Malnutrition in the Elderly

Nonfiction, Science & Nature, Technology, Food Industry & Science, Health & Well Being, Medical, Specialties, Internal Medicine, General
Cover of the book Malnutrition in the Elderly by , Steinkopff
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: ISBN: 9783642470738
Publisher: Steinkopff Publication: December 6, 2012
Imprint: Steinkopff Language: English
Author:
ISBN: 9783642470738
Publisher: Steinkopff
Publication: December 6, 2012
Imprint: Steinkopff
Language: English

H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma­ tion block the synthesis of albumin and shift protein synthesis to acute phase pro­ teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads to an additional loss of muscle mass which occurs as age-dependent sarcopenia, and adds to the already existing frailty (2, 4). It is often difficult to decide to what extent the metabolic alterations result from malnutrition or concomitant illness. Psychological factors contribute as a circulus vitiosus significantly to anorexia and, thus, aggravate the condition. They are the most important causes of failure to thrive in old age (7). It is evident that next to the therapy of the underlying illness, an adequate support with calorie and nutrient intake over weeks becomes essen­ tial under these conditions. Clear-cut improvements are often only seen after 6 or more weeks. Besides a clinical, clearly visible malnutrition, selective nutrient deficits are much more frequent. Numerous and highly different mechanisms may lead to a marginal or insufficient supply with micronutrients.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma­ tion block the synthesis of albumin and shift protein synthesis to acute phase pro­ teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads to an additional loss of muscle mass which occurs as age-dependent sarcopenia, and adds to the already existing frailty (2, 4). It is often difficult to decide to what extent the metabolic alterations result from malnutrition or concomitant illness. Psychological factors contribute as a circulus vitiosus significantly to anorexia and, thus, aggravate the condition. They are the most important causes of failure to thrive in old age (7). It is evident that next to the therapy of the underlying illness, an adequate support with calorie and nutrient intake over weeks becomes essen­ tial under these conditions. Clear-cut improvements are often only seen after 6 or more weeks. Besides a clinical, clearly visible malnutrition, selective nutrient deficits are much more frequent. Numerous and highly different mechanisms may lead to a marginal or insufficient supply with micronutrients.

More books from Steinkopff

Cover of the book The clinically organ-confined adenocarcinoma of the prostate by
Cover of the book New Aspects of Hypertrophic Cardiomyopathy by
Cover of the book Acute Pulmonary Embolism by
Cover of the book Uric acid lithiasis by
Cover of the book Advancing the Technology of Bileaflet Mechanical Heart Valves by
Cover of the book Cardiac Pacing by
Cover of the book Histological Diagnosis of Nevi and Melanoma by
Cover of the book Low Dose Oral and Transdermal Therapy of Hypertension by
Cover of the book Sinus node inhibitors by
Cover of the book New Paradigms of Coronary Artery Disease by
Cover of the book Treatment with Gallopamil by
Cover of the book Clinical Results of Synovectomy in Rheumatoid Arthritis by
Cover of the book Computerized Cardiopulmonary Exercise Testing by
Cover of the book ESWT and Ultrasound Imaging of the Musculoskeletal System by
Cover of the book Complications in PTCA by
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy