移動障害のある高齢者の低栄養

移動障害のある高齢者における低栄養の役割に関するレビュー論文を紹介します。

Cederholm T, Nouvenne A, Ticinesi A, Maggio M, Lauretani F, Ceda GP, Borghi L, Meschi T. The Role of Malnutrition in Older Persons with Mobility Limitations. Curr Pharm Des. 2013 Sep 18. [Epub ahead of print]

栄養と障害は密接に関連しているというエビデンスが増えてきています。低栄養は機能障害の原因の1つとなります。一方、障害自体が低栄養の原因や悪化となります。虚弱高齢者において栄養の重要性の認識は高まりつつあります。

地中海ダイエットや高蛋白質の食事、カロテノイド、セレン、ビタミンDに関する内容がレビューされています。

虚弱高齢者における低栄養の評価と管理は当然重要ですが、障害のある高齢者ではより低栄養の評価と管理が重要になります。リハ栄養の重要性が高まりつつあることを実感できる論文です。

Abstract

Movement disability has a high prevalence in elderly population, either healthy or with chronic disease. Impaired nutritional status is a very common condition in geriatric patients too, especially if we consider elderly subjects admitted to hospital. There are growing evidences that nutrition and disability are strictly interconnected. On the one side, nutritional status is one of the multiple elements that influence the onset and the course of a functional disability; on the other side, disability itself may contribute to malnutrition onset and worsening. Nutrition may not be the sole factor involved in movement impairment in the elderly, but consciousness of its importance in frail elderly population is growing among clinicians and scientific community. In this paper we review the existing knowledge of these complex relationships, discussing the main observational and interventional studies that explored the role of nutrition in movement disability onset and recovery. We also point out how specific kinds of diet, such as Mediterranean diet or high-protein diet, are involved in disability prevention. Finally, we take a look at the existing evidence of the role of single nutrient dietary intake, such as carotenoids, selenium or vitamin D, in mobility impairment in the elderly population.