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Malnutrition in the Elderly

  • Conference proceedings
  • © 1999

Overview

Editors:
  1. W. O. Seiler

    1. Geriatrische Universitätsklinik Kantonsspital, Basel, Switzerland

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  2. H. B. Stähelin

    1. Geriatrische Universitätsklinik Kantonsspital, Basel, Switzerland

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    You can also search for this editor in PubMed   Google Scholar

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Table of contents (14 papers)

  1. Front Matter

    Pages i-viii
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  2. Introduction

    1. Introduction

      • Hannes B. Stähelin
      Pages 1-2

  3. Epidemiology of malnutrition

    1. Nutrient intake of healthy elderly subjects

      • D. Schlettwein-Gsell, B. Decarli, J. A. Amorim Cruz, J. Haller, C. P. G. M. de Groot, W. A. van Staveren
      Pages 3-11

    2. Nutritional status in ill elderly subjects

      • Walter O. Seiler
      Pages 13-18

  4. Physiopathology of malnutrition

    1. Physiopathology of the catabolism associated with malnutrition in the elderly

      • D. Baez-Franceschi, John. E. Morley
      Pages 19-29

    2. Aging and water metabolism in health and illness

      • Myron Miller
      Pages 31-41

  5. Consequences of malnutrition

    1. Malnutrition and mental functions

      • Hannes B. Stähelin
      Pages 43-47

    2. Undernutrition and osteoporosis

      • René Rizzoli, J.-P Bonjour
      Pages 49-58

  6. Causes of malnutrition

    1. Causes of protein-energy malnutrition

      • David R. Thomas
      Pages 59-68

  7. Diagnosis of malnutrition

    1. Nutritional evaluation tools in the elderly

      • S. Lauque, F. Nourhashemi, B. Vellas
      Pages 69-81

    2. Diagnosis of zinc deficiency

      • Hans-Peter Roth, Manfred Kirchgessner
      Pages 83-95

  8. Treatment of malnutrition

    1. Dietary supplements and oral feeding in malnutrition

      • Eva Eisenbart, Peter Oster, Matthias Schuler, Günter Schlierf
      Pages 97-104

    2. Tube feeding in malnutrition

      • A. Jordan, W. F. Caspary, J. Stein
      Pages 105-112

    3. Zinc: pathophysiologic effects, nutritional deficiency, and effects of supplementation in older people — a review

      • Adil Abbasi, K. Shetty
      Pages 113-119

  9. Prevention of malnutrition

    1. Preventive nutrition services for aging populations

      • Barbara E. Millen
      Pages 121-132
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Keywords

About this book

H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma­ tion block the synthesis of albumin and shift protein synthesis to acute phase pro­ teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads to an additional loss of muscle mass which occurs as age-dependent sarcopenia, and adds to the already existing frailty (2, 4). It is often difficult to decide to what extent the metabolic alterations result from malnutrition or concomitant illness. Psychological factors contribute as a circulus vitiosus significantly to anorexia and, thus, aggravate the condition. They are the most important causes of failure to thrive in old age (7). It is evident that next to the therapy of the underlying illness, an adequate support with calorie and nutrient intake over weeks becomes essen­ tial under these conditions. Clear-cut improvements are often only seen after 6 or more weeks. Besides a clinical, clearly visible malnutrition, selective nutrient deficits are much more frequent. Numerous and highly different mechanisms may lead to a marginal or insufficient supply with micronutrients.

Editors and Affiliations

  • Geriatrische Universitätsklinik Kantonsspital, Basel, Switzerland

    W. O. Seiler, H. B. Stähelin

Bibliographic Information

  • Book Title: Malnutrition in the Elderly

  • Editors: W. O. Seiler, H. B. Stähelin

  • DOI: https://doi.org/10.1007/978-3-642-47073-8

  • Publisher: Steinkopff Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1999

  • Softcover ISBN: 978-3-642-47075-2Published: 06 March 2012

  • eBook ISBN: 978-3-642-47073-8Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: VIII, 132

  • Topics: Internal Medicine, Food Science, Nutrition

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