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Aging and Nutrition. Koja District General Hospital dr.Veronica Wijaya , Mgizi , SpGK. Curiculum vitae. Dr Veronica Wijaya , Mgizi , SpGK Pendidikan Kedokteran Umum Universitas Trisakti (2001-2008) S2 Gizi Klinik Universitas Indonesia (2011-2013)
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Aging and Nutrition Koja District General Hospital dr.VeronicaWijaya, Mgizi, SpGK
Curiculum vitae • Dr Veronica Wijaya, Mgizi, SpGK Pendidikan • KedokteranUmumUniversitasTrisakti(2001-2008) • S2 GiziKlinikUniversitas Indonesia (2011-2013) • SpesialisGiziKlinikUniversitas Indonesia (2013-2015) Organisasi • PerhimpunanDokterGiziMedik Indonesia • PerhimpunanDokterGiziKlinik Indonesia • IkatanDokter Indonesia
Malnutrition in ELDERLY MALNUTRITION ↑GERIATRIC : - FRAILTY - DEPENDENT DEGENERATIVE DISEASES EXCESS IMBALANCE DEFICIT PREVALENCE EUROPE: 23-39% NETHERLANDS : 32-62% INDONESIA : 2,14% E P OTHER NUTRIENTS MALNUTRITION RISK: 56,7% ANATOMICAL & PHYSIOLOGICAL DISTURBANCES
BMI = Weight/ (Height)2
MACRONUTRIENTS • PROTEIN Vary renal function • CHO 45 – 65 % of total Energy • LIPID 20 – 35 % of total Energy
VITAMIN & MINERAL in ELDERLY • B12 : 2,4 mcg • Vitamin D : 20 mcg • Vitamin E : 15 mg • Folat : 400 mcg • Zinc : male 13 mg, female 10 mg • Calcium : 1000 mg • Potassium : more than 4700 mg / day • Limit sodium intake less than 1500 mg / day
Balanced Diet • Remember • Hour • Quality • Quantity
HoW to INCREASE FOOD INTAKE ? • Texture • Temperature • Small frequent feeding • Oral nutritional support
Reference • Harris D, Haboubi N. Malnutrition screening in elderly population. J R Soc Med.2005;98:411-4. • Wellman NS, Kamp BJ. Nutrition in aging. Dalam: Mahan LK, Escott-Stump S, editor. Krause's Food and Nutrition Theraphy 12th ed. St.Louis: Saunders Elsevier; 2008:286-308. • Muscaritoli M, Anker SD, Argiles J, Aversa Z, Bauer JM, Biolo G, dkk. Consensus definition of sarcopenia, cachexia and pre-cachexia: Joint document elaborated by Special Interest Group (SIG) "cachexia-anorexia in chronic wasting disease" and "nutrition in geriatrics". Clinical Nutrition. 2010;xxx:1-6.
REFERENCE • Vandewoude MFJ, Alish CJ, Sauer AC, Hegazi RA. Malnutrition-sarcopenia syndrome : Is this the future of nutrition screening and assessment for older adults? Journal of Aging Research. 2012