Prevention of micronutrient deficiencies in the elderly

Dora Serenče ,
Dora Serenče
Hajnalka Požar
Hajnalka Požar

Published: 01.12.2021.

Volume 51, Issue 3 (2022)

pp. 29-34;

https://doi.org/10.5937/pramed2204029s

Abstract

The ageing process is characterized by numerous changes in the body that negatively affect the health, lifestyle and diet of the elderly. An adequate and balanced diet plays a vital role in the quality of life of the elderly, including physical, mental and social health. Physiological decline in food intake in the elderly is a risk factor for certain micronutrient deficiencies such as osteoporosis, anaemia and decreased immunity. To prevent these public health diseases, it is suggested to promote the intake of foods of animal origin (offal, meat) to prevent iron and vitamin B group deficiency. An adequate intake of anthocyanidins, fruits and vegetables with blue-purple pigments is recommended for the prevention of anaemia. Adequate intake is also important, i.e. intake of at least two portions of dairy products per day and fish products per week in combination with physical activity can provide adequate intake of calcium and vitamin D for the prevention of osteoporosis. The intake of fresh or minimally processed foods has played a significant role in ensuring an adequate intake of vitamin C, which, in addition to improving iron absorption and preventing anaemia, also affects the proper functioning of the immune system. For the same reason, it is recommended to take vitamin A from offals or beta-carotene from yellow-brown and orange fruits and vegetables. In general, appropriate nutritional interventions can be effective and financially effective forms of preventing and treating micronutrient deficits, thus improving the overall quality of life of the elderly

References

1.
Pešić V, Zogović D, Spremo Potparević B, Plećaš B. Homeostaza gvožđa. 2011;61(1):42–64.
2.
Cabrera ÁJR. Zinc, aging, and immunosenescence: an overview. Pathobiology of Aging & Age-related Diseases. 2015;5(1):25592.
3.
Barnett JB, Dao MC, Hamer DH, Kandel R, Brandeis G, Wu D, et al. Effect of zinc supplementation on serum zinc concentration and T cell proliferation in nursing home elderly: a randomized, double-blind, placebo-controlled trial. The American Journal of Clinical Nutrition. 2016;103(3):942–51.
4.
Medjedovic B, Romanov R, Djokic Z, Peric D, Ahmetovic Z. Physical activity and bone mineral density. TIMS Acta. 2015;9(1):63–74.
5.
Bolland MJ, Leung W, Tai V, Bastin S, Gamble GD, Grey A, et al. Calcium intake and risk of fracture: systematic review. BMJ. :h4580.
6.
Republička stručna komisija za izradu i implementaciju vodiča u kliničkoj praksi. Osteoporoza. Nacionalni vodič za lekare u primarnoj zdravstvenoj zaštiti. 2004.
7.
Vukosavljević J, Goran Š, Vukosavljević I, Ivan V. Osteoporoza u primarnoj zdravstvenoj zaštiti -tiha epidemija. 2014;11(2):72–7.
8.
Radojkovic I, Radojkovic J, Markovic Z, Djurica S, Stojanovic V. Osteoporoza - multidisciplinarna i radioloska tema. Acta chirurgica Iugoslavica. 2007;54(3):47–51.
9.
Vujasinović-Stupar N, Radojčić L, Nenadić D. Prevencija osteoporoze. 2007;64(3):205–10.
10.
Grady D, Rubin SM, Petitti DB, Fox CS, Black D, Ettinger B, et al. Hormone Therapy To Prevent Disease and Prolong Life in Postmenopausal Women. Annals of Internal Medicine. 1992;117(12):1016–37.
11.
Xu F, Li W, Yang X, Na L, Chen L, Liu G. The Roles of Epigenetics Regulation in Bone Metabolism and Osteoporosis. Frontiers in Cell and Developmental Biology. 8.
12.
Xu H, Wang S, Gao F, Li C. Vitamin B6, B9, and B12 Intakes and Cognitive Performance in Elders: National Health and Nutrition Examination Survey, 2011–2014. Neuropsychiatric Disease and Treatment. Volume 18:537–53.
13.
Sturtzel B, Dietrich A, Wagner KH, Gisinger C, Elmadfa I. The status of vitamins B6, B12, folate, and of homocysteine in geriatric home residents receiving laxatives or dietary fiber. The Journal of nutrition, health and aging. 2010;14(3):219–23.
14.
Imai E, Nakade M. Fish and meat intakes and prevalence of anemia among the Japanese elderly. 2019;28(2):276–84.
15.
Petroski W, Minich DM. Is There Such a Thing as “Anti-Nutrients”? A Narrative Review of Perceived Problematic Plant Compounds. Nutrients. 12(10):2929.
16.
Štimac D, Krznarić Ž, Vranešić-Bender D, Obrovac-Glišić M. Dijetoterapija i klinička prehrana. 2014.
17.
Kaur D, Rasane P, Singh J, Kaur S, Kumar V, Mahato DK, et al. Nutritional Interventions for Elderly and Considerations for the Development of Geriatric Foods. Current Aging Science. 2019;12(1):15–27.
18.
Tisovski S, Trbović B, Đorđević J. Planiranje i organizacija ishrane. 2013.
19.
Dijetoterapija MM. Osijek: Sveučilište u Osijeku. 2014.
20.
Simić B. Medicinska dijetetika, IV izd. 1998.
21.
Dijetetika NM. Niš: Medicinski fakultet. 2008.
22.
Pulanić D, Včev A. Anemija jedna od najčešćih bolesti ili znakova bolesti u medicini. 2014.
23.
Teodorivić J, Krotin DĐJ, M P, M J, O Č, D i sar. Interne bolesti sa negom 1 -za treći razred medicinske škole.
24.
Kumar A, Sharma E, Marley A, Samaan MA, Brookes MJ. Iron deficiency anaemia: pathophysiology, assessment, practical management. BMJ Open Gastroenterology. 2022;9(1):e000759.
25.
Marton I, Agócs S, Babik B. Az anaemiák epidemiológiája. Orvosi Hetilap. 2020;161(37):1569–73.
26.
Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017;390(10100):1211–59.
27.
Kvell K, Pongrácz J, Székely M. Molecular and clinical basics of gerontology. Nutrition, physical status, body composition, sarcopenia. [A gerontológia molekuláris és klinikai alapjai.
28.
Lazarević SH, Janjić B, Račić M, Šatara CC. Anemije kod odraslih. In 2011.
29.
US Department of Health and Human Servicies. 2020;
30.
Stanković I, Miletić I, Đorđević B. Značaj optimalne ishrane starijih osoba. 2009;59(5):473–87.
31.
stanovništva P. Beograd: Republički zavoda za statistiku. 2022;

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