Wells Jennie L, Dumbrell Andrea C
Division of Geriatric Medicine, Department of Medicine, University of Western Ontario, London, ON, Canada.
Clin Interv Aging. 2006;1(1):67-79. doi: 10.2147/ciia.2006.1.1.67.
Nutrition is an important determinant of health in persons over the age of 65. Malnutrition in the elderly is often underdiagnosed. Careful nutritional assessment is necessary for both the successful diagnosis and development of comprehensive treatment plans for malnutrition in this population. The purpose of this article is to provide clinicians with an educational overview of this essential but often underecognized aspect of geriatric assessment. This article will review some common issues in nutrition for the elderly in both hospital and community settings. The complexity and impact of multiple comorbidities on the successful nutritional assessment of elderly patients is highlighted by using case scenarios to discuss nutritional issues common to elderly patients and nutritional assessment tools. Three case studies provide some context for an overview of these issues, which include the physiology of aging, weight loss, protein undernutrition, impaired cognition, malnutrition during hospitalization, screening procedures, and general dietary recommendations for patients 65 years of age and older.
营养是65岁以上人群健康的重要决定因素。老年人的营养不良常常未被充分诊断。对于该人群营养不良的成功诊断和制定综合治疗方案而言，细致的营养评估是必要的。本文旨在为临床医生提供关于老年评估这一重要但常未得到充分认识方面的教育概述。本文将回顾医院和社区环境中老年人营养方面的一些常见问题。通过使用案例场景来讨论老年患者常见的营养问题和营养评估工具，突出了多种合并症对老年患者成功进行营养评估的复杂性和影响。三个案例研究为这些问题的概述提供了一些背景，这些问题包括衰老生理学、体重减轻、蛋白质营养不良、认知障碍、住院期间的营养不良、筛查程序以及针对65岁及以上患者的一般饮食建议。
