Freedman M L, Ahronheim J C
Geriatrics. 1985 Aug;40(8):45-9, 53-4, 57-9 passim.
Despite all that has been written, little evidence supports the notion that the American diet for the elderly needs major modifications (table 3). Particularly in counseling and assessing the elderly, physicians must keep in mind that whatever technique older patients used to reach their present age is probably better than what we can recommend. In the last analysis, the most sensible nutritional recommendations we can make are to maintain ideal body weight, reduce animal protein, increase complex carbohydrates and fiber, reduce saturated fats and cholesterol, increase calcium intake, and avoid high doses of supplementary nutrients. If available data are any indication, many community-dwelling elderly persons are now making most of these modifications.
尽管已有诸多相关著述,但几乎没有证据支持美国老年人的饮食需要大幅调整这一观点(表3)。尤其是在为老年人提供咨询和进行评估时,医生必须牢记,老年患者无论采用何种方式活到现在,可能都比我们能推荐的方法更好。归根结底,我们能给出的最合理的营养建议是保持理想体重、减少动物蛋白摄入、增加复合碳水化合物和纤维的摄入、减少饱和脂肪和胆固醇的摄入、增加钙的摄入量,并避免高剂量补充营养素。如果现有数据能说明什么的话,许多居家养老的老年人目前已在进行上述大部分调整。