PDF(Pubmed)
Abstract：
Malnutrition is a growing public health problem leading to increased morbidity and mortality worldwide. Up to 50% of elderly patients are hospitalized due to this condition. In this review, we focused on analyzing the current diagnostic criteria for malnutrition among the elderly population and proposing promising solutions. Currently used diagnostic methods such as BMI or serum albumin levels are not sufficient to indicate malnutrition, which is affected by many factors, including the number of chronic diseases, multiple medications taken, or physical condition. Moreover, current recommendations are inadequate because they fail to account for various factors such as chronic illnesses, multiple medications, and bodily changes that are crucial in diagnostic evaluations. There is a noticeable gap between these recommendations and actual clinical practice. Nevertheless, developing more precise, non-invasive biomarkers and personalized nutrition strategies has to be explored. One of these strategies we discuss in our review is multidisciplinary approaches that combine nutrition, physical activity, and psychosocial support. Addressing malnutrition among the elderly should rely on standardized protocols and personalized interventions to enhance their nutritional health and overall well-being.
摘要：
营养不良是一个日益严重的公共卫生问题，导致全球发病率和死亡率增加。多达50％的老年患者因这种情况而住院。在这次审查中,我们重点分析了当前老年人群营养不良的诊断标准，并提出了有希望的解决方案。目前使用的诊断方法，如BMI或血清白蛋白水平不足以表明营养不良，这受到许多因素的影响，包括慢性病的数量，服用多种药物，或身体状况。此外，目前的建议是不够的，因为它们没有考虑到各种因素，如慢性疾病，多种药物,以及在诊断评估中至关重要的身体变化。这些建议与实际临床实践之间存在明显差距。然而，开发更精确，必须探索非侵入性生物标志物和个性化营养策略。我们在评论中讨论的这些策略之一是结合营养的多学科方法，身体活动,和社会心理支持。解决老年人营养不良问题应依靠标准化方案和个性化干预措施，以增强他们的营养健康和整体福祉。
