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The process of aging

The process of aging. What role does nutrition play ?. In 2040, 25% of the Dutch population is 65 + We are getting older Therefore it is essential to gain an insight in the nutritional needs of elderly .

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The process of aging

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  1. The process of aging Whatrole does nutritionplay?

  2. In 2040, 25% of the Dutch population is 65 + • We are gettingolder Thereforeit is essentialtogainaninsight in the nutritionalneeds of elderly. Because: optimalnutritioncontributesto the quality of life in the last years

  3. Why do we get old?

  4. Telomere

  5. Aging • Aging is not a homogenousprocess. • Organs in the same person age at different ratesinfluencedby • Genetic-make up • Lifestyle choices • Environmentalchoices

  6. Aging

  7. Agingandgastrointestinal system What does it affect? • Swallowingandchewing aspiration • Decline in taste andsmell • Increasedrates of gastritis andincreasedsensitivitytomedication • Changes in intestinestructure; lesseffectiveuptake of micronutrients (Vit B12) • Lessvitamin D receptors lower efficiency of calcium absorption. • Reducedpropulsivemotility  obstipation • Reducedanalsphinctertone  fecalincontinence

  8. Homeostenosis

  9. Malnutrition

  10. Who is at risk of malnutrition? • Elderly • Chronicdisease • Cancer • COPD • Heart failure • Kidney failure

  11. What are the consequences of malnutrition?

  12. How large is thisgroup? • < 1500 Kcal/day; High risk of micronutrientdeficiency. • 20 % of people > 75 yearwho living independently • 40% of elderly living in a nursing home

  13. How do recognizesomeone at risk? • Byweighing! • Weightloss: • > 5% in 1 month (3 kg/month) • > 10% in 6 months (6 kg/month) (independent of the initialweight) • < 65 year: BMI < 18,5 kg/m2 • > 65 year: BMI < 20,0 kg/m2

  14. Major bottlenecks Vitamin D deficiency! (sunlight) • Water • Proteins • Vitamin A • Vitamin B6, Folic acid, Vitamin B12 (due to malabsorption) • Vitamin C • Calcium (diuretics) • Iron • Iodine

  15. Clinicalrelevance

  16. Senior friendlyhospital 30-60% of the elderlyexperience a decline in health whileadmittedto the hospital Hospitalsshouldbecome senior friendly: ‘Look beyond the reason of admission’ 4 year project to identify the needsandrequirements of elderlywhenitcomestohospitaladmission/ visits Identifyeachhospital policy Rewardpositiveresultswith the label ‘’senior friendlyhospital “ Advisinghospitals on senior friendliness Goal: At the end of 2015 everyone in Holland knowswheretofind a senior friendlyhospital

  17. Thankyoufor listening. Are thereanyquestions?

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