Intake of Medication and Vitamin Status in the Elderly

2011 ◽  
Vol 58 (2) ◽  
pp. 118-125 ◽  
Author(s):  
Elisabeth Fabian ◽  
Michaela Bogner ◽  
Andrea Kickinger ◽  
Karl-Heinz Wagner ◽  
Ibrahim Elmadfa
Keyword(s):  
Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1509
Author(s):  
Silvia Vincenzetti ◽  
Giuseppe Santini ◽  
Valeria Polzonetti ◽  
Stefania Pucciarelli ◽  
Yulia Klimanova ◽  
...  

Background: Whole milk is a good source of all the nutrients, and it also contains a sufficient number of vitamins to permit regular the growth of the neonate. Dairy cow milk can create allergy in infants less than 12 months old because of the high caseins and β-lactoglobulin content. In these circumstances, donkey milk can represent a good replacement for dairy cows’ milk in children affected by Cow Milk Protein Allergy (CMPA) because of its close chemical composition with human milk, mainly due to its low protein and low mineral content. Milk vitamin content is highly variable among mammalian species and it is strictly correlated with the vitamin status and the diet administered to the mother. Fat-soluble vitamins content in donkey milk is, on average, lower compared to ruminants’ milk, while vitamin C content determined in donkey milk is higher compared to dairy cows’ milk, showing a great similarity with human milk. In donkey milk, the content of vitamins of the B-complex such as thiamine, riboflavin, niacin, pyridoxine, and folic acid is higher compared to human milk. The use of donkey milk as a new functional food must be further evaluated in interdisciplinary clinical trials in which pediatricians, dietitians, and food scientists must be involved to deepen the knowledge about the positive health impact of donkey milk in different sensitive people, especially children and the elderly.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Y Zhu ◽  
I Minović ◽  
L H Dekker ◽  
M Eggersdorfer ◽  
S K R van Zon ◽  
...  

Abstract Background Socioeconomic status (SES) patterned health disparities have been related to differences in dietary intake, especially in the elderly. Still, it is not known to what extent these differences culminate in vitamin deficiencies, as most studies have assessed nutrient intake, instead of measuring nutritional biomarkers. Hence, we aimed to objectively assess nutritional status in elderly with low and high SES and to investigate whether potential differences therein were mediated by diet. Methods 1605 individuals (60-75 years) were selected from the LifeLines Cohort Study to create two gender-matched groups with different SES. Nutritional status was assessed by measuring folic acid, vitamin B6, B12, D, A, E and K in the collected samples. SES-groups were defined according to highest completed education as high and low, and dietary quality was assessed the Lifelines Diet Score. Multiple linear regression and logistic regression were first used for the association between SES and vitamin status; and mediation analysis was used to explore the relationship of SES, diet and vitamin status. Results The overall prevalence of vitamin deficiency ranged from 4.1% (vitamin B6) to 19.5% (folic acid). The low SES group had significantly poorer status (p ≤ 0.04) of most vitamins, including the B vitamins (i.e., folic acid, B12 and B6) as well as multivitamin deficiencies (p ≤ 0.02). Low SES was independently associated with decreased folic acid, vitamin B6, vitamin B12, and vitamin A serum concentrations (p ≤ 0.03 for all). Diet quality was found to partially mediate the association between SES, and folic acid (39.1%), vitamin B6 (37.1%) and vitamin B12 (37.2%)(P ≤ 0.03). Conclusions Low SES is a risk factor for suboptimal nutritional status. The association between SES and nutritional status can be partially explained by diet quality, suggesting that policy makers can mitigate socioeconomic inequality in nutritional status by improving diet quality among elderly. Key messages Revealed that low SES was a risk factor for a suboptimal nutritional status among the elderly and a possible self-reinforcing trap has formed which causes low SES and hidden hunger to persist. Highlighted the importance of diet quality in socioeconomically patterned health disparities and indicating the need for SES-tailored public health strategies.


2002 ◽  
Vol 75 (5) ◽  
pp. 908-913 ◽  
Author(s):  
Susan J Duthie ◽  
Lawrence J Whalley ◽  
Andrew R Collins ◽  
Steve Leaper ◽  
Kerstin Berger ◽  
...  

1999 ◽  
Vol 69 (3) ◽  
pp. 154-159 ◽  
Author(s):  
Volkert ◽  
Stehle

In the last decade several attempts (Nationale Verzehrsstudie, NVS; Verbundstudie Ernährungserhebung und Risikofaktoren-Analytik, VERA; Bethanien-Ernährungsstudie, BEST) have been made to assess the nutritional status of the elderly in Germany. A careful evaluation of those data describing the vitamin status clearly indicate that healthy older people are not at higher risk for vitamin deficiency compared to younger adults. The results of the NVS showed that, except for folic acid, mean intake of all vitamins exceeded 80% of the current recommendations. Only 5% of blood vitamin concentrations analyzed in a subpopulation (VERA-Study) were founded to be below the physiological range. Only the incidence of low cobalamin values increased with age, presumably due to gastrointestinal problems (atrophic gastritis). In contrast, geriatric patients showed markedly lower vitamin blood concentrations compared to healthy subjects of the same age (BEST-Study). This might be explained by physical and mental deterioration, handicaps, chronic diseases and multiple chronic drug use. Underrepresentation of very old people, lack of reliable reference values for biomarkers and uncertainties in data collection may have contributed to misinterpretations. Representative studies are needed to objectively assess the nutritional status of the elderly population in Germany.


2001 ◽  
Vol 74 (3) ◽  
pp. 402-408 ◽  
Author(s):  
Catharine R Gale ◽  
Hazel E Ashurst ◽  
Hilary J Powers ◽  
Christopher N Martyn

2012 ◽  
Vol 31 (2) ◽  
pp. 191-198 ◽  
Author(s):  
Yi-Chen Huang ◽  
Meei-Shyuan Lee ◽  
Mark L. Wahlqvist

2002 ◽  
Vol 72 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Anne M. Molloy

The vitamin folate has been largely responsible for a fundamental shift in our perception of the role of vitamins in maintaining health. Ten years ago, two independent clinical trials showed that supplementing a woman’s diet with folic acid before and during early pregnancy reduced the prevalence of neural tube defects (NTDs) by more than 70%. A remarkable aspect was that folic acid supplementation was not correcting a clinical deficiency in most of these women. It was later shown that the risk of having an NTD-affected birth was negatively associated with maternal red cell folate status, and the level of risk varied throughout the normal range, suggesting an interaction of genetic factors with folate nutritional status. It now appears that an insufficient folate status might contribute to risk of developing a variety of medical conditions throughout an individual’s lifetime, from certain congenital malformations and poor pregnancy outcomes to cardiovascular disease, some malignancies, and neurological dysfunction of the elderly. Thus, an alternative view of folate nutrition has emerged. This view goes beyond the idea of a dietary requirement to prevent signs and symptoms of clinical deficiency towards one of achieving an optimal status to reduce risk of certain chronic diseases, and includes the concept that an individual’s genetic make-up may substantially affect the vitamin status that they can achieve without supplements or fortification.


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