Abstract
A cross-sectional analytical study was undertaken to describe the nutritional status and dietary intake of the
elderly black population of Cape Town. A stratified proportional sample of 148 men and women aged 60 years
and older (mean = 68.9 ± 5.7) was selected from informal and formal peri-urban settlements. The study
population was predominantly urbanized, although most subjects had migrated from non-urban areas. Trained
fieldworkers conducted a 24-h recall dietary assessment and performed anthropometrical measurements. Mean
energy intakes fell below the recommended dietary allowance (RDA) for both men and women; 27% and 36%
of men and women, respectively, had energy intakes <67% RDA. Total fat intake was low and contributed
24–26% total energy. Mean dietary fibre intake was low at 11–16 g/day. Mean intakes fell below the RDA for
vitamin D, calcium, zinc and vitamin B6. Less than two and a half servings per day were consumed from the
vegetable and fruit group and less than one serving per day from the calcium-rich food group. Over half (51.3%)
of the women and 18% of the male were obese (body mass index ≥30). We concluded that older black subjects
in Cape Town have energy profiles in line with prudent dietary guidelines and more favorable than other elderly
groups in the country, with regard to atherogenic risk. However, micronutrient and dietary fiber intake is
inadequate, largely due to low reported energy intakes, particularly in women.