Drey M, Kaiser M J
Klinikum Nürnberg, Lehrstuhl für Innere Medizin - Geriatrie, 90419 Nürnberg.
Dtsch Med Wochenschr. 2011 Feb;136(5):176-8. doi: 10.1055/s-0031-1272503. Epub 2011 Jan 26.
Malnutrition, which occurs in 27.4% of all elderly persons, is a great burden to those affected and for the health services. There are multiple causes for malnutrition, such as loss of appetite, poorly balanced diet, dementia, dysphagia chewing problems, as well as gastrointestinal disorders. Presence of weight loss and/or anorexia point towards malnutrition. A prerequisite for properly targeted nutritional intervention is to distinguish between sarcopenia and kachexia. In addition the "Mini Nutritional Assessment" (MNA (®)) questionnaire can be used quickly and reliably for diagnose malnutrition as recommended by the European Society for Clinical Nutrition and Metabolism. Treatment should be based on an individually designed nutritional regime, which incorporates eating habits and functional impairment of the patient.
营养不良在所有老年人中发生率为27.4%,对患者本人及医疗服务而言都是巨大负担。营养不良有多种成因,如食欲不振、饮食不均衡、痴呆、吞咽困难、咀嚼问题以及胃肠道疾病。体重减轻和/或厌食表明存在营养不良。进行有针对性的营养干预的前提是区分肌肉减少症和恶病质。此外,可按照欧洲临床营养和代谢学会的建议,使用“微型营养评定”(MNA (®))问卷快速可靠地诊断营养不良。治疗应基于个性化设计的营养方案,该方案要考虑患者的饮食习惯和功能损害情况。