Nutritional Care for the Elderly

Hyun Wook Baik

doi:10.4166/kjg.2019.73.4.196

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Baik: Nutritional Care for the Elderly

Special Article

The Korean Journal of Gastroenterology 2019; 73(4): 196-201.

Published online: 26 April 2019

DOI: https://doi.org/10.4166/kjg.2019.73.4.196

Nutritional Care for the Elderly

Hyun Wook Baik^1,²

¹Department of Internal Medicine, Clinical Nutrition & Metabolism, Bundang Jesaeng Hospital, Bundang, Korea.

²Biomedical Research Center, Bundang Jesaeng Hospital, Bundang, Korea.

Correspondence to: Hyun Wook Baik, Department of Internal Medicine, Clinical Nutrition & Metabolism, 20 Seohyeon-ro 180beon-gil, Bundang-gu, Seongnam 13590, Korea. Tel: +82-31-779-0200, 0249, Fax: +82-31-779-5079, hwbaik@gmail.com

Received 9 April 2019 Revised 12 April 2019 Accepted 15 April 2019

Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malnutrition among older people is a common health problem. It is well known that malnutrition is associated with a poor clinical outcome. Especially older individuals in catabolic crisis require comprehensive nutritional management to improve clinical outcome not only recovery of disease itself but also maintain physical and cognitive function. Intensive nutritional therapy in acute care is important since nutritional status is closely related to long-term clinical outcome and quality of life in the older people.

Keywords: Malnutrition in the elderly, MNA-SF, Catabolic crisis, Immediate post-acute stage nutritional therapy

Figures and Tables

Fig. 1

Short form mini nutritional assessment. Adapted from Park and Baik2.

Table 1

The General Characteristics

BMI, body mass index; SMM, skeletal muscle mass; SMI, skeletal muscle mass index; NRS 2002, nutrition risk screening 2002 (≥3 malnutrition risk, <3 good); MNA, mini nutritional assessment (≤7 malnutrition); KMMSE, Korean mini mental status examination (≥24 normal, ≤23 dementia risk); ADL, activity of daily living (≥8 dependent, ≤7 independent); BIA, bioimpedance analysis.

^aBIA <7.0 kg/m² (men), <5.7 kg/m² (women).

Table 2

The Change of Nutritional Parameters after Nutritional Intervention (Women) (n=20)

^aBIA <7.0 kg/m² (men), <5.7 kg/m² (women).

Table 3

The Change of Nutritional Parameters after Nutritional Intervention (Men) (n=13)

^aBIA <7.0 kg/m² (men), <5.7 kg/m² (women).

Notes

This manuscript is based on 2019 Spring Seminar of the Korean Society of Gastroenterology. The Editorial Board of Korean J Gastroenterol agreed to publish this manuscript to Korean J Gastroenterol as a special article.

^{Financial support} None.

^{Conflict of interest} None.

References

1. Malnutrition. The Korea Geriatrics Society. Textbook of geriatric medicine. 3rd ed. Seoul: PanmunEducation;2015. p. 183–188.

2. Park JE, Baik HW. Aging and nutrition. JKSPEN. 2013; 5:42–49.

3. Kang MC, Kim JH, Ryu SW, et al. Prevalence of malnutrition in hospitalized patients: a multicenter cross-sectional study. J Korean Med Sci. 2018; 33:e10.

4. Charlton K, Nichols C, Bowden S, et al. Poor nutritional status of older subacute patients predicts clinical outcomes and mortality at 18 months of follow-up. Eur J Clin Nutr. 2012; 66:1224–1228.

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ORCID iDs: Hyun Wook Baik
https://orcid.org/0000-0003-1410-0232
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