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Author: W.O. Seiler Publisher: Springer Science & Business Media ISBN: 3642470734 Category : Medical Languages : en Pages : 132
Book Description
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.
Author: W.O. Seiler Publisher: Springer Science & Business Media ISBN: 3642470734 Category : Medical Languages : en Pages : 132
Book Description
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.
Author: Food and Agriculture Organization of the United Nations Publisher: Food & Agriculture Org. ISBN: 9251309426 Category : Medical Languages : en Pages : 73
Book Description
A review of 120 studies published since 2006 was undertaken to examine the relationship between food insecurity at the household or individual level and the following nutrition indicators: child stunting, child wasting, low birth weight, exclusive breastfeeding of infants < 6 months of age, anaemia in women of reproductive age, child overweight and adult obesity. While there is some evidence of a direct association between food insecurity and stunting for children in lower-middle and upper-middle income countries, evidence of links between food insecurity and either child wasting or overweight is almost absent, with the exception of an association with overweight among girls in middle- and high-income countries. The obesity–food insecurity link is most predominant among women in high-income countries, while it is almost absent in men. In addition, food insecurity increases the risk for low birth weight in infants and anaemia in women. Methodological concerns that pose challenges for valid comparison of results relate to study design, data analysis techniques, use of different indicators of household/individual food security and malnutrition, and the limited availability of high-quality micro-level data from large-scale surveys. Most studies report correlation rather than causal associations between food insecurity and nutrition indicators; longitudinal micro-level data from large-scale surveys can help establish causal association and capture the dynamic nature of food insecurity. Food insecurity emerges as a predictor of undernutrition as well as overweight and obesity, highlighting the need for multisectoral strategies and policies to combat food insecurity and multiple forms of malnutrition.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309671035 Category : Social Science Languages : en Pages : 317
Book Description
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Author: Gerry McKenna Publisher: Springer Nature ISBN: 3030805263 Category : Medical Languages : en Pages : 84
Book Description
This book explores in depth the relationships between nutrition and oral health. Oral health is an integral part of general health across the life course, and this book examines nutritional and oral health considerations from childhood through to old age, with particular attention focused on the consequences of demographic changes. Current knowledge on the consequences of poor diet for the development and integrity of the oral cavity, tooth loss, and the progression of oral diseases is thoroughly reviewed. Likewise, the importance of maintenance of a disease-free and functional dentition for nutritional well-being at all stages of life is explained. Evidence regarding the impact of oral rehabilitation on nutritional status is evaluated, and strategies for changing dietary behaviour in order to promote oral health are described. Nutrition and Oral Health will be an ideal source of information for all who are seeking a clearly written update on the subject.
Author: Hanna Falk Erhag Publisher: Springer Nature ISBN: 3030780635 Category : Social Science Languages : en Pages : 254
Book Description
This open access book provides insight on how to interpret capability in ageing – one’s individual ability to perform actions in order to reach goals one has reason to value – from a multidisciplinary approach. With for the first time in history there being more people in the world aged 60 years and over than there are children below the age of 5, the book describes this demographic trends as well as the large global challenges and important societal implications this will have such as a worldwide increase in the number of persons affected with dementia, and in the ratio of retired persons to those still in the labor market. Through contributions from many different research areas, it discussed how capability depends on interactions between the individual (e.g. health, genetics, personality, intellectual capacity), environment (e.g. family, friends, home, work place), and society (e.g. political decisions, ageism, historical period). The final chapter summarizes the differences and similarities in these contributions. As such this book provides an interesting read for students, teachers and researchers at different levels and from different fields interested in capability and multidisciplinary research.
Author: Howard M. Fillit Publisher: Elsevier Health Sciences ISBN: 0702063444 Category : Medical Languages : en Pages : 1499
Book Description
The leading reference in the field of geriatric care, Brocklehurst's Textbook of Geriatric Medicine and Gerontology, 8th Edition, provides a contemporary, global perspective on topics of importance to today's gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you'll turn to in order to meet the unique challenges posed by this growing patient population. - Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy. - More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition. - Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice. - A new chapter on frailty, plus an emphasis on frailty throughout the book, addresses the complex medical and social issues that affect care, and the specific knowledge and skills essential for meeting your patients' complex needs. - New content brings you up to date with information on gerontechnology, emergency and pre-hospital care, HIV and aging, intensive treatment of older adults, telemedicine, the built environment, and transcultural geriatrics. - New editor Professor John Young brings a fresh perspective and unique expertise to this edition.
Author: Chau Trinh-Shevrin Publisher: John Wiley & Sons ISBN: 1394204159 Category : Medical Languages : en Pages : 182
Book Description
Gain a thorough understanding of the determinants of health among aging populations, how disparities arise in diverse communities, and what can be done Reducing health disparities among older people is critical to slowing or reversing the individual and societal impacts of aging-related conditions like Alzheimer's and dementia. The field of population science can help us understand disparities and prevent them using community-wide strategies. Population Science Methods and Approaches to Aging and Alzheimer's Disease and Related Dementias Research offers an overview of the population health approach, applying this framework to aging-related conditions and their determinants. By working hand-in-hand with diverse communities to address these conditions we can develop primary and secondary prevention strategies that can increase health equity for all Americans. Included topics range from population health trends and approaches to understanding community and patient engagement to caregiver perspectives and emerging trends. Learn about the population science approach to understanding aging-related health concerns in diverse communities See how factors like race, income, sexual orientation, sleep, and community engagement affect Alzheimer's and related dementias Read about proactive approaches to primary and secondary prevention within aging populations Discover emerging research and public health initiatives currently underway to promote health equity Students, researchers, and practitioners alike will benefit from this primer on participatory approaches to reducing health disparities. This introduction to the landscape of aging research in the most vulnerable of our communities will facilitate creativity, compassion, and meaningful next steps in biomedical and socioecological research, community support, and clinical care.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309452961 Category : Medical Languages : en Pages : 583
Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Kaushik Bose Publisher: Nova Science Publishers ISBN: 9781624170430 Category : Malnutrition Languages : en Pages : 0
Book Description
Human malnutrition is a serious health problem worldwide. Traditionally, malnutrition is referred to as under-nutrition. However, during the last three decades, the problems of overweight and obesity have reached alarming proportions necessitating the coinage of the term "globesity" which refers to global obesity. Thus, malnutrition manifests itself as a dual burden: under-nutrition and over-nutrition. Both these burdens have serious implications regarding morbidity and mortality. In this book, there are 15 chapters which discuss these dual burdens. These chapters address diverse aspects of human nutrition including birth weight, under-nutrition, overweight and obesity, nutrition interventions, micronutrients and other co-variates of malnutrition. Confounding factors of malnutrition are also highlighted.
Author: W.O. Seiler
Author: W.O. Seiler
Author: Food and Agriculture Organization of the United Nations
Author: National Academies of Sciences, Engineering, and Medicine
Author: Gerry McKenna
Author: Hanna Falk Erhag
Author: Howard M. Fillit
Author: Emily Joy Nicklett
Author: Chau Trinh-Shevrin
Author: National Academies of Sciences, Engineering, and Medicine
Author: Kaushik Bose