§7 Elder Nutrition
§7 Elder Nutrition
世界人口老龄化的趋势日益明显 (60y >10%) 居民的平均期望寿命逐渐延长 1999 “International Elder Year” by UN (65y >10%) 1999 65-70y，70-80y，>80y in WHO 2000 Shanghai coming into elder society 2007 20.1% elder population in Shanghai 2004 11% (140m )elder population in China (>60y) 2020 240m elder population in China (>60y) p193-197
世界人口老龄化的趋势日益明显 (60y >10%) 居民的平均期望寿命逐渐延长 1999 “International Elder Year” by UN (65y >10%) 1999 65-70y，70-80y，>80y in WHO 2000 Shanghai coming into elder society 2007 20.1% elder population in Shanghai 2004 11% (140m )elder population in China (>60y) 2020 240m elder population in China (>60y) p193-197
1 Physiological property • Organs degeneration • Functional degeneration • BM decrease, body fat deposition • Activity decrease
1 Physiological property • Organs degeneration • Functional degeneration • BM decrease, body fat deposition • Activity decrease
2 Nutritional requirement 2.1Energy Man > Woman + Active E requirement 2.1.1 50-60y-old: No significant change 2400-3100 kcal/d 2.1.2 60-70y-old: decreased by 20% 1800-2200 kcal/d 2.1.3 >70y-old: decreased by 30% 1700-2100 kcal/d
2 Nutritional requirement 2.1Energy Man > Woman + Active E requirement 2.1.1 50-60y-old: No significant change 2400-3100 kcal/d 2.1.2 60-70y-old: decreased by 20% 1800-2200 kcal/d 2.1.3 >70y-old: decreased by 30% 1700-2100 kcal/d
2.2 Protein: Degradation > Synthesis Increase soya & animal protein TP/GE = 13-14% 1-1.2g/d/kg BW 2.3 Lipids: Cholic acid Lipidase activies Inhibit fat intake EE/GE = 20-30% 2.4 CH2O: -cell & insulin Diabetics Carb/GE = 53-58%
2.2 Protein: Degradation > Synthesis Increase soya & animal protein TP/GE = 13-14% 1-1.2g/d/kg BW 2.3 Lipids: Cholic acid Lipidase activies Inhibit fat intake EE/GE = 20-30% 2.4 CH2O: -cell & insulin Diabetics Carb/GE = 53-58%
2.5 Minerals Ca: 1000-1500mg/d for proventing ostioporisis estrogen/isoflavones for female Na: 1100-3300mg/d for proventing hypertension K: 1875-6725mg/d for proventing hypertension Fe: 15mg/d for proventing anaemia Occurrence: 50-55% 2.6 Vitamins DRIs D, E, Bcom, C p195-196
2.5 Minerals Ca: 1000-1500mg/d for proventing ostioporisis estrogen/isoflavones for female Na: 1100-3300mg/d for proventing hypertension K: 1875-6725mg/d for proventing hypertension Fe: 15mg/d for proventing anaemia Occurrence: 50-55% 2.6 Vitamins DRIs D, E, Bcom, C p195-196
3 Dietary direction 3.1 3+2 Meals, fewer/once & more meals/d 3.2 Soft, lower salt, juiced & various kinds 3.3 1200-2000ml/d drinding water 3.4 Amount of dietary fiber(10-15%) 3.5 Fruits after meals 3.6 1-2 cups milk or soya milk /d 3.7 Suitable E intake with actives out door
3 Dietary direction 3.1 3+2 Meals, fewer/once & more meals/d 3.2 Soft, lower salt, juiced & various kinds 3.3 1200-2000ml/d drinding water 3.4 Amount of dietary fiber(10-15%) 3.5 Fruits after meals 3.6 1-2 cups milk or soya milk /d 3.7 Suitable E intake with actives out door
4 Nutritional problems in elder 4.1 Obesity 4.2 Hypertension 4.3 Diabetes 4.4 Hyperlipids in blood 4.5 Anaemia 4.6 Ostioporisis
4 Nutritional problems in elder 4.1 Obesity 4.2 Hypertension 4.3 Diabetes 4.4 Hyperlipids in blood 4.5 Anaemia 4.6 Ostioporisis