Kırılgan Yaşlılarda Beslenme

Abstract

Kırılganlık yaşa bağlı olarak birden çok sistemde oluşan fizyolojik değişiklikler nedeniyle ortaya çıkan geriatrik sendromlardan biridir. Akut ve kronik hastalıklar, kronik inflamasyon, çevresel faktörler, genetik gibi etmenler kırılganlığın patogenezinde rol oynayabilmektedir. Yaşlı bireyin ağırlık kaybı, bitkinlik/halsizlik hissi, fiziksel aktivite, yürüme hızı ve el kavrama gücü değerlendirilerek kırılganlık tespit edilir. Beslenme ve kırılganlık arasındaki ilişkiyi inceleyen çalışmalarda enerji, protein, D vitamini, antioksidan besin öğelerinin yeterli alımı ve Akdeniz diyetinin koruyucu etkisi gösterilmiştir. Kırılganlığın önlenmesi ve tedavisinde; egzersiz, yeterli protein alımı (1.2-1.5 g/kg/gün) ve gerekli durumlarda oral beslenme solüsyonlarının kullanılması önerilmektedir. Ayrıca anemi ve depresyonun tedavi edilmesi, serum düzeyinin izlenip düşük olduğu durumlarda D vitamini desteği verilmesi gerekliliği vurgulanmaktadır.

Keywords

• Kırılganlık,beslenme,malnütrisyon

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