Objective To describe the nutritional status of older indigenous people, barriers to achieving optimal nutrition, and the effectiveness of programs aimed at improving nutrition in older indigenous people in remote communities. Methods A comprehensive literature review was undertaken utilising electronic databases Scopus, CINAHL, Informit, Ovid MEDLINE, ProQuest, Web of Knowledge, PsycINFO, ATSI HealthInfoNet and Google Scholar. Grey literature was also accessed. Results Findings indicated there is a scarcity of representative data on nutritional status and risk in older indigenous people, and nutrition support programs have not been evaluated. Conclusions Older indigenous people suffer from poorer overall health, greater levels of overweight and obesity, and are at increased risk of poor nutritional status and malnutrition compared with the general population. This risk may be higher in remote areas. More representative data are needed to determine nutritional status, including levels of malnutrition. Support programs also need to be evaluated.