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Geriatric Nutrition

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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.

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Editorial Reviews

From the Publisher
“This book is a timely and comprehensive evidence-based assimilation of nutrition into medical treatment. The book is intended to provide the latest information to practicing physicians , clinical investigators, and other researchers involved in the basic science and clinical aspects of this broad and rapidly evolving topic. … The book includes tables and figures for easy reference and provides references to recent clinical trials. Each chapter contains an editor’s note explaining how nutrition can be integrated into practice. The text also includes nutritional recommendations from world-renowned clinicians. … the book warrants a look from educators who would like to provide their physical therapy, students with the most recent evidence on nutrition in the daily treatment of various musculoskeletal conditions. … serve as an adjunct reference for those interested in research or teaching musculoskeletal content.”
— Janna Beling, Department Chair, Department of Physical Therapy, California State University, in Physical Therapy, Vol. 87, No. 5, p. 613, May 2007

"The book definitely offers the reader in-depth and extensive coverage of the more common nutrition issues that older individuals will face either at home or in environments that provide direct care for elderly residents… It would make a great reference for nearly all health care professionals, from dietitians to general practice physicians looking for an encompassing nutrition reference addressing issues that affect older adults."

Journal of the American Medical Association, Winter 2008

Doody's Review Service
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.
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Product Details

  • ISBN-13: 9780849338151
  • Publisher: CRC Press
  • Publication date: 5/21/2007
  • Series: Nutrition and Disease Prevention Series
  • Edition description: New Edition
  • Pages: 600
  • Product dimensions: 6.40 (w) x 9.30 (h) x 1.50 (d)

Table of Contents

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

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