Malnutrition in the elderly : a narrative review

Agarwal, E., Miller, M., Yaxley, A., & Isenring, E. (2013) Malnutrition in the elderly : a narrative review. Maturitus, 76(4), pp. 296-302.

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Abstract

The focus of nutrition is often on healthy diets and exercise to minimise the risk of developing lifestyle diseases such as cancer, diabetes and cardiovascular disease. However, during the shift into older years often the nutrition priorities change towards meeting increased nutrient needs with less energy requirements and minimising lean muscle loss. There are several causes of general malnutrition in the elderly that lead to depletion of muscle including starvation (protein-energy malnutrition), sarcopenia and cachexia. The prevalence of protein-energy malnutrition increases with age and the number of comorbidities. A range of simple and validated screening tools can be used to identify malnutrition in older adults e.g. MST, MNA-SF and ‘MUST’. Older adults should be screened for nutritional issues at diagnosis, on admission to hospitals or care homes and during follow up at outpatient or General Practitioner clinics, at regular intervals depending on clinical status. Early identification and treatment of nutrition problems can lead to improved outcomes and better quality of life.

Impact and interest:

52 citations in Scopus
39 citations in Web of Science®
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ID Code: 62289
Item Type: Journal Article
Refereed: Yes
Additional Information: Available online 2 August 2013
Keywords: protein-energy malnutrition, elderly, sarcopenia, cachexia, nutritional management
DOI: 10.1016/j.maturitas.2013.07.013
ISSN: 0378-5122
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2013 Published by Elsevier Ireland Ltd.
Copyright Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Maturitus. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Maturitus, Volume 76, Issue 4, 2013. DOI: 10.1016/j.maturitas.2013.07.013
Deposited On: 13 Sep 2013 02:23
Last Modified: 19 May 2016 04:16

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