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Medpasspowerpoint–notefromJacquiThispresentationhasbeenprovidedbyNestleIhaveincludedhereforyourinterest.Itcoverssomerelevantpointsaboutmalnutritionandisalsoagoodexampleofstrong‘branding’–ieexposureoftheirproductundertheguiseofscientificeducation.Youmaywanttocritiquesomeofthestatementsandreferencesused.‘Medpass’=prescribingavolumeofsupplementtobeconsumedseveraltimesaday(ie60mlqid)anddeliveredtothepatientviaa‘druground’
AnorexiaofagingandBenefitsandimplementationofthe
Resource?MedPassProgramPresentedBy:
Whatisanorexiaofagingandwhoisatrisk?Appetiteandfoodintakediminishaspeoplegrowolder. Physiologicalchangeswithageordiseaseaffectappetite: ?‘Anorexiaofaging’13 ?Linkedtoabnormalhormonesignalling ?Normalthirstandhungercuesfade ?DevelopafeelingoffullnessearlyduringmealtimeEnergyintake:?Declines30%betweenage20and80years27?Decreases~1300kcal/dayinmen?Decreases~650kcal/dayinwomen4 Anorexiaofagingcontributestothehighprevalenceofmalnutritionintheelderlypopulation. Protein-energymalnutritionaffects: ?Upto15%ofcommunity-dwellingandhome-boundelderly ?23-62%ofhospitalisedpatients ?Upto85%ofnursinghomeresidents5
Anorexiaofagingleadstosevereconsequencesincludinginadequatenutrientintakesandweightloss. Undernutritioncontributesto: ?Impairedimmunefunction ?Lossofboneandmusclemass ?Reducedcognitiveandwoundhealingability ?Delayedrecoveryfromsurgeryandinfection ?Increasedriskofillness,frailty,falls,anddeathUndernutritionisoftenmarkedbyweightloss?Mortalityriskishigherinpatientswholosemorethan
10%ofbodyweightovera6-monthperiod15Thenegativeeffectsofanorexiaofaginggrowinseverity. Consequencesofanorexiaofaging: ?Inadequatenutrientintakes ?Weightloss ?Lossofmuscleandbonemass ?Co-morbiditiesworsen W
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