Heuberger Roschelle A
Department of Human Environmental Studies, Central Michigan University, Mt. Pleasant, MI 48859, USA.
J Nutr Elder. 2009 Jul;28(3):203-35. doi: 10.1080/01639360903140106.
Alcohol consumption in the older adult is of major concern with the advent of baby boomers coming into the over 65-age bracket. Alcohol consumption has been touted as beneficial for health, and while that may be accurate for moderate consumption in younger persons, there is considerable risk associated with increased alcohol intake in older adults. This increase is partially due to age-related physiological changes, existing diagnoses, number of comorbid conditions, and increased use of prescribed and/or over-the-counter medications, coupled with other concerns. This review addresses the current research regarding ethanol consumption in older adults and all-cause mortality as well as several conditions more frequently seen in the geriatric population. These conditions include vascular diseases, hypertension, type 2 diabetes, gastrointestinal disorders, hepatic disorders, dental and oro-facial problems, bone density decline, and falls and fractures. In addition, drug interactions and recent research into select vitamin and mineral considerations with increased alcohol intake in older persons are addressed. While recommendations for alcohol intake have not been specifically established for age ranges within the 65-year-and-older bracket, and practitioners do not routinely assess alcohol intake or ethanol related adverse events in this population, common sense approaches to monitoring will become increasingly important as the generation of "boomers" who believe that alcohol intake improves health comes of age.
随着婴儿潮一代步入65岁以上年龄段，老年人的饮酒问题成为主要关注点。饮酒曾被吹捧对健康有益，虽然这对年轻人适度饮酒来说可能是准确的，但老年人饮酒量增加会带来相当大的风险。这种增加部分归因于与年龄相关的生理变化、现有诊断、共病状况的数量、处方药和/或非处方药使用的增加，以及其他因素。本综述探讨了有关老年人乙醇消费与全因死亡率以及老年人群中更常见的几种病症的当前研究。这些病症包括血管疾病、高血压、2型糖尿病、胃肠道疾病、肝脏疾病、牙齿和口腔面部问题、骨密度下降以及跌倒和骨折。此外，还讨论了药物相互作用以及近期关于老年人饮酒量增加时特定维生素和矿物质考量的研究。虽然尚未针对65岁及以上年龄段具体确定饮酒建议，且从业者在该人群中通常不常规评估饮酒量或与乙醇相关的不良事件，但随着认为饮酒有益健康的“婴儿潮一代”步入老年，常识性的监测方法将变得越来越重要。
