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Dénutrition du sujet âgé

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Ľavancée en âge s’accompagne ďune augmentation importante de la fréquence de la dénutrition (13), notamment protéino-énergétique. Cette dénutrition reconnaît deux causes principales:

  • − diminution des apports alimentaires, provoquée par des modifications ďordre physiologique;

  • − augmentation des besoins au cours des pathologies (plus fréquentes sur ce terrain) insuffisamment compensées par les apports.

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Références

  1. Alix E, Constans T, Lesourd B, Ferry M. (1992) Épidémiologie de la dénutrition chez les personnes âgées. Rev Geriatr 17: 525–32

    Google Scholar 

  2. Ferry F, Alix E, Brocker P, et al. (2002) Nutrition de la personne âgée. Collection Ages, Santé, Société. Paris, Masson

    Google Scholar 

  3. Constans T, Lesourd B, Alix E, Dardaine V (1994) Alimentation et état nutritionnel des personnes âgées, en France: domicile et hôpital Inform Diet 3: 22–8

    Google Scholar 

  4. La santé en France-rapport général-Haut Comité de la Santé Publique, Novembre 1994. La Documendation Française

    Google Scholar 

  5. De Groot GPGM, van Staveren WA, Hautvast VAGJ (1996) Nutrition and the elderly in Europe. Eur J Clin Nutr 50 (suppl 2): S1–124

    Google Scholar 

  6. Euronut/Seneca (1991) Nutrition and the elderly in Europe. Eur J Clin Nutr 45 (suppl 3): 1–185

    Google Scholar 

  7. Lecerf JM, Colvez A, Dervaux B, et al. (1989) Situation nutrionnelle ďune population âgée vivant à domicile. Cah Nutr Diet 24: 269–76

    Google Scholar 

  8. Schlienger JL (1998) Consommation alimentaire et état nutritionnel ďune population générale de plus de 65 ans. Rapport CEE 663/88.62.17, Strasbourg

    Google Scholar 

  9. Lesourd B (1992) Apports calciques en France: enquête de consommation. In: Lesourd B, Rapin CH, Sachet P (eds) Ostéoporose: pour une prévention nutritionnelle du risque. CERIN, Paris, p 35–47

    Google Scholar 

  10. Johnson LE (1990) Vitamin disorders in the elderly. In: Morley JE, Glick Z, Rubinstein LZ (eds) Geriatric Nutrition. Raven Press, New York, p 117–47

    Google Scholar 

  11. Lesourd B (1994) Vitamines et oligo-éléments chez la personne âgée. Nutr Clin Metabol 8 (suppl 4): 79–82

    Google Scholar 

  12. Rapport ďobjectifs de santé publique 2004–2005. http://www.sante.gouv.fr

  13. Constans T, Bacq Y, Brechot JF, et al. (1992) Protein-energy malnutrition in hospitalized elderly patients. J Am Geriatr Soc 40: 263–8

    PubMed  CAS  Google Scholar 

  14. Lesourd B (1994) La malnutrition protéino-énergétique chez les sujets âgés. Sem Hop Paris 31: 957–63

    Google Scholar 

  15. Rudman D, Feller AG (1989) Proteino-caloric undernutrition in the nursing home. J Am Geriatr Soc 37: 173–83

    PubMed  CAS  Google Scholar 

  16. Klerk M, Mathey MF, Lesourd B (2004) Poor nutritional status in elderly subjects entering a geriatric institution. J Nutr Health Aging 8: 445

    Google Scholar 

  17. Mowe W, Bohmer T, Kindt E (2004) Poor nutritional status in an elderly population (>70 y) is probable before disease and possibly contributes to the development of disease. Am J Clin Nutr 59: 317–24

    Google Scholar 

  18. Bertozzi B, Barbisoni P, Franzoni S, et al. (1996) Factors related to length of stay in a geriatric evaluation and rehabilitation unit. Aging Clin Exp Res 8: 170–5

    CAS  Google Scholar 

  19. Sullivan DH, Patch GA, Walls RC, Lipschitz, DA (1990) Impact of nutrition status on morbidity and mortality in a select population of geriatric rehabilitation patients. Am J Clin Nutr 51: 749–58

    PubMed  CAS  Google Scholar 

  20. Sullivan DH, Walls RC (1995) The risk of life-threatening complications in a select population of geriatric patients: the impact of nutritional status. J Am Coll Nutr 14: 29–36

    PubMed  CAS  Google Scholar 

  21. Cederholm T, Jägrén C, Hellström K (1995) Outcome of protein-energy malnutrition in elderly medical patients. Am J Med 98: 67–74

    Article  PubMed  CAS  Google Scholar 

  22. Corti MC, Guralnik JM, Salive ME, Sorkin JD (1994) Serum albumin level and physical disability as predictors of mortality in older persons. JAMA 272: 1036–42

    Article  PubMed  CAS  Google Scholar 

  23. Launer LJ, Harris T, Rumpel C, Madans J (1994) Body Mass Index, weight change, and risk of mobility disability in middle-aged and older women. The epidemiologic follow-up study of NHANES I. JAMA 271: 1093–8

    Article  PubMed  CAS  Google Scholar 

  24. Klonoff-Cohen H, Barrett-Connor EL, Edelstein SL (1992) Albumin levels as a predictor of mortality in the healthy elderly. J Clin Epidemiol 45: 207–12

    Article  PubMed  CAS  Google Scholar 

  25. Lesourd B (1997) Suppléments nutritifs chez le sujet âgé. Nutr Clin Metabol 11: 55–60

    Google Scholar 

  26. Roberts SB, Fuss P, Hoyman MB, et al. (1994) Control of food intake in older men. JAMA 272: 1061–6

    Google Scholar 

  27. Rolls B, Dineo KA, Shide DV (1995) Age related impairments in the regulation of food intake. Am J Clin Nutr 62: 923–31

    PubMed  CAS  Google Scholar 

  28. Weiffenbach JM, Cowart BJ, Baum BJ (1986) Taste intensity perception in aging. J Gerontol 41: 460–8

    PubMed  CAS  Google Scholar 

  29. Ferry M. (1992) Principales causes des perturbations du goût et de ľappétit chez les personnes âgées. Rev Geriatr 17: 525–32

    Google Scholar 

  30. Stevens JC, Cain WS (1993) Changes in taste and flavor in aging. CRC Crit Rev Food Sci Nutr 33: 27–37

    Article  CAS  Google Scholar 

  31. Lesourd B, Raynaud-Simon A, Mathey M. (2001) Comment favoriser la prise alimentaire des sujets âgés. Nutr Clin Metabol 15: 177–88

    Google Scholar 

  32. Bouthier-Quintard F, Collineau M, Bouthier F (1992) Vieillissement bucco-dentaire et nutrition. Rev Geriatr 7: 555–60

    Google Scholar 

  33. Budtz-Jorgensen E (1994) Oral problems and nutrition. Age & Nutrition 5: 43–7

    Google Scholar 

  34. Vellas B, Balas D, Moreau J, et al. (1988) Exocrine pancreatic secretion in the elderly. Int J Pancreatol 3: 497–502

    PubMed  CAS  Google Scholar 

  35. Balas D, Guidet M, Senegas-Balas F, et al. (1989) Vieillissement de ľintestin grêle. Ann Gerontol 3: 117–27

    Google Scholar 

  36. Balas D, Vellas B, Senegas-Balas F, et al. (1993) Vieillissement gastrique: approche fondamentale de ľatteinte dystrophique de la muqueuse chez ľhomme. Ann, Gerontol 7: 25–44

    Google Scholar 

  37. Paolisso G, Scheen A, Lefebvre P (1995) Glucose handling, diabetes and ageing. Horm Res 43: 52–7

    PubMed  CAS  Google Scholar 

  38. Houmard JA, Weidmer MD, Dolan PL, et al. (1995) Skeletal muscle GLUT4 protein concentration and aging in humans. Diabetes 4: 555–60

    Article  Google Scholar 

  39. Coggan AR, Spina RS, King DS, et al. (1992) Histochemical and enzymatic comparison of the gastrocnemius muscle of young and elderly men and women. J Gerontol 47: 1371–6

    Google Scholar 

  40. Young VR (1990) Protein and amino acid metabolism with reference to aging and the elderly. Prog Clin Biol Res 326: 279–30

    PubMed  CAS  Google Scholar 

  41. Boirie Y, Gachon P, Beaufrère B (1997) Splanchnic and whole body leucine kinetics in young and elderly men. Am J Clin Nutr 65: 489–95

    PubMed  CAS  Google Scholar 

  42. Arnal MA, Mosoni L, Boirie Y, et al. (1999) Protein pulse feeding improves protein retention in elderly women. Am J Clin Nutr 69: 1202–8

    PubMed  CAS  Google Scholar 

  43. Golberg AP, Dengel DR, Hagberg JM (1996) Exercise physiology and aging. Handbook of the biology of aging. Fourth Edition, p 331–54

    Google Scholar 

  44. Dela F, Mikines K, Larsen JJ, Galbo H (1996) Training-induced enhancement of insulin action in human skeletal muscle: the influence of aging. J Gerontol: Biological, science 51A: B247–52

    CAS  Google Scholar 

  45. Schoeller DA (1989) Changes in total body water with age. Am J Clin Nutr 50: 1176–81

    PubMed  CAS  Google Scholar 

  46. Constans T, Niyongabo T, Dardaine V (1992) La déshydratation du sujet âgé. Concours Med 114–36

    Google Scholar 

  47. Phillips PA, Rolls BJ, Ledingham JGG, et al. (1984) Reduced thirst after water deprivation in healthy elderly men. N Engl J Med 311: 753–9

    Article  PubMed  CAS  Google Scholar 

  48. Le plan canicule 2005. Actions nationales et locales à mettre en œuvre par les pouvoirs publics afin de prévenir les conséquences sanitaires. http://www.sante.gouv.fr

  49. Voorips LE, Van Acker TMCJ, Deurenberg V, Van Staveren WA (1993) Energy expenditure at rest and during standardized activities: a comparison between elderly and middle aged women. Am J Clin Nutr 58: 15–20

    Google Scholar 

  50. Ferry M, Sidobre B, Lambertin A, Barberger-Gateau (2005) The SOLINUT: analysis of the interaction between nutrition and loneliness in persons over 70 years. J Nutr Health Aging 9: 261–9

    PubMed  CAS  Google Scholar 

  51. Sachs-Ericsson N, Blazer DG (2006) Depression in late life: etiology, diagnosis and treatment. In Pathy J, Sinclair AJ, Morley JE (eds) Principles and Practice of Geriatric Medicine, Fourth edition. Wiley, New York

    Google Scholar 

  52. Ferry M. (2006) Dénutrition de la personne âgée. Quelle réalité aujourďhui? Concours Med 571–6

    Google Scholar 

  53. Martin A (2001) Apports nutritionnels conseillés pour la population française. Tec & Doc, Lavoisier, Paris

    Google Scholar 

  54. Cynober L, Alix E, Arnaud-Battandier F, et al. (2000) Apports Nutritionnels Conseillés chez la personne âgée. Nutr Clin Metabol 14 (suppl 1): 1s–64s

    Google Scholar 

  55. Lesourd B (1992) Conséquences nutritionnelles des cytokines: facteur de gravité des hypercatabolismes chez le sujet âgé. Age & Nutrition 3: 100–9

    Google Scholar 

  56. Lesourd B (1999) Les maladies inflammatoires, une cause de dénutrition systématiquez chez les patients âgés physiopathologie, diagnostic, traitement. Gériatrics-Praticiens du 3e âge 18: 197–203

    Google Scholar 

  57. Garry PJ, Owen GM, Eldridge TO (1997) The New Mexico Aging Process Study 1980–1997. The University of New Mexico, New Mexico

    Google Scholar 

  58. Lesourd B (1999) Immune response during disease and recovery in the elderly. Proc Nutr Soc 58: 85–98

    Article  PubMed  CAS  Google Scholar 

  59. Sapolski RM, Krey LC, Mc Ewen BF (1983) The adrenocortical stress response in the aged male rats: impairment of recovery after stress. Exp Gerontol 18: 284–301

    Google Scholar 

  60. Lesourd B (1995) Protein undernutrition as the major cause of decreased immune function in the elderly: clinical and functional implications. Nutr Rev 53: S86–94

    Article  PubMed  CAS  Google Scholar 

  61. Raynaud-Simon A, Lesourd B (2000) Dénutrition du sujet âgé. Conséquences cliniques. Presse Med 29: 2183–90

    PubMed  CAS  Google Scholar 

  62. Bonnefoy M, Cornu C, Normand S, et al. (2003) The effects of exercise and protein-energy supplements on body composition and muscle function in frail elderly individuals: a long-term controlled randomised study. Br J Nutr 89: 731–9

    Article  PubMed  CAS  Google Scholar 

  63. Ferry F, Alix E, Brocker P, et al. (1996) Nutrition de la personne âgée. Aspects fondamentaux, cliniques et psychosociaux. Berger-Levrault, Paris

    Google Scholar 

  64. Lesourd B (1998) Besoins nutritionnels des sujets âgés. II. A risques. Cah Nutr Diet 33: 125–8

    Google Scholar 

  65. Olin AO, Osterberg P, Hadell K, et al. (1996) Energy-enriched hospital food to improve energy intake in elderly patients. JPEN J Parent Ent Nutr 20: 93–7

    CAS  Google Scholar 

  66. Milne AC, Potter J, Avenell A (2005) Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2: CD003288

    Google Scholar 

  67. Rana SK, Bray J, Menzies-Gow N, et al. (1992) Short term benefits of post-operative oral dietary supplements in surgical patients. Clin Nutr 11: 337–44

    Article  PubMed  CAS  Google Scholar 

  68. Bastow MD, Rawlings J, Allison SP (1983) Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial. Brit Med J 287: 1589–92

    Article  CAS  Google Scholar 

  69. Efthimiou J, Flemming C, Gomes C, Spiro SG (1988), The effect of supplementary oral nutrition in poorly nourished patients with chronic obstructure pulmonary disease. Am Rev Resp Dis 137: 1075–82

    PubMed  CAS  Google Scholar 

  70. Gray-Donald K, Payette DH, Boutier V, Page S (1994) Evaluation of the dietary intake of home-bound elderly and the feasibility of dietary supplementation. J Am Coll Nutr 13: 277–84

    PubMed  CAS  Google Scholar 

  71. Lipschitz AD, Mitchell CO, Steele RW, Milton KY (1985) Nutritional evaluation and supplementation of elderly subjects participating in a «Meals on Wheels» program JPEN J Parent Ent Nutr 5: 23–34

    Google Scholar 

  72. Brocker P, Vellas B, Albarede JL, Poynard T (1994) A two-centre, randomized, double-blind trial of ornithine exoglutarate in 194 elderly, ambulatory, convalescent subjects. Age Ageing 23: 303–6

    Article  PubMed  CAS  Google Scholar 

  73. Lesourd B, Brocker B Salvatore R, et al. (1997) Les extraits pancréatiques sont-ils utiles dans le traitements des sujets âgés chroniquement dénutris? Une étude pilote en double aveugle. Ann Gerontol: 360–76

    Google Scholar 

  74. Mc Whirter JP, Pennington CR (1996) A comparison between oral and nasogastric nutritional supplements in malnourished patients. Nutrition 12: 502–6

    Article  Google Scholar 

  75. Volkert D, Berner YN, Berry E, et al. (2006) ESPEN Guidelines on Enteral Nutrition: Geriatrics. Clin Nutr 25: 330–60

    Article  PubMed  CAS  Google Scholar 

  76. Aronow WS (1995) Post-prandial hypotension in the elderly. J R Soc Med 88: 499–501

    PubMed  CAS  Google Scholar 

  77. Ciocon JO, Silverstone FA, Graver LM, Foley CJ (1988) Tube feeding in elderly patients: indications, benefits and complications. Arch Intern Med 273: 429–33

    Article  Google Scholar 

  78. Hébuterne X, Broussard JF, Rampal P (1995) Acute renutrition by cyclic enteral nutrition in elderly and younger patients. JAMA 273: 638–43

    Article  PubMed  Google Scholar 

  79. Hébuterne X, Rampal P (1996) La nutrition entérale du sujet âgé. Nutr Clin Metabol 10: 19–29

    Google Scholar 

  80. Lesourd BM, Salvatore R, Guichardon M, et al. (1997) Une unité de médecine nutritionnelle gériatrique pour la prise en charge des malnutritions proteino-énergétiques majeures. Age et Nutrition 8: 93–9

    Google Scholar 

  81. Ferry M. (1995) Problèmes éthiques de la nutrition artificielle. Rev Geriatr 20: 285–90

    Google Scholar 

  82. Hodges MO, Tolle SW (1994) Tube-feeding decisions in the elderly. Clin Geriatr Med 3: 475–88

    Google Scholar 

  83. Mitchell SL, Kiely DK, Lipsitz LA (1997) The risk factors and impact on survival of feeding tube replacement in nursing home residents with severe cognitive impairment. Arch Intern Med 157: 327–32

    Article  PubMed  CAS  Google Scholar 

  84. Mason JB, Russell RM (1993) Parenteral nutrition in the elderly. In: Rombeau JL, Caldwell MD (eds) Clinical Nutrition. Parenteral Nutrition. WB Saunders, Philadelphia, p 737–47

    Google Scholar 

  85. Ferry M. (1999) Les alternatives à la perfusion veineuse centrale chez le sujet âgé: de la pratique à la réflexion. Nutr Clin Metabol 13: 87–97

    Google Scholar 

  86. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group (1991) Perioperative total parenteral nutrition in surgical patients. N Engl J Med 325: 525–32

    Article  Google Scholar 

  87. Department of foods and nutrition, American Medical Association (1979) Guidelines for essential trace elements preparations for parenteral use: a statement by an expert panel. JAMA 241: 2051–4

    Article  Google Scholar 

  88. Ziegler TR, Young LS, Benfell K, et al. (1992) Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. Ann Intern Med 116: 821–8

    PubMed  CAS  Google Scholar 

  89. Ferry M, Leverve X, Constans T (1997) Comparison of subcutaneous and intravenous administration of a solution of amino-acids in older patients. J Am Geriatr Soc 45: 857–62

    PubMed  CAS  Google Scholar 

  90. Lipschitz D, Campbell AJ, Roberts MS, et al. (1991) Subcutaneous fluid administration in elderly subjects: validation of an under-used technique. J Am Geriatr Soc 39: 6–9

    PubMed  CAS  Google Scholar 

  91. Berger EY (1984) Nutrition by hypodermoclysis. J Am Geriatr Soc 32: 199–203

    PubMed  CAS  Google Scholar 

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Lesourd, B., Ferry, M. (2007). Dénutrition du sujet âgé. In: Traité de nutrition artificielle de l’adulte. Springer, Paris. https://doi.org/10.1007/978-2-287-33475-7_79

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