Restrictive diets in older malnourished cardiac inpatients: A cross‐sectional study

Abstract

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Nutritional Assessment, Diagnosis, and Treatment in Geriatrics

“…A systematic review assessed the role of albumin in otherwise healthy subjects who had a very small dietary intake, mainly due to anorexia nervosa. The study showed that serum albumin and prealbumin levels were maintained even at a marked weight loss, and they were only lowered during extreme hunger -that is, at a BMI below 11 [30,31]. Many other blood markers have been tested, but none have been shown to be adequately sensitive to nutritional status to be used as stand-alone malnutrition markers [32,33].…”

Increasing Patient Motivation and Adherence to Nutritional Care: The Importance to Overcome Psychological Barriers

“…Six of the leading causes of death for older adults, including cardiovascular disease, cancer, chronic lower respiratory disease, stroke, Alzheimer's, and diabetes mellitus, have nutrition-related causes and/or respond favorably to nutritional interventions. These six illnesses can implement certain restrictions and heavily influence the diet [27].…”

Overview of Nutrition Care in Geriatrics and Orthogeriatrics

“…This may at first appear counter-intuitive, for example, prescribing supplements in an obese inpatient at risk of malnutrition after hip fracture or deprescribing a long-standing 'low-cholesterol diet' for someone admitted to a cardiac unit with underlying malnutrition [30,31]. It may simply mean accepting the risk of aspiration in an older adult with end-stage Parkinson's disease and allowing them unrestricted food and fluids for the comfort, enjoyment and social interactions that mealtimes offer.…”