14 第十四章 Eleder Nutrition.ppt

第1页：老年人营养封面

§7 Elder Nutrition

第2页：人口老龄化趋势

世界人口老龄化的趋势日益明显(60y >10%)居民的平均期望寿命逐渐延长 1999“International Elder Year” by UN(65y >10%)1999 65-70y，70-80y，>80y in WHO 2000 Shanghaicoming into elder society 2007 20.1% elder populationin Shanghai 2004 11%(140m )elder populationin China (>60y)2020 240m elder populationin China (>60y)p 193-197

第3页：老年人的生理特点

1 Physiological property

• Organs degeneration
• Functional degeneration
• BM decrease, body fat deposition
• Activity decrease

第4页：老年人的能量与三大营养素需要

2 Nutritional requirement 2.1 Energy Man>Woman+Active Erequirement 2.1.150-60y-old:Nosignificantchange 2400-3100kcal/d 2.1.260-70y-old:decreasedby 20%1800-2200kcal/d 2.1.3>70y-old:decreasedby 30%1700-2100kcal/d

第5页：老年人的矿物质与维生素需要

2.2 Protein:Degradation>Synthesis Increasesoya&animalprotein TP/GE=13-14%1-1.2g/d/kg BW2.3 Lipids:Cholicacid Lipidaseactivies Inhibitfatintake EE/GE=20-30%2.4 CH2 O:-cell&insulin Diabetics Carb/GE=53-58%

第6页：老年人的膳食指导原则

2.5 Minerals Ca:1000-1500mg/dforproventingostioporisisestrogen/isoflavonesforfemale Na:1100-3300mg/dforproventinghypertension K:1875-6725mg/dforproventinghypertension Fe:15mg/dforproventinganaemia Occurrence:50-55%2.6 Vitamins DRIs D,E,Bcom,Cp 195-196

第7页：老年人的饮水与膳食纤维

• 3 Dietary direction 3.1 3+2 Meals, fewer/once & more meals/d
• 3.2 Soft, lower salt, juiced & various kinds 3.3 1200-2000ml/d drinding water
• 3.4 Amount of dietary fiber(10-15%)3.5 Fruits after meals 3.6 1-2 cups milk or soya milk /d
• 3.7 Suitable E intake with actives out door

第8页：老年人常见营养问题

• 4 Nutritionalproblemsinelder
• 4.1 Obesity
• 4.2 Hypertension
• 4.3 Diabetes
• 4.4 Hyperlipidsinblood
• 4.5 Anaemia
• 4.6 Ostioporisis