on gastric emptying and motility in healthy humans. Europen Journal of Gastroenterology & Hepatology. 2008; 20(5): 436-40.
42. Rao SSC, Rattanakovit K, Patcharatrakul T. Diagnosis and management of chronic constipation in adults. Nature Reviews, Gastroenterology & Hepatology. 2016; 13(5): 295-305.
43. Bloom HG, Ahmed I, Alessi CA, Ancoli-Israel S, Buysse DJ, Kryger MH, et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. Journal of the American Geriatrics Society. 2009; 57(5): 761-89.
44. Peuhkuri K, Sihvola N, Korpela R. Diet promotes sleep duration and quality. Nutrition Research. 2012; 32(5): 309-19.
45. Iyengar BKS. Light on Yoga. London: HarperCollins; 2005
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