Acta Alimentaria
Volume/Issue:
Volume 32: Issue 4
Nutritional status of elderly patients living in Budapest
Authors: I. Rurik 1 , E. Gyömörei 2 , L. Biró 3 , K. Nagy 4 , A. Regöly-Mérei 5 , and M. Antal 6
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  • 1 Primary Care Office H-1201 Budapest, Vörösmarty u. 5-7. Hungary
  • 2 National Institute of Food Hygiene and Nutrition, Fodor József National Center of Public Health H-1097 Budapest, Gyáli út 3. Hungary
  • 3 National Institute of Food Hygiene and Nutrition, Fodor József National Center of Public Health H-1097 Budapest, Gyáli út 3. Hungary
  • 4 National Institute of Food Hygiene and Nutrition, Fodor József National Center of Public Health H-1097 Budapest, Gyáli út 3. Hungary
  • 5 National Institute of Food Hygiene and Nutrition, Fodor József National Center of Public Health H-1097 Budapest, Gyáli út 3. Hungary
  • 6 National Institute of Food Hygiene and Nutrition, Fodor József National Center of Public Health H-1097 Budapest, Gyáli út 3. Hungary
DOI:
https://doi.org/10.1556/aalim.32.2003.4.4
Page Count:
363–371
Publication Date:
01 Nov 2003
Online Publication Date:
22 Jul 2005
Article Category:
Research Article
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The aim of this study was to evaluate the nutritional status of elderly belonging to one primary care office. Twenty-seven men and 26 women, all over 60 years, were involved. Nutritional assessment, anthropometric measurements were performed, serum proteins, lipid and iron status and haematological parameters were determined. Energy and protein intake was sufficient, but the distribution of energy with a high fat and low carbohydrate was inadequate. Iron, copper, calcium, retinol and folate intake was lower, whereas sodium, ascorbic acid and cobalamin intake was higher than the Hungarian recommendation. The prevalence of obesity characterized by body mass index or waist circumference was higher in women than in men. The percentage of pathological levels of lipid parameters was also higher in women. No iron deficient erythropoesis was detected, but high serum ferritin concentration as a marker of body iron store was determined in some cases.  General practitioners have possibilities to influence the nutritional habits of elderly, thereby reducing the incidence of obesity, cardiovascular diseases and stroke. Iron status of Hungarian elderly looks to be satisfactory, so supplementation without testing the iron status would be useless and harmful.

  • Johnson, C. L., Rifkind, B. M., Sempos, C. T., Carroll, M. D., Bachoric, P. S., Briefel, R. R., Gordon, D. J., Burt, V. L., Brown, C. D., Lippel, K. & Cleeman, J. I. (1993): Declining serum total cholesterol levels among US adults. J.A.M.A., 269, 3002-3008.

    'Declining serum total cholesterol levels among US adults. ' () 269 J.A.M.A. : 3002 -3008.

    • Search Google Scholar

  • Kasdan, T. S. (1996): Nutritional care in anemia, -in: Mahan, K. L. & Escott-Stump, S. (Eds): Krause's food, nutrition, diet therapy. 9th ed. WB. Sannders Co, Philadelphia, pp. 717-736.

    Krause's food, nutrition, diet therapy , () 717 -736.

  • Beaufrère, B., Castaneda, C., Degroot, L., Kurpad, A., Roberts, S. & Tessary, P. (2000): Report of the IDECG Working Group on energy and macronutrient metabolism and requirements of the elderly. Eur. J. clin. Nutr., 54, S162-S163.

    'Report of the IDECG Working Group on energy and macronutrient metabolism and requirements of the elderly. ' () 54 Eur. J. clin. Nutr. : S162 -S163.

    • Search Google Scholar

  • Bíró, Gy. (2002): Could we find a suitable method for assessment of average dietary intake? Acta Alimentaria, 30, 343-354.

    'Could we find a suitable method for assessment of average dietary intake? ' () 30 Acta Alimentaria : 343 -354.

    • Search Google Scholar

  • FAO/WHO/UNO (1985): Energy and protein requirements. Report of a Joint. Expert Consultation. Tech. Rep. Ser. 724, WHO Geneva, pp. 71-112.

  • Ingelbleek, Y. & Young, V. (1994): Transthyretin (prealbumin) in health and disease: nutritional implications. A. Rev. Nutr., 14, 495-533.

    'Transthyretin (prealbumin) in health and disease: nutritional implications. ' () 14 A. Rev. Nutr. : 495 -533.

    • Search Google Scholar

  • Baykan, M., Çelik, S., Örem, A., Malkoc, M., Erdöl, C., Baykan, E. C., Örem, C. & Karahan, B. (2001): Iron status and its relationship with lipid peroxidation in patients with acute myocardial infarction. Acta Cardiol., 56, 277-281.

    'Iron status and its relationship with lipid peroxidation in patients with acute myocardial infarction. ' () 56 Acta Cardiol. : 277 -281.

    • Search Google Scholar

  • Kennedy, E. T., Bowman, S. A., Spence, J. T., Freedman, M. & King, J. (2001): Popular diets: correlation to health, nutrition and obesity. J. Am. Diet. Assoc, 101, 411-420.

    'Popular diets: correlation to health, nutrition and obesity. ' () 101 J. Am. Diet. Assoc : 411 -420.

    • Search Google Scholar

  • Lean, M. E. J., Han, T. S. & Morrison, C. E. (1995): Waist circumference as a measure for indicating need for weight management. Br. med. J., 311, 158-161.

    'Waist circumference as a measure for indicating need for weight management. ' () 311 Br. med. J. : 158 -161.

    • Search Google Scholar

  • Lührmann, P. M., Herbert, B. M. & Neuhäuser-Berthold, M. (2001): Underreporting of energy intake in an elderly German population. Nutrition, 17, 912-916.

    'Underreporting of energy intake in an elderly German population. ' () 17 Nutrition : 912 -916.

    • Search Google Scholar

  • NCEP Expert Panel (2001): Executive summary of the third report of the national cholesterol education program. Detection, evaluation, and treatment of high blood cholesterol in adults (Adult treatment panel III). J.A.M.A., 285, 2486-2497.

    'Executive summary of the third report of the national cholesterol education program. Detection, evaluation, and treatment of high blood cholesterol in adults (Adult treatment panel III). ' () 285 J.A.M.A. : 2486 -2497.

    • Search Google Scholar

  • Olivares, M., Hertrampf, E., Capurro, M. T. & Wegner, D. (2000): Prevalence of anaemia in elderly subjects living at home: role of micronutrient deficiency and inflammation. Eur. J. clin. Nutr., 54, 834-839.

    'Prevalence of anaemia in elderly subjects living at home: role of micronutrient deficiency and inflammation. ' () 54 Eur. J. clin. Nutr. : 834 -839.

    • Search Google Scholar

  • Ortega, R. M., Rosario Redondo, M., Zamora, M. J., López-Sobaler, A. M. & Andrés, P. (1995): Eating behavior and energy and nutrient intake in overweight/obese and normal-weight Spanish elderly. Ann. Nutr. Metab., 39, 371-378.

    'Eating behavior and energy and nutrient intake in overweight/obese and normal-weight Spanish elderly. ' () 39 Ann. Nutr. Metab. : 371 -378.

    • Search Google Scholar

  • Preissinotto, E., Pisent, C., Sergí, G., Grigoletto, F. & Enzi, G. (2002): Anthropometric measurements in the elderly: age and gender differences. Br. J. Nutr., 87, 177-186.

    'Anthropometric measurements in the elderly: age and gender differences. ' () 87 Br. J. Nutr. : 177 -186.

    • Search Google Scholar

  • Rolls, B. J. & Hill, J. O. (1998): Carbohydrates and weight management. ILSI Press, Washington, DC, pp. 29-45.

    29 45

  • Salonen, J. T., Nyyssönen, K., Korpela, H., Tuomilehto, J., Seppänen, R. & Salonen, R. (1992): High stored iron levels are associated with excess risk of myocardial infarction in eastern Finnish men. Circulation, 86, 803-811.

    'High stored iron levels are associated with excess risk of myocardial infarction in eastern Finnish men. ' () 86 Circulation : 803 -811.

    • Search Google Scholar

  • Seidell, J. C. & Visscher, T. L. S. (2000): Body weight and weight change and their health implications for the elderly. Eur. J. clin. Nutr., 54, S33-S39.

    'Body weight and weight change and their health implications for the elderly ' () 54 Eur. J. clin. Nutr. : S33 -S39.

    • Search Google Scholar

  • Seidell, J.C, Kahn, H. S., Williamson, D. F., Lissner, L. & Valdez, R. (2001): Report from Centers for Disease Control and Prevention. Workshop on Use of Adult Anthropometry for Public Health and Primary Health Care. Am. J. clin. Nutr., 73, 123-126.

    'Report from Centers for Disease Control and Prevention. Workshop on Use of Adult Anthropometry for Public Health and Primary Health Care. ' () 73 Am. J. clin. Nutr. : 123 -126.

    • Search Google Scholar

  • Sempos, C. T. & Lookar, A. C. (2001): Iron status and the risk of coronary heart disease: an example of the use of nutritional epidemiology in chronic disease research. J. Nutr. Biochem., 12, 70-182.

    'Iron status and the risk of coronary heart disease: an example of the use of nutritional epidemiology in chronic disease research. ' () 12 J. Nutr. Biochem. : 70 -182.

    • Search Google Scholar

  • Sochaski, M. A., Bartfay, W. J., Thorpe, S. R., Baynes, J. W., Bartfay, E., Lehotay, D. C. & Liu, P. P. (2002): Lipid peroxidation of protein modification in a mouse model of chronic iron overload. Metabolism, 51, 645-651.

    'Lipid peroxidation of protein modification in a mouse model of chronic iron overload. ' () 51 Metabolism : 645 -651.

    • Search Google Scholar

  • Sullivan, J. L. (2001): Misconceptions in the debate on the iron hypothesis. J. Nutr. Biochem., 12, 33-37.

    'Misconceptions in the debate on the iron hypothesis. ' () 12 J. Nutr. Biochem. : 33 -37.

  • Ahluwalia, N., Lammi-Keefe, Cj., Bendel, Rb., Morse, Ee., Beard, J. L. & Haley, N. R. (1995): Iron deficiency and anemia of chronic disease in elderly women: a discriminate-analysis approach for differentiation. Am. J. clin. Nutr., 61, 590-596.

    'Iron deficiency and anemia of chronic disease in elderly women: a discriminate-analysis approach for differentiation. ' () 61 Am. J. clin. Nutr. : 590 -596.

    • Search Google Scholar

  • Antal, M., Regöly-Mérei, A., Varsányi, H., Biró, L., Sági, K., Molnár, D. V., Zajkás, G., Nagy, K., Avar, Z. & Biró, G. (1997): Nutritional survey of pregnant women in Hungary. Int. J. Vitamin Nutr. Res., 67, 115-122.

    'Nutritional survey of pregnant women in Hungary. ' () 67 Int. J. Vitamin Nutr. Res. : 115 -122.

    • Search Google Scholar

  • Strandberg, T. E., Valvanne, J., Erkinjuntti, T., Sorva, A. & Tilvis, R. S. (1992): Serum lipids, health and one year mortality in randomized age cohorts of 75, 80 and 85 years: the Helsinki Ageing Study. Nutr. Metab. cardiovasc. Dis., 2, 101-105.

    'Serum lipids, health and one year mortality in randomized age cohorts of 75, 80 and 85 years: the Helsinki Ageing Study. ' () 2 Nutr. Metab. cardiovasc. Dis. : 101 -105.

    • Search Google Scholar

  • Whittaker, P. & Chanderbhan, R. F. (2001): Effect of increasing iron supplementation on blood lipids in rats. Br. J. Nutr., 86, 587-592.

    'Effect of increasing iron supplementation on blood lipids in rats. ' () 86 Br. J. Nutr. : 587 -592.

    • Search Google Scholar

  • WHO (1972): Nutritional anaemia's report. Group of Experts, WHO Tech. Rep. Ser. 503, WHO Geneva.

  • WHO (1995): Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Tech. Rep. Ser. 854. WHO, Geneva, p. 344.
Cover Acta Alimentaria
Acta Alimentaria
Print ISSN:
0139-3006
Online ISSN:
1588-2535
Keywords:
nutrient intake; nutrient intake; iron; energy; elderly; anthropometry; lipid; nutritional status

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