Malnutrition in the Elderly - Seiler W.O.
Malnutrition in the Elderly - Seiler W.O.
EAN: 9783642470752
Marka
Symbol
721HGI03527KS
Rok wydania
2012
Strony
144
Oprawa
Miekka
Format
15.6x23.4cm
Redakcja
Seiler W.O.
Język
angielski

Bez ryzyka
14 dni na łatwy zwrot

Szeroki asortyment
ponad milion pozycji

Niskie ceny i rabaty
nawet do 50% każdego dnia
Niepotwierdzona zakupem
Ocena: /5
Marka
Symbol
721HGI03527KS
Kod producenta
9783642470752
Rok wydania
2012
Strony
144
Oprawa
Miekka
Format
15.6x23.4cm
Redakcja
Seiler W.O.
Język
angielski

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.
EAN: 9783642470752
EAN: 9783642470752
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