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Ensuring proper nutrition for senior citizens involves looking at changes in both body and lifestyle, say two registered dietitian nutritionists at Ensuring proper nutrition for senior citizens involves looking at changes in both body and lifestyle, say two registered dietitian nutritionists at Upstate Upstate. Decreases in muscle mass, bone density and the sense of smell, coupled with physical illness or depression, contribute to diminished appetite and calories needed, say Carrie Carlton (at right in photo) and Cecilia Sansone. Among their prescriptions are a varied diet of nutrient-rich foods tailored to the individual, sufficient fluids and several small meals as an alternative to three main meals.. Decreases in muscle mass, bone density and the sense of smell, coupled with physical illness or depression, contribute to diminished appetite and calories needed, say Carrie Carlton (at right in photo) and Cecilia Sansone. Among their prescriptions are a varied diet of nutrient-rich foods tailored to the individual, sufficient fluids and several small meals as an alternative to three main meals.