The proportion of the population over 65 years of age is increasing steadily in most industrialized countries. In the United States the proportion of elderly people has risen from four percent in 1900 to 11 % in 1978, and is projected to be 14% by the year 2000. The occurrence of debilitating chronic diseases in the elderly increases with each additional year. These diseases, along with the natural loss of tissue function that occurs throughout adult life, impose a heavy burden on the health care system. Nutri tion plays an important etiologic role in many of these degenerative changes. Conse quently, the aging segment of the population presents a challenge to the nutrition scientist, who should be able to recommend optimal intakes of nutrients to minimize the functional losses associated with aging and to optimize the health of those already elderly. This sixth volume in the series Human Nutrition: A Comprehensive Treatise provides a conspectus of the various interactions of nutrition with the aging process and a comprehensive survey of current knowledge of the amounts of individual nutrients needed by the elderly. The volume begins with a general survey of the multifaceted relationship of nutrition to aging, followed by four chapters on how nutrition can affect age-related changes in selected body functions. The next six chapters cover the avail able evidence regarding the needs of the elderly for dietary energy, protein, calcium, trace elements, vitamins, and fiber.

Humanity is aging. In the last century, life expectancy has increased by as much as 25 years, the greatest increase in 5'000 years of history. As a consequence the elderly constitute today the fastest growing segment of the world's population. This new situation creates many social problems and challenges to health care which both the developed as well as the developing countries will have to cope with. The present publication shows that scientific progress has reached a level where nutritional interventions may play a decisive part in the prevention of degenerative conditions of age, improvement of quality of life and impact on health care burden and resources. Topics deal with such different aspects as the influence of prenatal and early infant nutrition on the future aged individual and effects of energetic restriction on longevity. Further contributions include studies on mitochondrial alterations, digestive problems, specific metabolic deviations mediated by insulin, bone degradation, structural changes, neuromuscular dysfunctions, mental state of the elderly as well as the response of the immune system to nutrient intake. Finally the book offers a review of requirements appropriate to meet the age-related public health challenges of the 21st century.

Nutrition for the Older Adult is a clear, comprehensive text that introduces students to nutrition and health promotion for older adults. Covering such important topics as the physiological changes of aging, weight and nutrition problems in older adults, nutritional assessment and support for the elderly, and diet and cultural diversity as well as exercise prescriptions for older adults, this text is an essential resource for students in the fields of nutrition, nursing, and gerontology. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Exercise, Nutrition and the Older Woman: Wellness for Women Over Fifty is a comprehensive guide to the major wellness issues for women over fifty. The author is a physician who explores diet, exercise and lifestyle choices from a medical perspective. The book assists in the design and implementation of programs to optimize good health and quality o

A compendium of detailed strategies for using nutritional interventions to ameliorate a host of age-related disorders and an evidence-based review of what intervention are and are not effective. These range from the effects of nutrition on the aging eye, the sense of taste and smell, hearing loss, sarcopenia, and dementia, to the clinical role of nutrition in vascular and pulmonary disorders, cancer, immunity, endocrine and alimentary tract disorders, and renal and musculoskeletal disorders. The authors present the physiological basis for each disorder, provide the latest information about the interaction of nutrition with each condition, and review the potential routes and mechanisms for clinical intervention. All clinical chapters conclude with a summary of practical applications and treatment guidelines for secondary prevention, management, and therapy.

This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Approximately 380 million people worldwide are 60 years of age or older. This number is predicted to triple to more than 1 billion by 2025. Aging, Nutrition and Taste: Nutrition, Food Science and Culinary Perspectives for Aging Tastefully provides research, facts, theories, practical advice and recipes with full color photographs to feed the rapidly growing aging population healthfully. This book takes an integrated approach, utilizing nutrition, food science and the culinary arts. A significant number of aging adults may have taste and smell or chemosensory disorders and many may also be considered to be undernourished. While this can be partially attributed to the behavioral, physical and social changes that come with aging, the loss or decline in taste and smell may be at the root of other disorders. Aging adults may not know that these disorders exist nor what can be done to compensate. This text seeks to fill the knowledge gap. Aging, Nutrition and Taste: Nutrition, Food Science and Culinary Perspectives for Aging Tastefully examines aging from three perspectives: nutritional changes that affect health and well-being; food science applications that address age-specific chemosensory changes, compromised disease states and health, and culinary arts techniques that help make food more appealing to diminishing senses. Beyond scientific theory, readers will find practical tips and techniques, products, recipes, and menus to increase the desirability, consumption and gratification of healthy foods and beverages as people age. - Presents information on new research and theories including a fresh look at calcium, cholesterol, fibers, omega-3 fatty acids, higher protein requirements, vitamins C, E, D, trace minerals and phytonutrients and others specifically for the aging population - Includes easy to access and usable definitions in each chapter, guidelines, recommendations, tables and usable bytes of information for health professionals, those who work with aging populations and aging people themselves - Synthesizes overall insights in overviews, introductions and digest summaries of each chapter, identifying relevant material from other chapters and clarifying their pertinence

Cachexia may well represent the flip side of the tremendous achievements of modern medicine. The aim of this volume, written by world-renowned scientists, is to provide the best available evidence on the pathogenesis, clinical features and therapeutic approach of cachexia, and to facilitate the understanding of the complex yet unequivocal clinical role of this syndrome, that truly represents a disease, or, more likely, a disease within other different diseases.

The field of geriatric rehabilitation is constantly changing due to the discovery of new evidence-based evaluation and treatment strategies, as well as the continual support or refutation of older theories and practices. Now in itsFourth Edition, A Clinical Approach to Geriatric Rehabilitation has been updated to be at the forefront of these changes and includes free video content from MedBridge and a discount on a MedBridge subscription to geriatric rehabilitation courses offered by the authors. Drs. Jennifer M. Bottomley and Carole B. Lewis have compiled the plethora of available scientific research on geriatric populations and combined it with their years of actual clinical practice. Together this makes this text a complete evidence-based guide to the clinical care of geriatric patients and clients. The first part of A Clinical Approach to Geriatric Rehabilitation, Fourth Edition tackles applied gerontological concepts, providing the general knowledge base necessary for treating geriatric patients. Topics in this section include patient evaluation, an exploration of nutritional needs, and age-related changes in physiology and function, as well as many other foundational areas. In the second section, topics become more focused on patient care concepts like neurologic considerations, cardiopulmonary and cardiovascular considerations, and establishing community-based screening programs. In the final section, chapters center on administration and management, including important subjects such as attitudes, ethics, and legal topics, as well as consultation and research. New and updated in the Fourth Edition: Pearls section for succinct highlights of the content within each chapter The latest evidence-based practice interventions with complete references for further reading Updated graphics, pictures, and diagrams to illustrate the content Content summaries and streamlined text for enhanced readability Updated case studies to exemplify clinical decision-making Designed to provide valuable, real-life clinical knowledge, A Clinical Approach to Geriatric Rehabilitation, Fourth Edition gives physical therapists an evidence-based guide to the clinical aspects of rehabilitative care in older adult patients and clients.