In a vicious cycle, poor nutritional health leads to acute and chronic disease, and disease states are catastrophic to nutritional health. The magnitude of nutritional depletion from any cause depends to a large extent on the nutritional reserves an individual has accumulated over time. In our increasingly older population, nutritional reserves are marginal and the magnitude of the effect on nutritional health is amplified. Strategies to improve nutritional health in older individuals require a unique approach and sensitivity to the individual's needs. Drawing from a group of outstanding experts in the field, "Geriatric Nutrition" is a state-of-the-art review of current nutritional thinking. Beginning with an overview of nutrition in older persons, the book addresses nutrition epidemiology, obesity, immunity, as well as molecular theories of aging. A detailed scientific review of nutritional requirements follows with chapters on energy balance, water metabolism, vitamin disorders, and trace elements. Techniques for the clinical assessment of nutrition in older adults include comparisons between US and European Union strategies and standards.
The book includes a revealing section on the management of undernutrition in nursing homes and assisted living environments. It offers prescriptions for enteral and parenteral nutrition, as well as protein energy undernutrition. A significant portion of the book covers nutrition recommendations in specific disease states, including psychological issues such as dementia and depression, cancer, diabetes, anemia, and fracture risk. The book also considers multicultural and ethical issues relevant to the sensitive treatment of older individuals. Exploring exciting new ideas in normal, pathological, and optimal nutrition, "Geriatric Nutrition" ties basic research with clinical practice to further the understanding of nutrition in older persons.
The Aging Society and Nutrition Epidemiology, S. Pulisetty and J.E. Morley Molecular Theories of Aging and Nutritional Interventions, H.J. Armbrecht The Role of Nutrition in the Prevention of Age-Associated Diseases, J.E. Morley Obesity in Older Adults, G.A. Wittert Sarcopenia and Cachexia, J.E. Morley and M.T. Haren Immunity and Nutrition, C. Trinh Nutritional Requirements in Older Adults, D.R. Thomas Energy Balance, J.E. Morley Water Metabolism, D.R. Thomas and J.E. Morley Vitamin Disorders, R.R. Hajjar and Z. Nahhas Trace Elements, J.E. Morley Nutritional Assessment in Older Persons, D.R. Thomas Geriatric Assessment and Its Interaction with Nutrition, J. Gammack Nutritional Assessment in the European Community, J.M. Bauer and D. Volkert The Oral Cavity and Nutrition, N. Garcia and D.D. Miley Management of Protein-Energy Undernutrition in Older Adults, D.R. Thomas Prescription for Enteral Nutrition, Z. Syed and S.H. Tariq Prescription for Parenteral Nutrition, D.R. Thomas Nutrition Management in Nursing Homes, D. Munikrishnappa Providing Optimal Nutrition in the Assisted Living Environment, C.W. Bales, G.T. Buhr, V.H. Hawk, L.S. Evanko, and H.K. White Nutritional Factors in Dementia, S. Joshi Nutrition and Depression, M. Gebretsadik and G.T. Grossberg Nutrition and Behavior, J.E. Morley Nutritional Management of Hypertension, R,R. Hajjar Nutrition and Cancer: Some Practical Approaches to Management, H. McKean and A. Jatoi Nutrition and Type 2 Diabetes Mellitus in the Geriatric Patient, A. Mazza COPD and Undernutrition: A Complex Interaction, O.A. Cepeda Nutrition and Gastrointestinal Function, M.L. Omran and W. Aneed Drug-Nutrient Interactions, D.R. Thomas Nutrition and the Endocrine System, N. Senkottaiyan and J.E. Morley Nutritional Anemia in Older Persons, D.R. Thomas The Role of Nutrition in Prevention and Management of Pressure Ulcers, D.R. Thomas Nutrition and Fracture Risk, J.E. Morley and K.R. Wehmeier Multicultural Issues, N. Tumosa Choice and Nutritionals: Ethical Issues, R. Kevorkian Index