Department of Medical Physiopathology, Sapienza University of Rome, Rome, Italy.
Arch Gerontol Geriatr. 2009;49 Suppl 1:19-27. doi: 10.1016/j.archger.2009.09.008.
Nutrition offers the means to improve health and well-being and among the predictive factors of successful aging, nutrition appears as one of the major determinants. Whereas adequate nutrition plays a major role in a healthy lifestyle that maintains bodily and mental functioning, inadequate nutrition contributes to a loss of function and to the development and progression of disease. At the moment recommended dietary allowance (RDA) is established to cover the needs of populations of the healthy elderly. In the future special recommendations for subgroups of individuals are essential, taking into account individual health status and genetic factors. Nutrient guidelines for elderly are basically the same as for young adults, propagating a balanced varied nutrition that is rich in complex carbohydrate sources, fruits and vegetables providing fiber, antioxidant and functional nutrients, fish providing vitamin D and essential fatty acids, adequate water supply in view of their potentially impaired thirst perception and reduced renal functions. Finally a balanced diet is the best way to avoid deficiencies and maintain health. If in subgroups of the elderly population an adequate nutrition cannot be achieved, low dose dietary supplements and/or fortified foods and beverages can contribute to improve nutrient intake.
营养为增进健康和福祉提供了手段,在成功老龄化的预测因素中,营养似乎是主要决定因素之一。虽然充足的营养在维持身体和精神功能的健康生活方式中起着重要作用,但营养不足会导致功能丧失,并导致疾病的发生和发展。目前,建议的每日摄入量 (RDA) 是为健康老年人的人群需求而设立的。未来,必须针对个体的亚组制定特殊建议,同时考虑到个体健康状况和遗传因素。老年人的营养指南与年轻人基本相同,提倡均衡多样的营养,富含复杂的碳水化合物来源、水果和蔬菜,提供纤维、抗氧化剂和功能性营养素,鱼类提供维生素 D 和必需脂肪酸,并考虑到他们潜在受损的口渴感知和肾功能下降,提供充足的水分。最后,均衡的饮食是避免营养不足和保持健康的最佳方式。如果在老年人的亚组中不能实现充足的营养,低剂量膳食补充剂和/或强化食品和饮料可以有助于改善营养摄入。