Skip to main content

The Aging Adult

  • Chapter
  • First Online:
Nutrition in Kidney Disease

Abstract

In 1900, the percent of the population in the United States that was age 65 or older was 4.1 %. The growth of this segment of the population has increased significantly since the turn of the century. The older adult represented 13 % of the population in 2010 and population estimates suggest continued growth as high as 16.2 % in 2020 and 20.2 % in 2050 [1]. Rates of CKD are increasing with a trend towards multiple comorbidities including congestive heart failure (CHF) and diabetes mellitus (DM). Chronic diseases including CKD can leave the individual more frail than their peers and dramatically increase morbidity and mortality risks. Based on these trends, a geriatric approach, meaning a focus on maintaining functional capacity and quality-of-life, may be beneficial for care of the older patient with CKD. This requires collaboration among the healthcare team members and referral to community resources.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Administration on Aging, Department of Health and Human Services. Aging statistics. 2010. www.aoa.gov/aoaroot/aging.statistics/future_growth/future_goals. Accessed 1 Aug 2012.

  2. Administration on Aging, U.S. Department of Health and Human Services. A profile of older Americans: 2011. www.aoa.dhhs.gov/prof/Statisticstatuspostrofile/profiles.asp. Accessed 1 May 2012.

  3. Older Americans 2012: key indicators of well-being. http://agingstats.gov. Accessed 4 Aug 2012.

  4. Burke MM, Laramie J. Sensory impairment. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 439–52.

    Google Scholar 

  5. Burke MM, Laramie J. Aging skin. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 142–60.

    Google Scholar 

  6. Burke MM, Laramie J. Respiratory. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 161–201.

    Google Scholar 

  7. Burke MM, Laramie J. The aging cardiovascular system. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 202–53.

    Google Scholar 

  8. Burke MM, Laramie J. Gastrointestinal conditions. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 254–68.

    Google Scholar 

  9. Burke MM, Laramie J. Musculoskeletal: common injuries. In: A primary care of the older adult: a multidisciplinary approach. St. Louis: Mosby; 2000. p. 302–53.

    Google Scholar 

  10. Bevan M. The older person with renal failure. Nurs Stand. 2000;14:48–54.

    Article  CAS  PubMed  Google Scholar 

  11. Yuanne FE, Anderson S. Kidney in aging. In: National Kidney Foundation. Primer on kidney diseases. 4th ed. Philadelphia: Saunders; 2005.

    Google Scholar 

  12. Hansberry MR, Whittier WL, Krause MW. The elderly patient with chronic kidney disease. Adv Chronic Kidney Dis. 2005;12:71–7.

    Article  PubMed  Google Scholar 

  13. Coresh J, Astor BC, Greene T, et al. Prevalence of chronic kidney disease and decreased kidney function in adults US population. Third Health and Nutrition Examination Survey. Am J Kidney Dis. 2003;41:1–12.

    Article  PubMed  Google Scholar 

  14. Coresh J, Byrd-Holt D, Astor BC, et al. Chronic kidney disease awareness, prevalence, and trends among U.S. adults, 1999 to 2000. J Am Soc Nephrol. 2005;16:180–8.

    Article  PubMed  Google Scholar 

  15. Stevens LA, Levey AS. Chronic kidney disease in the elderly—how to assess risk. N Engl J Med. 2005;20: 2122–4.

    Article  Google Scholar 

  16. Wiggins J. Core curriculum in nephrology: geriatrics. Am J Kidney Dis. 2005;46:147–54.

    Article  PubMed  Google Scholar 

  17. Froissart M, Rossert J, Pallard JC. Predictive performance of the modification of diet in renal disease and Cockcroft-Gault equations for estimating renal function. J Am Soc Nephrol. 2005;16:763–73.

    Article  PubMed  Google Scholar 

  18. U.S. Renal Data System. USRDS 2005 annual data report: atlas of end-stage renal disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2005. www.USRDS.org/adr.htm. Accessed 27 Jan 2006.

  19. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). Bethesda, MD: National Institutes of Health, National Heart, Lung and Blood Institute; 2003. www.nhlbi.nih.gov/guidelines/hypertension/index.htm. Accessed 27 Jan 2006.

  20. K/DOQI clinical practice guidelines. National Kidney Foundation, 2000–2004. www.kidney.org/professional/kdoqi/guidelines.cfm Accessed 27 Jan 2006.

  21. Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Bethesda, MD. Cholesterol Education Program, National Institutes of Health, National Heart, Lung and Blood Institute. 2002. www.nhlbi.nih.gov/guidelines/cholesterol/atp.3_rpt.htm. Accessed 27 Jan 2006.

  22. Clinical Practice Guidelines 2006. American Diabetes Association. 2005. http://care.diabetesjournals.org/content/vol/29/suppl_1/. Accessed 11 Feb 2006.

  23. Hemmelgam BR, James MT, Manns BJ, O’Hare AM, Muntner P, Ravani P, Quinn RR, Turin TC, Tan Z, Tonelli M; Alberta Kidney Disease Network. Rates of treated and untreated kidney failure in older vs younger adults. JAMA. 2012;307:2507–15.

    Google Scholar 

  24. Letourneau I, Ouimet D, Dumont M, Pichette V, Leblanc M. Renal replacement in endstage renal disease patients over 75 years old. Am J Nephrol. 2003;23:71–7.

    Article  CAS  PubMed  Google Scholar 

  25. Shlipak MG, Stehman-Breen C, Fried LF, et al. The presence of frailty in elderly persons with chronic renal insufficiency. Am J Kidney Dis. 2004;43:861–7.

    Article  PubMed  Google Scholar 

  26. Ismail N. Complications of hemodialysis in the elderly. http://uptodateonline.com/application/topic/topic/topicText.asp?file=dialysis/20591. Accessed 25 Feb 2005.

  27. Roberts RG, Kenny RA, Brierley EJ. Are elderly haemodialysis patients at risk of falls and postural hypotension? Int Urol Nephrol. 2003;35:415–21.

    Article  PubMed  Google Scholar 

  28. Sims RJ, Cassidy MJ, Masud T. The increasing number of older patients with renal disease. BMJ. 2003;327:463–4.

    Article  CAS  PubMed  Google Scholar 

  29. Desmet C, Beguin C, Swine C, Jadoul M. Falls in hemodialysis patients: prospective study of incidence, risk factors and complications. Am J Kidney Dis. 2005;45:148–53.

    Article  PubMed  Google Scholar 

  30. Pereira AA, Weiner DE, Scott T, Sarnack MJ. Cognitive function in dialysis patients. Am J Kidney Dis. 2005;45:448–62.

    Article  PubMed  Google Scholar 

  31. Kurella M, Chertow GM, Luan J, Yaffe K. Cognitive impairment in chronic kidney disease. J Am Geriatr Soc. 2004;52:1863–9.

    Article  PubMed  Google Scholar 

  32. Kurella M, Luan J, Yaffe K, Chertow GM. Validation of kidney disease quality of life (KDQOL) cognitive function subscale. Kidney Int. 2004;66:2361–7.

    Article  PubMed  Google Scholar 

  33. Fouque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauveau P, Cuppari L, Franch H, Guarnieri G, Ikizler TA, Kaysen G, Lindholm B, Massy Z, Mitch W, Pineda E, Stenvinkel P, Trevino-Becerra A, Wanner C. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008;4:391–8.

    Article  Google Scholar 

  34. Chauveau P, Combe C, Laville M, et al. Factors influencing survival in hemodialysis patients aged older than 75 years: 2.5 year outcome study. Am J Kidney Dis. 2001;37:997–1003.

    Article  CAS  PubMed  Google Scholar 

  35. Nicholas JC. A study of response of elderly patients with end-stage renal disease to epoetin alfa or beta. Drugs Aging. 2004;21:187–201.

    Article  CAS  PubMed  Google Scholar 

  36. Char R, Culp K. Renal osteodystrophy in older adults with end-stage renal disease. J Gerontol Nurs. 2001;27: 46–51.

    Google Scholar 

  37. McHugh Sanner B. Are your written materials missing the mark? J Active Aging. 2003:19–24.

    Google Scholar 

  38. Castaneda C, Gordon P, Uhlin K, et al. Resistance training to counteract the catabolism of low-protein diet in patients with chronic renal insufficiency: a randomized, controlled trial. Ann Intern Med. 2001;135:965–76.

    Article  CAS  PubMed  Google Scholar 

  39. Exercise for Life! A physical activity program for older adults. Live well, live long. San Francisco, CA: American Society of Aging; 2004. www.asaging.org/cdc. Accessed 21 Sept 2005.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julie Barboza M.S., M.S.N., G.N.P.-B.C. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Goldstein-Fuchs, D.J., Fouque, D., Barboza, J. (2014). The Aging Adult. In: Byham-Gray, L., Burrowes, J., Chertow, G. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-685-6_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-62703-685-6_19

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-684-9

  • Online ISBN: 978-1-62703-685-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics