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Overview
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 practiceto further the understanding of nutrition in older persons.
Synopsis
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 practiceto further the understanding of nutrition in older persons.
Doody Review Services
Reviewer:David O. Staats, MD(University of Oklahoma Health Sciences Center)
Description:This multiauthored book provides a wide-ranging discussion of nutrition in older persons.
Purpose:Its purpose is to serve as a comprehensive textbook on nutrition in older persons. The authors succeed in presenting a wide variety of information.
Audience:The audience is students, trainees, and clinicians who care for older persons.
Features:The 35 chapters are divided to discuss normal nutrition in older persons, pathological nutrition (malnutrition associated with different disease states), and optimal nutrition. The latter deals with obesity and nutrition for bone and brain health. The concluding chapter on ethical dimensions is fitting and reflects the broad scope of the book. The authors and editors stress the differences between nutritional changes due to aging, acute diseases, and chronic wasting illnesses.
Assessment:This is a thorough, well written, and well referenced book. It cites evidence-based medicine and gives the mnemonics for which this group is renowned. The emphasis on the important distinction between starvation, which is responsive to refeeding, and cachexia (seen in wasting illnesses), which is not responsive to refeeding, is masterful. From the observation decades ago that caloric restriction increases age of laboratory mice to the epidemic of obesity facing American society today, and the normative loss of weight with aging, nutrition of the elderly sits at the crossroads of much contemporary medicine and biology. This book serves as a useful map to understand where the future leads. It deserves a wide readership.
Editorials
From The Critics
Reviewer: David O. Staats, MD(University of Oklahoma Health Sciences Center)Description: This multiauthored book provides a wide-ranging discussion of nutrition in older persons.
Purpose: Its purpose is to serve as a comprehensive textbook on nutrition in older persons. The authors succeed in presenting a wide variety of information.
Audience: The audience is students, trainees, and clinicians who care for older persons.
Features: The 35 chapters are divided to discuss normal nutrition in older persons, pathological nutrition (malnutrition associated with different disease states), and optimal nutrition. The latter deals with obesity and nutrition for bone and brain health. The concluding chapter on ethical dimensions is fitting and reflects the broad scope of the book. The authors and editors stress the differences between nutritional changes due to aging, acute diseases, and chronic wasting illnesses.
Assessment: This is a thorough, well written, and well referenced book. It cites evidence-based medicine and gives the mnemonics for which this group is renowned. The emphasis on the important distinction between starvation, which is responsive to refeeding, and cachexia (seen in wasting illnesses), which is not responsive to refeeding, is masterful. From the observation decades ago that caloric restriction increases age of laboratory mice to the epidemic of obesity facing American society today, and the normative loss of weight with aging, nutrition of the elderly sits at the crossroads of much contemporary medicine and biology. This book serves as a useful map to understand where the future leads. It deserves a wide readership.