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Yaşlılarda malnütrisyon, nedenleri ve etkileri

Yıl 2023, Cilt: 10 Sayı: 2, 324 - 330, 01.06.2023
https://doi.org/10.52880/sagakaderg.1198327

Öz

Çoğunlukla yaşlı bireylerde görülen malnütrisyon yaşlı bireylere zarar veren en önemli faktörlerden biridir. Birçok yaşlı birey çeşitli fizyolojik, sosyolojik, psikolojik ve ekonomik nedenlerle malnütrisyon riski altındadır. Bu durum yaşlı bireylerin yaşam kalitelerini ve bağımsız yaşayabilmelerini etkiler. Yaşlılarda çeşitli sebeplerden dolayı besin alımındaki azalmalar vücudun ihtiyacı olan elzem beslenme öğelerinin alınmasına engel olur. Yaşlılarda yetersiz beslenmeye bağlı olarak makro ve mikro besin eksikliği gelişerek kilo kaybı meydana gelir. Bu durum giderek ağırlaşarak yaşlılarda sağlıkla ilgili diğer sorunlara neden olur. İleri yaşlarda daha da artan yetersiz beslenme, birçok hastalığa yakalanma riskini artırmaktadır. Ayrıca rejeneratif kapasitelerinin bozulması nedeniyle yaşlıların mevcut durumu daha da kötüleştirir. Sonuçta malnütrisyon yaşlı hastalarda daha yüksek morbidite ve mortalite ile sonuçlanır. Bu nedenle yaşlılarda mevcut beslenme eksiklikleri durumuyla mücadele ederek yetersiz beslenmenin önüne geçmek ve sağlıklı bir beslenme tarzını teşvik etmek en önemli adımlardır.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

  • 1. Amarya, S., Singh, K., Sabharwal, M. (2015). Changes during aging and their association with undernourishment. J Nutr Gerontol Geriatr, 6, 78-84. https://doi.org/10.1016/j.jcgg.2015.05.003.
  • 2. Rudnicka, E., Napierała, P., Podfigurna, A., Eczekalski, B., Smolarczyk, R., Grymowicz, M. (2020). TheWorld Health Organization (WHO) approach to healthy ageing. Maturitas, 139, 6–11. doi: 10.1016/j.maturitas.2020.05.018.
  • 3. De Luıs, D., Lopez Guzman, A. (2006). Nutrıtıon Group of Society Of C-L. Nutritional status of adult patients admitted to internal medicine departments in public hospitals in Castilla y Leon, Spain – A multi-center study. Eur. J. Intern. Med, 17, 556–60. doi: 10.1016/j.ejim.2006.02.030.
  • 4. Cederholm, T., Bosaeus, I., Barazzonı, R., Bauer, J., Van Gossum, A., Klek S. (2015). Diagnostic criteria for undernourishment – An ESPEN Consensus Statement. Clin. Nutr, 34, 335–40. doi: 10.1016/j.clnu.2015.03.001.
  • 5. Poırıer, P., Gıles, T.D., Bray, G.A., Hong, Y., Stern, J.S., Pı-Sunyer, F.X. (2006). Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation, 113, 898–918. doi: 10.1161/CIRCULATIONAHA.106.171016.
  • 6. Inelmen, E.M., Sergı, G., Coın, A., Mıotto, F., Peruzza, S., Enzı, G. (2003). Can obesity be a risk factor in elderly people?. Obes. Rev, 4, 147–55. doi: 10.1046/j.1467-789x.2003.00107.x.
  • 7. Ferraro, K.F., Su, Y.P., Gretebeck, R.J., Black, D.R., Badylak, S.F. (2002). Body mass index and disability in adulthood: a 20-year panel study. Am. J. Public. Health, 92, 834–40. doi: 10.2105/ajph.92.5.834.
  • 8. Bosello, O., Vanzo, A. (2021). Obesity paradox and aging. Eat Weight Disord, 26(1), 27-35. doi: 10.1007/s40519-019-00815-4.
  • 9. Molına, E., Garrutı, G., Shanmugam, H., Dı Palo, D.M., Grattaglıano, I., Mastronuzzı, T. (2020). Aging and nutrition. Paving the way to better health. Rom. J. Intern. Med, 58 (2), 55–68. doi: 10.2478/rjim-2020-0005.
  • 10. Kaıser, M.J., Bauer, J.M., Ramsch, C., Uter, W., Guıgoz, Y., Cederholm T. (2010). Frequency of undernourishment in older adults: a multinational perspective using the mini nutritional assessment. J. Am. Geriatr. Soc, 58, 1734–8. doi: 10.1111/j.1532-5415.2010.03016.x.
  • 11. Constans, T. (2003). Undernourishment in the elderly. Rev. Prat, 53, 275–9.
  • 12. Mastronuzzı, T., Pacı, C., Portıncasa, P., Montanaro, N., Grattaglıano, I. (2015). Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management. Clin. Nutr, 34, 1184–8. doi: 10.1016/j.clnu.2014.12.005.
  • 13. Guıgoz, Y., Vellas, B., Garry, P.J. (1996). Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr. Rev, 54, 59–65. doi: 10.1111/j.1753-4887.1996.tb03793.x.
  • 14. Van Den Broeke, C., De Burghgraeve, T., Ummels, M., Gescher, N., Deckx, L., Tjan-Heijnen, V. (2018). Occurrence of Undernourishment and Associated Factors in Community-Dwelling Older Adults: Those with a Recent Diagnosis of Cancer Are at Higher Risk. J. Nutr. Health Aging, 22, 191–98. doi: 10.1007/s12603-017-0882-7.
  • 15. Eckert, C., Gell, N.M., Wingood, M., Schollmeyer, J., Tarleton, E.K. (2021). Undernourishment Risk, Rurality, and Falls among Community- Dwelling Older Adults. J. Nutr. Health Aging, 25, 624–627. doi: 10.1007/s12603-021-1592-8.
  • 16. Norman, K., Pichard, C., Lochs, H., Pirlich, M. (2008). Prognostic impact of disease-related undernourishment. Clin. Nutr, 27, 5–15. doi: 10.1016/j.clnu.2007.10.007.
  • 17. Khalatbari-Soltani, S., Marques-Vidal, P. (2015). The economic cost of hospital undernourishment in Europe; a narrative review. Clin. Nutr, 10, 89–94. doi: 10.1016/j.clnesp.2015.04.003.
  • 18. Lengelé, L., Bruyère, O., Beaudart, C., Reginster, J.Y., Locquet, M. (2021). Impact of Undernourishment Status on Muscle Parameter Changes over a 5-Year Follow-Up of Community-Dwelling Older Adults from the SarcoPhAge Cohort. Nutrients, 13, 407. doi: 10.3390/nu13020407.
  • 19. Coin, A., Sergi, G., Benincà, P., Lupoli, L., Cinti, G., Ferrara, L. (2000). Bone mineral density and body composition in underweight and normal elderly subjects. Osteoporos. Int, 11, 1043–1050. doi: 10.1007/s001980070026.
  • 20. Barchitta, M., Maugeri, A., Favara, G., Magnano San Lio, R., Evola, G., Agodi, A., Basile, G. (2019). Nutrition andWound Healing: An Overview Focusing on the Beneficial Effects of Curcumin. Int. J. Mol. Sci, 20, 1119. doi: 10.3390/ijms20051119.
  • 21. Olsson, M., Järbrink, K., Divakar, U., Bajpai, R., Upton, Z., Schmidtchen, A., Car J. (2019). The humanistic and economic burden of chronic wounds: A systematic review. Wound Repair Regen, 27, 114–125. doi: 10.1111/wrr.12683.
  • 22. Hébuterne, X., Bermon, S., Schneider S.M. (2001). Ageing and muscle: The effects of undernourishment, re-nutrition, and physical exercise. Curr. Opin. Clin. Nutr. Metab. Care, 4, 295–300. doi: 10.1097/00075197-200107000-00009.
  • 23. Inouye S.K., Studenski S., Tinetti M.E., Kuchel G.A. (2007). Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. J. Am. Geriatr. Soc, 55, 780–791. doi: 10.1111/j.1532-5415.2007.01156.x.
  • 24. Kane, R.L., Shamliyan, T., Talley, K., Pacala, J. (2012). The association between geriatric syndromes and survival. J. Am. Geriatr. Soc, 60, 896–904. doi: 10.1111/j.1532-5415.2012.03942.x.
  • 25. Sánchez-Rodríguez, D., Annweiler, C., Ronquillo-Moreno, N., Tortosa-Rodríguez, A., Guillén-Solà, A., Vázquez-Ibar, O. (2018). Clinical application of the basic definition of undernourishment proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN): Comparison with classical tools in geriatric care. Arch. Gerontol. Geriatr, 76, 210–214. doi: 10.1016/j.archger.2018.03.007.
  • 26. Leij-Halfwerk, S., Verwijs, M.H., van Houdt, S., Borkent, J.W., Guaitoli, P.R., Pelgrim, T. (2019). Prevalence of protein-energy undernourishment risk in European older adults in community, residential and hospital settings, according to 22 undernourishment screening tools validated for use in adults >/=65 years: A systematic review and meta-analysis. Maturitas, 126, 80–89. doi: 10.1016/j.maturitas.2019.05.006.
  • 27. Crichton, M., Craven, D., Mackay, H., Marx, W., de van der Schueren, M., Marshall, S.A. (2019). Systematic review, meta-analysis and meta-regression of the prevalence of protein-energy undernourishment: Associations with geographical region and sex. Age Ageing, 48, 38–48. doi: 10.1093/ageing/afy144.
  • 28. Wolters, M., Volkert, D., Streicher, M., Kiesswetter E., Torbahn, G., O’Connor E.M. (2019). Prevalence of undernourishment using harmonized definitions in older adults from different settings–A MaNuEL study. Clin. Nutr, 38, 2389–2398, doi: 10.1016/j.clnu.2018.10.020.
  • 29. Parker, B.A., Chapman, I.M. (2004). Food intake and ageing – the role of the gut. Mech. Ageing. Dev, 125, 859–66. doi: 10.1016/j.mad.2004.05.006.
  • 30. Donını, L.M., Poggıogalle, E., Pıredda, M., Pınto, A., Barbagallo, M., Cucınotta, D. (2013). Anorexia and eating patterns in the elderly. PLoS One, 8, 63539. doi: 10.1371/journal.pone.0063539.
  • 31. Engel, J.H., Sıewerdt, F., Jackson, R., Akobundu, U., Waıt, C., Sahyoun, N. (2011). Hardiness, depression, and emotional well-being and their association with appetite in older adults. J. Am. Geriatr. Soc, 59, 482–7. doi: 10.1111/j.1532-5415.2010.03274.x.
  • 32. Evans, W.J., Morley, J.E., Argıles, J., Bales, C., Baracos, V., Guttrıdge, D. (2008). Cachexia: a new definition. Clin. Nutr, 27, 793–9. doi: 10.1016/j.clnu.2008.06.013.
  • 33. Alı, S., Garcıa, J.M. (2014). Sarcopenia, cachexia and aging: diagnosis, mechanisms and therapeutic options – a mini-review. Gerontology, 60, 294–305. doi: 10.1159/000356760.
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Malnutrition in The Elderly, Its Causes and Effects

Yıl 2023, Cilt: 10 Sayı: 2, 324 - 330, 01.06.2023
https://doi.org/10.52880/sagakaderg.1198327

Öz

Malnutrition, which is mostly seen in elderly individuals, is one of the most important factors that harm elderly individuals. Many elderly individuals are at risk of malnutrition for various physiological, sociological, psychological and economic reasons. This affects the quality of life of elderly individuals and their ability to live independently. Decreases in food intake due to various reasons in the elderly prevent the intake of essential nutritional elements that the body needs. Due to malnutrition in the elderly, macro and micronutrient deficiencies develop and weight loss occurs. This situation gradually worsens and causes other health-related problems in the elderly. Malnutrition, which increases in older ages, increases the risk of developing many diseases. It also worsens the current situation of the elderly due to the deterioration of their regenerative capacity. Ultimately, malnutrition results in higher morbidity and mortality in elderly patients. For this reason, the most important steps are to prevent malnutrition and to promote a healthy diet by combating the current nutritional deficiencies in the elderly.

Proje Numarası

Yok

Kaynakça

  • 1. Amarya, S., Singh, K., Sabharwal, M. (2015). Changes during aging and their association with undernourishment. J Nutr Gerontol Geriatr, 6, 78-84. https://doi.org/10.1016/j.jcgg.2015.05.003.
  • 2. Rudnicka, E., Napierała, P., Podfigurna, A., Eczekalski, B., Smolarczyk, R., Grymowicz, M. (2020). TheWorld Health Organization (WHO) approach to healthy ageing. Maturitas, 139, 6–11. doi: 10.1016/j.maturitas.2020.05.018.
  • 3. De Luıs, D., Lopez Guzman, A. (2006). Nutrıtıon Group of Society Of C-L. Nutritional status of adult patients admitted to internal medicine departments in public hospitals in Castilla y Leon, Spain – A multi-center study. Eur. J. Intern. Med, 17, 556–60. doi: 10.1016/j.ejim.2006.02.030.
  • 4. Cederholm, T., Bosaeus, I., Barazzonı, R., Bauer, J., Van Gossum, A., Klek S. (2015). Diagnostic criteria for undernourishment – An ESPEN Consensus Statement. Clin. Nutr, 34, 335–40. doi: 10.1016/j.clnu.2015.03.001.
  • 5. Poırıer, P., Gıles, T.D., Bray, G.A., Hong, Y., Stern, J.S., Pı-Sunyer, F.X. (2006). Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation, 113, 898–918. doi: 10.1161/CIRCULATIONAHA.106.171016.
  • 6. Inelmen, E.M., Sergı, G., Coın, A., Mıotto, F., Peruzza, S., Enzı, G. (2003). Can obesity be a risk factor in elderly people?. Obes. Rev, 4, 147–55. doi: 10.1046/j.1467-789x.2003.00107.x.
  • 7. Ferraro, K.F., Su, Y.P., Gretebeck, R.J., Black, D.R., Badylak, S.F. (2002). Body mass index and disability in adulthood: a 20-year panel study. Am. J. Public. Health, 92, 834–40. doi: 10.2105/ajph.92.5.834.
  • 8. Bosello, O., Vanzo, A. (2021). Obesity paradox and aging. Eat Weight Disord, 26(1), 27-35. doi: 10.1007/s40519-019-00815-4.
  • 9. Molına, E., Garrutı, G., Shanmugam, H., Dı Palo, D.M., Grattaglıano, I., Mastronuzzı, T. (2020). Aging and nutrition. Paving the way to better health. Rom. J. Intern. Med, 58 (2), 55–68. doi: 10.2478/rjim-2020-0005.
  • 10. Kaıser, M.J., Bauer, J.M., Ramsch, C., Uter, W., Guıgoz, Y., Cederholm T. (2010). Frequency of undernourishment in older adults: a multinational perspective using the mini nutritional assessment. J. Am. Geriatr. Soc, 58, 1734–8. doi: 10.1111/j.1532-5415.2010.03016.x.
  • 11. Constans, T. (2003). Undernourishment in the elderly. Rev. Prat, 53, 275–9.
  • 12. Mastronuzzı, T., Pacı, C., Portıncasa, P., Montanaro, N., Grattaglıano, I. (2015). Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management. Clin. Nutr, 34, 1184–8. doi: 10.1016/j.clnu.2014.12.005.
  • 13. Guıgoz, Y., Vellas, B., Garry, P.J. (1996). Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr. Rev, 54, 59–65. doi: 10.1111/j.1753-4887.1996.tb03793.x.
  • 14. Van Den Broeke, C., De Burghgraeve, T., Ummels, M., Gescher, N., Deckx, L., Tjan-Heijnen, V. (2018). Occurrence of Undernourishment and Associated Factors in Community-Dwelling Older Adults: Those with a Recent Diagnosis of Cancer Are at Higher Risk. J. Nutr. Health Aging, 22, 191–98. doi: 10.1007/s12603-017-0882-7.
  • 15. Eckert, C., Gell, N.M., Wingood, M., Schollmeyer, J., Tarleton, E.K. (2021). Undernourishment Risk, Rurality, and Falls among Community- Dwelling Older Adults. J. Nutr. Health Aging, 25, 624–627. doi: 10.1007/s12603-021-1592-8.
  • 16. Norman, K., Pichard, C., Lochs, H., Pirlich, M. (2008). Prognostic impact of disease-related undernourishment. Clin. Nutr, 27, 5–15. doi: 10.1016/j.clnu.2007.10.007.
  • 17. Khalatbari-Soltani, S., Marques-Vidal, P. (2015). The economic cost of hospital undernourishment in Europe; a narrative review. Clin. Nutr, 10, 89–94. doi: 10.1016/j.clnesp.2015.04.003.
  • 18. Lengelé, L., Bruyère, O., Beaudart, C., Reginster, J.Y., Locquet, M. (2021). Impact of Undernourishment Status on Muscle Parameter Changes over a 5-Year Follow-Up of Community-Dwelling Older Adults from the SarcoPhAge Cohort. Nutrients, 13, 407. doi: 10.3390/nu13020407.
  • 19. Coin, A., Sergi, G., Benincà, P., Lupoli, L., Cinti, G., Ferrara, L. (2000). Bone mineral density and body composition in underweight and normal elderly subjects. Osteoporos. Int, 11, 1043–1050. doi: 10.1007/s001980070026.
  • 20. Barchitta, M., Maugeri, A., Favara, G., Magnano San Lio, R., Evola, G., Agodi, A., Basile, G. (2019). Nutrition andWound Healing: An Overview Focusing on the Beneficial Effects of Curcumin. Int. J. Mol. Sci, 20, 1119. doi: 10.3390/ijms20051119.
  • 21. Olsson, M., Järbrink, K., Divakar, U., Bajpai, R., Upton, Z., Schmidtchen, A., Car J. (2019). The humanistic and economic burden of chronic wounds: A systematic review. Wound Repair Regen, 27, 114–125. doi: 10.1111/wrr.12683.
  • 22. Hébuterne, X., Bermon, S., Schneider S.M. (2001). Ageing and muscle: The effects of undernourishment, re-nutrition, and physical exercise. Curr. Opin. Clin. Nutr. Metab. Care, 4, 295–300. doi: 10.1097/00075197-200107000-00009.
  • 23. Inouye S.K., Studenski S., Tinetti M.E., Kuchel G.A. (2007). Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. J. Am. Geriatr. Soc, 55, 780–791. doi: 10.1111/j.1532-5415.2007.01156.x.
  • 24. Kane, R.L., Shamliyan, T., Talley, K., Pacala, J. (2012). The association between geriatric syndromes and survival. J. Am. Geriatr. Soc, 60, 896–904. doi: 10.1111/j.1532-5415.2012.03942.x.
  • 25. Sánchez-Rodríguez, D., Annweiler, C., Ronquillo-Moreno, N., Tortosa-Rodríguez, A., Guillén-Solà, A., Vázquez-Ibar, O. (2018). Clinical application of the basic definition of undernourishment proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN): Comparison with classical tools in geriatric care. Arch. Gerontol. Geriatr, 76, 210–214. doi: 10.1016/j.archger.2018.03.007.
  • 26. Leij-Halfwerk, S., Verwijs, M.H., van Houdt, S., Borkent, J.W., Guaitoli, P.R., Pelgrim, T. (2019). Prevalence of protein-energy undernourishment risk in European older adults in community, residential and hospital settings, according to 22 undernourishment screening tools validated for use in adults >/=65 years: A systematic review and meta-analysis. Maturitas, 126, 80–89. doi: 10.1016/j.maturitas.2019.05.006.
  • 27. Crichton, M., Craven, D., Mackay, H., Marx, W., de van der Schueren, M., Marshall, S.A. (2019). Systematic review, meta-analysis and meta-regression of the prevalence of protein-energy undernourishment: Associations with geographical region and sex. Age Ageing, 48, 38–48. doi: 10.1093/ageing/afy144.
  • 28. Wolters, M., Volkert, D., Streicher, M., Kiesswetter E., Torbahn, G., O’Connor E.M. (2019). Prevalence of undernourishment using harmonized definitions in older adults from different settings–A MaNuEL study. Clin. Nutr, 38, 2389–2398, doi: 10.1016/j.clnu.2018.10.020.
  • 29. Parker, B.A., Chapman, I.M. (2004). Food intake and ageing – the role of the gut. Mech. Ageing. Dev, 125, 859–66. doi: 10.1016/j.mad.2004.05.006.
  • 30. Donını, L.M., Poggıogalle, E., Pıredda, M., Pınto, A., Barbagallo, M., Cucınotta, D. (2013). Anorexia and eating patterns in the elderly. PLoS One, 8, 63539. doi: 10.1371/journal.pone.0063539.
  • 31. Engel, J.H., Sıewerdt, F., Jackson, R., Akobundu, U., Waıt, C., Sahyoun, N. (2011). Hardiness, depression, and emotional well-being and their association with appetite in older adults. J. Am. Geriatr. Soc, 59, 482–7. doi: 10.1111/j.1532-5415.2010.03274.x.
  • 32. Evans, W.J., Morley, J.E., Argıles, J., Bales, C., Baracos, V., Guttrıdge, D. (2008). Cachexia: a new definition. Clin. Nutr, 27, 793–9. doi: 10.1016/j.clnu.2008.06.013.
  • 33. Alı, S., Garcıa, J.M. (2014). Sarcopenia, cachexia and aging: diagnosis, mechanisms and therapeutic options – a mini-review. Gerontology, 60, 294–305. doi: 10.1159/000356760.
  • 34. Janssen, I. (2011). The epidemiology of sarcopenia. Clin. Geriatr. Med, 27, 355–63. doi: 10.1016/j.cger.2011.03.004.
  • 35. Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boırıe., Y., Cederholm, T., Landı, F. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing, 39: 412–23. doi: 10.1093/ageing/afq034.
  • 36. Roubenoff, R. (2001). Origins and clinical relevance of sarcopenia. Can. J. Appl. Physiol, 26, 78–89. doi: 10.1139/h01-006.
  • 37. Rasmussen, B.B., Fujıta, S., Wolfe, R.R., Mıttendorfer, B., Roy, M., Rowe, V.L. (2006). Insulin resistance of muscle protein metabolism in aging. Faseb J, 20, 768–9. doi: 10.1096/fj.05-4607fje.
  • 38. Kyle, U.G., Morabıa, A., Schutz, Y., Pıchard, C. (2004). Sedentarism affects body fat mass index and fat-free mass index in adults aged 18 to 98 years. Nutrition, 20, 255–60. doi: 10.1016/j.nut.2003.11.019.
  • 39. Rantanen, T., Era, P., Heıkkınen, E. (1997). Physical activity and the changes in maximal isometric strength in men and women from the age of 75 to 80 years. J. Am. Geriatr. Soc, 45, 1439–45. doi: 10.1111/j.1532-5415.1997.tb03193.x.
  • 40. Houston, D.K., Tooze, J.A., Garcıa, K., Vısser, M., Rubın, S., Harrıs, T.B. (2017). Protein Intake and Mobility Limitation in Community-Dwelling Older Adults: the Health ABC Study. J. Am. Geriatr. Soc, 65, 1705–1711. doi: 10.1111/jgs.14856.
  • 41. Lındle, R.S., Metter, E.J., Lynch, N.A., Fleg, J.L., Fozard., J.L., Tobın, J. (1997). Age and gender comparisons of muscle strength in 654 women and men aged 20–93 yr. J. Appl. Physiol, 83, 1581–7. doi: 10.1152/jappl.1997.83.5.1581.
  • 42. Vecchıe, A., Dallegrı, F., Carbone, F., Bonaventura, A., Lıberale, L., Portıncasa, P. (2018). Obesity phenotypes and their paradoxical association with cardiovascular diseases. Eur. J. Intern. Med, 48, 6–17. doi: 10.1016/j.ejim.2017.10.020.
  • 43. Volkert, D., Berner, YN., Berry, E., Cederholm, T., Cotı Bertrand, P., Mılne, A. (2006). Espen Guidelines on Enteral Nutrition: Geriatrics. Clin. Nutr, 25, 330–60. doi: 10.1016/j.clnu.2006.01.012.
  • 44. Thomas, D.R, Ashmen, W, Morley, J.E., Evans, W.J. (2000). Nutritional management in long-term care: development of a clinical guideline. Council for Nutritional Strategies in Long-Term Care. J. Gerontol. A Biol. Sci. Med. Sci, 55, 725–34. doi: 10.1093/gerona/55.12.m725.
  • 45. Lıchtenstein, A.H, Rasmussen, H, Yu, W.W, Epsteın, S.R, and Russell, R.M. (2008). Modified MyPyramid for Older Adults. J. Nutr, 138, 5–11. doi: 10.1093/jn/138.1.5.
  • 46. Beck, A.M, Dent, E, Baldwın, C. (2016). Nutritional intervention as part of functional rehabilitation in older people with reduced functional ability: a systematic review and meta-analysis of randomised controlled studies. J. Hum. Nutr. Diet, 29, 733–745. doi: 10.1111/jhn.12382.
  • 47. Trumbo, P, Schlıcker, S, Yates, A.A., Poos, M. (2002). Food, Nutrıtıon Board Of The Instıtute Of Medıcıne Tna. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J. Am. Diet. Assoc, 102, 1621–30. doi: 10.1016/s0002-8223(02)90346-9.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Tuğba Gül Dikme 0000-0002-2212-6443

Proje Numarası Yok
Yayımlanma Tarihi 1 Haziran 2023
Kabul Tarihi 6 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 10 Sayı: 2

Kaynak Göster

APA Gül Dikme, T. (2023). Yaşlılarda malnütrisyon, nedenleri ve etkileri. Sağlık Akademisyenleri Dergisi, 10(2), 324-330. https://doi.org/10.52880/sagakaderg.1198327
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