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Anorexia and Eating Patterns in the Elderly.doc

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Anorexia and Eating Patterns in the Elderly

AnorexiaandEatingPatternsintheElderly LorenzoMariaDonini1*,EleonoraPoggiogalle1,MariaPiredda1,AlessandroPinto1,MarioBarbagallo2, DomenicoCucinotta3,GiuseppeSergi4 1Department of Experimental Medicine, Medical Physiopathology, Food Science and Endocrinology Section, ‘‘Sapienza’’ University of Rome, Italy, 2Department of ClinicalMedicineandEmergingPathologies,GeriatricUnit,UniversityofPalermo,Italy,3DepartmentofClinicalMedicineandAging,S.Orsola-MalpighiHospital,Bologna, Italy,4DepartmentofMedicalandSurgicalSciences,GeriatricsSection,UniversityofPadua,Italy Abstract Objectives:Toevaluatethechangeineatinghabitsoccurringincommunity-dwellingandinstitutionalizedelderlysubjects withsenileanorexia. Design:Cross-sectional,observational. Setting:Community,nursinghomesandrehabilitationoracutecarefacilitiesinfourItalianregions. Participants:Arandomsampleof526subjects,aged65yearsandolder(217freelivingindividuals,213residentsinnursing homes,and93patientsinrehabilitationandacutewards). Measurements: All subjects underwent a multidimensional geriatric evaluation of: nutritional status, anthropometric parameters,healthandcognitivestatus,depression,taste,chewingandswallowingfunction,andsomehormonesrelated toappetite.Dietvarietywasassessed,consideringthefrequencyofconsumptionofdifferentfoodgroups(milkanddairy products;meat,fish,andeggs;cerealsandderivatives;fruitandvegetables). Results:Inanorexicelderlysubjectstheglobalfoodintakewasreduced,andtheeatingpatternwascharacterizedbythe reducedconsumptionofcertainfoodgroups(‘‘meat,eggsandfish’’and‘‘fruitandvegetables’’)whereasthefrequencyof consumptionofmilkandcerealsremainedalmostunchanged.Nutritionalparametersweresignificantlybetterinnormal eatingsubjectsandcorrelatedwithdietvariety. Conclusion:Becauseofthehighprevalenceofsenileanorexiainthegeriatricpopulationanditsimpactonthenutritional status,tocolallowingtheearlydiagnosisofanorexia ofaging,aimedatidentifyingitscausesandatoptimizingtreatmentofanorexicpatients. Citation:DoniniLM,Poggioga