Gupta K L, Dworkin B, Gambert S R
Department of Medicine, New York Medical College.
Geriatrics. 1988 Feb;43(2):87-9, 95-7.
Nutritional problems are commonly seen in elderly persons living in both community and institutional settings. Multiple interacting medical problems, age-related physiological changes, and low socio-economic status are just some of the factors placing the older person at greater risk for nutritional problems. Nutritional inadequacies often have a slow and insidious onset; many of the presenting features mimic changes of normal aging. Absence of clear-cut signs and symptoms may easily lead to a delay in the diagnosis of these potentially serious yet easily reversible conditions. Practicing physicians need to keep in mind the atypical presentation nutritional deficiencies may have in old age.
营养问题在社区和机构环境中的老年人中普遍存在。多种相互作用的医疗问题、与年龄相关的生理变化以及社会经济地位低下,只是使老年人面临更大营养问题风险的部分因素。营养不足往往起病缓慢且隐匿;许多表现特征与正常衰老的变化相似。缺乏明确的体征和症状可能很容易导致对这些潜在严重但易于逆转的病症的诊断延迟。执业医生需要牢记营养缺乏在老年时可能具有的非典型表现。