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Taste and smell declines with age, beginning around 60 years but becoming more marked above 70 years (34). Salt and monosodium glutamate are commonly used as taste enhancers and can improve dietary intake in elderly people (35). However, sodium intake is linked with the development or exacerbation of hypertension (36), and when salt intake is reduced blood pressure can fall (37). A balance between using flavour enhancers to encourage dietary intake for underweight people, while not exacerbating hypertension, needs to be made.

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