Why are elderly individuals at risk of nutritional deficiency?

The older population is the single largest demographic group at disproportionate risk of inadequate diet and malnutrition. Ageing is associated with a decline in a number of physiological functions that can impact nutritional status, including reduced lean body mass and a resultant decrease in basal metabolic rate, decreased gastric secretion of digestive juices and changes in the oral cavity, sensory function deficits, changes in fluid and electrolyte regulation and chronic illness. Medication, hospitalization and other social determinants also can contribute to nutritional inadequacy. The nutritional status of older people is an important determinant of quality of life, morbidity and mortality. This review critically examines the factors that contribute to the development of poor nutritional status in older people and considers the consequences of malnutrition.

[1]  A. Drewnowski,et al.  Impact of aging on eating behaviors, food choices, nutrition, and health status. , 2001, The journal of nutrition, health & aging.

[2]  I. Darnton-Hill,et al.  Psychosocial aspects of nutrition and aging. , 2009, Nutrition reviews.

[3]  R. Roubenoff Sarcopenia and its implications for the elderly , 2000, European journal of clinical nutrition.

[4]  J. Blumberg,et al.  Nutritional needs of seniors. , 2013, Journal of the American College of Nutrition.

[5]  S. Schiffman,et al.  Workshop on Taste and Smell in the Elderly An Overview , 1999, Physiology & Behavior.

[6]  W. Evans,et al.  Higher dietary variety is associated with better nutritional status in frail elderly people. , 2002, Journal of the American Dietetic Association.

[7]  H. Savoia,et al.  The Significance of Subnormal Serum Vitamin B12 Concentration in Older People: A Case Control Study , 1996, Journal of the American Geriatrics Society.

[8]  R. Henkin Drug-Induced Taste and Smell Disorders , 1994, Drug safety.

[9]  T. Bamba,et al.  Age-related changes in the gastrointestinal tract. , 2009, Nutrition reviews.

[10]  C. Murphy,et al.  Nutrition and chemosensory perception in the elderly. , 1993, Critical reviews in food science and nutrition.

[11]  J. Haller The vitamin status and its adequacy in the elderly: an international overview. , 1999, International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition.

[12]  G. Jensen,et al.  Nutrition in the elderly. , 2001, Gastroenterology clinics of North America.

[13]  L. Davies,et al.  Warning signals for malnutrition in the elderly. , 1991, Journal of the American Dietetic Association.

[14]  C. Lyder,et al.  A concept analysis of malnutrition in the elderly. , 2001, Journal of advanced nursing.

[15]  A. Kurpad,et al.  Protein and amino acid requirements in the elderly , 2000, European journal of clinical nutrition.

[16]  D. Duerksen,et al.  The validity and reproducibility of clinical assessment of nutritional status in the elderly. , 2000, Nutrition.

[17]  K. High,et al.  Micronutrient supplementation and immune function in the elderly. , 1999, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[18]  P J Garry,et al.  Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. , 2009, Nutrition reviews.

[19]  B. Lesourd,et al.  Immune response during disease and recovery in the elderly , 1999, Proceedings of the Nutrition Society.

[20]  P. Garry,et al.  Nutrition and aging. , 1993, Clinics in Laboratory Medicine.

[21]  V. Young Macronutrient needs in the elderly. , 2009, Nutrition reviews.

[22]  A. Drewnowski,et al.  Does aging change nutrition requirements? , 2001, The Journal of Nutrition, Health & Aging.

[23]  K. High,et al.  Nutritional strategies to boost immunity and prevent infection in elderly individuals. , 2001, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[24]  J. Morley,et al.  Assessment of protein energy malnutrition in older persons, Part II: Laboratory evaluation. , 2000, Nutrition.

[25]  P. Stehle,et al.  Nutrition and aging: a consensus statement. , 2002, The journal of nutrition, health & aging.

[26]  G. Dallal,et al.  Fundic Atrophic Gastritis in an Elderly Population: Effect on Hemoglobin and Several Serum Nutritional Indicators , 1986, Journal of the American Geriatrics Society.

[27]  B. Rolls,et al.  Aging and disturbances of thirst and fluid balance. , 2009, Nutrition reviews.

[28]  S. Quandt,et al.  Barriers to nutritional well-being for rural elders: community experts' perceptions. , 1998, The Gerontologist.

[29]  M. Wahlqvist,et al.  Undereating and undernutrition in old age: integrating bio-psychosocial aspects. , 1998, Age and ageing.

[30]  S S Schiffman,et al.  Taste and smell perception affect appetite and immunity in the elderly , 2000, European journal of clinical nutrition.

[31]  J. Morley,et al.  Assessment of protein energy malnutrition in older persons, part I: History, examination, body composition, and screening tools. , 2000, Nutrition.

[32]  J. Curran Overview of geriatric nutrition , 1990, Dysphagia.

[33]  P. Garry,et al.  Nutrition assessment in the elderly , 2001, Current opinion in clinical nutrition and metabolic care.

[34]  D. Sullivan,et al.  Evaluating and treating nutritional problems in older patients. , 1997, Clinics in geriatric medicine.

[35]  C. Apovian Nutritional assessment in the elderly: facing up to the challenges of developing new tools for clinical assessment. , 2001, Nutrition.

[36]  W. Evans Exercise, nutrition, and aging. , 1995, Clinics in geriatric medicine.

[37]  C. Horwath Dietary intake studies in elderly people. , 1989, World review of nutrition and dietetics.

[38]  J. Morley Anorexia in Older Persons , 1996 .

[39]  S. Gariballa,et al.  Nutrition, ageing and ill health , 1998, British Journal of Nutrition.

[40]  A. Pilotto,et al.  Aging and the gastrointestinal tract. , 2003, Italian journal of gastroenterology and hepatology.

[41]  Anne Gilford,et al.  Development of nutritional risk screening in the community , 1996 .

[42]  D. Seidner,et al.  Nutrition in the elderly. , 1999, Clinics in Geriatric Medicine.

[43]  J. Morley,et al.  The anorexia of aging. , 2000, Nutrition.

[44]  V. Young Energy requirements in the elderly. , 2009, Nutrition reviews.