Nutrition and Digestion in Older Adults
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Questions and Answers

What percentage of nursing home patients experience malnutrition or undernourishment due to insufficient food intake?

  • 60%
  • 50%
  • 85% (correct)
  • 75%
  • What is a possible effect of decreased metabolism in older persons?

  • Decreased sense of taste
  • Impaired communication
  • Increased appetite
  • Weight gain (correct)
  • Which of the following is a degenerative change in the eye associated with aging?

  • Presbyopia
  • Glaucoma
  • Cataract
  • All of the above (correct)
  • What is one of the reasons why older individuals may experience decreased appetite?

    <p>Feeling that less food is needed and essential substances are unnecessary</p> Signup and view all the answers

    What is a possible effect of poor blood circulation in older persons?

    <p>Feeling chills</p> Signup and view all the answers

    What is a result of atrophy of the mucosa and glands of the digestive tract in older individuals?

    <p>Malabsorption of essential nutrients, including vitamins and minerals</p> Signup and view all the answers

    What is a possible consequence of diminished sense of taste and smell in older persons?

    <p>Impaired appetite and nutrition</p> Signup and view all the answers

    What is a degenerative change in the inner ear associated with aging?

    <p>Hearing loss</p> Signup and view all the answers

    Why is constipation more common in older individuals?

    <p>Due to decreased activity, low fiber and fluid intake, and excessive use of laxatives</p> Signup and view all the answers

    What is a complication of chronic constipation in older individuals?

    <p>Hemorrhoids</p> Signup and view all the answers

    Why is obesity common in some older individuals?

    <p>Due to leading a sedentary life</p> Signup and view all the answers

    What is a result of obesity in older individuals?

    <p>Increased risk of atherosclerosis and hypertension</p> Signup and view all the answers

    What is a complication of obesity in older individuals?

    <p>Increased risk of gallstones</p> Signup and view all the answers

    What is a result of insulin resistance caused by obesity in older individuals?

    <p>Altered glucose and lipid metabolism leading to Type 2 diabetes</p> Signup and view all the answers

    What is a major complication of aging related to urinary system?

    <p>Reduced control of bladder function</p> Signup and view all the answers

    What is a result of incomplete emptying of the bladder in elderly people?

    <p>Residual urine and increased risk of urinary tract infections</p> Signup and view all the answers

    Why are elderly people at a higher risk for infections?

    <p>Due to malnutrition and poor circulation impairing normal defense mechanisms</p> Signup and view all the answers

    What is the effect of decreased estrogen levels in women on urinary system?

    <p>Decreased smooth muscle tone</p> Signup and view all the answers

    What is a result of weakened pelvic floor muscles in women?

    <p>Reduced ability of the external sphincter to restrict urinary outflow</p> Signup and view all the answers

    What is the result of reduced kidney function due to aging?

    <p>Reduced fluid retention</p> Signup and view all the answers

    Study Notes

    Physiological Changes in Older Adults

    • Anorexia (decreased appetite) and feeling of not needing essential nutrients, leading to malnutrition.
    • Difficulty chewing and swallowing, limiting dietary choices.

    Gastrointestinal Changes and Nutrition

    • Atrophy of digestive tract mucosa and glands, causing malabsorption of essential nutrients (vitamins, minerals, calcium, vit.B12, and iron).
    • Decreased mucus secretion and thinning of mucosa, increasing the risk of peptic ulcer development.
    • Constipation is more common in old age due to:
      • Decreased activity
      • Low fiber and fluid intake
      • Excessive use of laxatives
    • Constipation leads to:
      • Prolonged exposure to carcinogenic substances, increasing the risk of malignancies in the digestive tract (stomach and colon)
      • Hemorrhoids
    • Obesity is common in some older individuals, particularly those who lead sedentary lives.
    • Obesity increases the risk of:
      • Cardiac workload and atherosclerosis
      • Hypertension
      • Gallstones
      • Osteoarthritis
      • Insulin resistance and metabolic syndrome
      • Type 2 diabetes

    Urinary System Changes

    • Reduced kidney function due to loss of glomeruli and degeneration of tubules and blood vessels.
    • Reduced bladder control due to:
      • Weakened muscles of the urethra and bladder
      • Reduced bladder capacity and incomplete bladder emptying
      • Frequency, nocturia, and infection
      • In women, stretched and weakened pelvic floor muscles reduce external sphincter control
      • Decreased estrogen levels reduce smooth muscle tone
      • Reduced sensory perception of a full bladder
      • Weakened urethral sphincter, leading to incontinence
    • Incontinence leads to:
      • Incomplete emptying of the bladder
      • Residual urine and frequent urinary tract infections

    Other Factors

    • Infections are common in older adults due to:
      • Malnutrition and poor circulation, impairing normal defense mechanisms
      • Delayed or diminished healing capacity
      • Diminished autonomic nervous system adaptability
    • Cancer is more common in older adults due to:
      • Increased risk of malignancies in the digestive tract
      • Other factors not specified in the text

    Neurologic Changes (The Special Senses)

    • Degenerative changes in the eye often impair vision:
      • Cataract
      • Glaucoma
      • Presbyopia (farsightedness)
      • Night vision impairment
      • Vascular degeneration may affect the retina, causing permanent visual loss
    • Degenerative changes in the inner ear:
      • Hearing loss
      • Impairment of communication and socialization
    • Diminished sense of taste and smell may impair appetite and nutrition:
      • Altered taste due to reduced salivary secretions or decreased perception within the central nervous system

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    Description

    This quiz covers the changes that occur in nutrition and digestion as people age, including decreasing appetite, difficulty chewing and swallowing, and gastrointestinal changes that affect nutrient absorption.

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