[Henan Science Popularization] "Dietary Guidelines" easy to read: elderly people need to beware of weakness

Author:Healthy Central Plains Time:2022.09.05

The elderly should often monitor the weight, and it is best to keep the BMI at 20.0 to 26.9 kg/m2. It is recommended that each family configures the weight scale and puts the weight scale in a flat and not shaking place. Get up in the morning to urinate and wear the least underwear after defecation. It is called at least twice a month and records weight for comparison.

When you can't measure weight, you can estimate through indirect methods. For example, whether clothes and pants are relaxed than before, your body is thin, your legs are thin, etc.

Conditional elderly activity centers or long -term care institutions, in addition to monitoring weight, can also monitor grip, upper arm, calf fence, etc., and record the files. Conditional institutions can also measure human ingredients to judge changes in body fat, lean tissue, bone quality and moisture content.

For elderly people with too light weight or recent weight loss, medical nutritional assessment should be performed. Common nutritional risk screening 2002 (NRS2002) or miniature nutrition assessment brief table (MNA-SF).

Comprehensive analysis of nutritional issues such as eating and absorption, digestion and absorption, physical examination, human measurement, human body composition analysis, biochemical indicators, and clinical manifestations are obtained to obtain disease -related nutritional diagnosis. First of all, the cause of the disease should be excluded. According to the current health status, energy intake, and physical activity level, the energy intake is gradually increased to the corresponding recommendation level, or slightly higher than the recommendation amount.

Weakness refers to the decline in the physiological reserves of the elderly, which leads to the non -specific state of the volatility of the body and the decrease in anti -stress ability. Weakness involves multi -system pathological and physiological changes, including neuromuscularity, metabolism and immune systems.

Weakness, disability, and coexistence of multi -disease are different concepts. The relationship between the three is closely related, mutually influenced and accompanied by a certain overlap. Weak is often a variety of chronic diseases, a certain acute event or the consequences of severe diseases. In addition to genetic factors, growth and malnutrition are important risk factor in the occurrence of weakness. The most commonly used evaluation criteria for weakness are the FREID weak assessment method.