RESULTS: Older adults are at high risk of malnutrition, owing to frequent occurrence of cognitive impairment, loss of appetite, dysphagia, and poor oral health. A significant decrease in the consumption of dairy products may lead to inadequate intake of high-quality protein and minerals, with a consequent impact on muscle and bone health. Testing for lactose malabsorption may be challenging in older adults, if not useless. Instead, a detailed clinical evaluation should always be pursued to identify both lactose intolerance and all confounding factors mimicking the same clinical picture.
CONCLUSIONS: The management of lactose malabsorption and intolerance in older adults deserves a personalized approach. Because of the importance of maintaining an adequate nutritional status in this age group, efforts should be put forth to avoid excessively restrictive diets.
结果:老年人营养不良的风险很高,由于认知障碍的频繁发生,食欲不振,吞咽困难,口腔健康状况不佳。乳制品消费量的大幅减少可能导致优质蛋白质和矿物质摄入不足,从而影响肌肉和骨骼健康。测试乳糖吸收不良在老年人中可能具有挑战性,如果不是无用的。相反,应始终进行详细的临床评估,以确定乳糖不耐受和模拟相同临床表现的所有混杂因素.
结论:老年人乳糖吸收不良和不耐受的管理值得采取个性化的方法。由于在这个年龄段保持足够的营养状况的重要性,应努力避免过度限制饮食。