Page 39 - Petelin, Ana, Nejc Šarabon, eds. 2018. Zdravje starostnikov ▪︎ Health of the Elderly. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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cific aspects of nutritional treatment of very old patients plenarna predavanja | plenary lectures
Luboš Sobotka
Charles University, Faculty of Medicine in Hradec Kralove, Simkova 870,
Hradec Kralove, 500 03, Czech Republic
There is a significant prolongation of average life expectancy of population,
which is associated with increased mental and physical capacity and quality of
life of older people. However, complicated medical intervention and subse-
quent hospital stay can lead to decreased quality of life of older people who are
fully dependent on help of other persons. Very old patient has several charac-
teristics, such as: polymorbidity, limited body protein reserve and slow recov-
ery and muscle mass gain. They lose easily their skeletal muscles; subsequent
loss of physical activity and associated psychological problems makes older pa-
tients extremely susceptible to any stress (so called frailty).
Recommendation for nutrition support in older patients - Even well-nourished
persons admitted to the hospital starts to lose the lean body mass. The nutri-
tion support plays indispensable role in the treatment of such patients. Deter-
mination of the realistic and accessible outcomes is important condition of the
treatment and precise nutrition must always be included into the treatment
plans: (1) the planned amount and composition of nutrition support is more
important than the way of nutrient administration; (2) nutrition support must
not lead to immobilization of the patient; (3) control of nutritional goals and ab-
sorption is essential; (4) nutrition management must be essential part of treat-
ment especially during period of healing, recovery and essentially also during
rehabilitation period; (5) if the goal on nutrition support is to increase muscle
mass and hence the muscle function then se the amount and composition of
nutritional substrates should be more pro anabolic; (6) without physical activi-
ty, ingested substrates (especially fat) are stored in adipose tissue.
Older patients are extremely susceptible to lose independency during acute
disease. Therefore, nutrition support and early rehabilitation must be indis-
pensable part of treatment of each very old patient.
Keywords: nutritional treatment, old patients, nutrition support
37
Luboš Sobotka
Charles University, Faculty of Medicine in Hradec Kralove, Simkova 870,
Hradec Kralove, 500 03, Czech Republic
There is a significant prolongation of average life expectancy of population,
which is associated with increased mental and physical capacity and quality of
life of older people. However, complicated medical intervention and subse-
quent hospital stay can lead to decreased quality of life of older people who are
fully dependent on help of other persons. Very old patient has several charac-
teristics, such as: polymorbidity, limited body protein reserve and slow recov-
ery and muscle mass gain. They lose easily their skeletal muscles; subsequent
loss of physical activity and associated psychological problems makes older pa-
tients extremely susceptible to any stress (so called frailty).
Recommendation for nutrition support in older patients - Even well-nourished
persons admitted to the hospital starts to lose the lean body mass. The nutri-
tion support plays indispensable role in the treatment of such patients. Deter-
mination of the realistic and accessible outcomes is important condition of the
treatment and precise nutrition must always be included into the treatment
plans: (1) the planned amount and composition of nutrition support is more
important than the way of nutrient administration; (2) nutrition support must
not lead to immobilization of the patient; (3) control of nutritional goals and ab-
sorption is essential; (4) nutrition management must be essential part of treat-
ment especially during period of healing, recovery and essentially also during
rehabilitation period; (5) if the goal on nutrition support is to increase muscle
mass and hence the muscle function then se the amount and composition of
nutritional substrates should be more pro anabolic; (6) without physical activi-
ty, ingested substrates (especially fat) are stored in adipose tissue.
Older patients are extremely susceptible to lose independency during acute
disease. Therefore, nutrition support and early rehabilitation must be indis-
pensable part of treatment of each very old patient.
Keywords: nutritional treatment, old patients, nutrition support
37
