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JEANNE Y. WEI, MD, PhD Executive Director, Donald W. Reynolds Institute in Aging; Chair, Donald W. Reynolds Department of Geriatrics; University of Arkansas.

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Presentation on theme: "JEANNE Y. WEI, MD, PhD Executive Director, Donald W. Reynolds Institute in Aging; Chair, Donald W. Reynolds Department of Geriatrics; University of Arkansas."— Presentation transcript:

1 JEANNE Y. WEI, MD, PhD Executive Director, Donald W. Reynolds Institute in Aging; Chair, Donald W. Reynolds Department of Geriatrics; University of Arkansas for Medical Sciences; Staff Physician, GRECC -VISN 16 & CAVHS; Little Rock, AR Obesity, Nutrition & Cardiovascular Health in Seniors

2 Nutritional needs change with age 1.Aging may be associated with: –reduced appetite, –inadequate protein intake and inappropriate low caloric intake with weight loss; –Decreased energy requ’mts ~8% /decade, ; 2.Lean muscle mass is lost at ~ 1% per yr, after age 30 yrs; 3.Muscle fibers gradually decrease in size and number. 4.Sarcopenia, in > 50% of those > age 80 yrs, increases disability & healthcare costs; Feed the body, mind and soul with 5 colors on the plate Williams, 2012

3 Diabetes & Obesity in Older Cardiac Patients What is the overall treatment goal? HbA1c goal of ( or 9.0) % Risk of further nutritional restrictions, including suboptimal nutrition and symptomatic hypoglycemia, may outweigh any potential benefit. Avoiding adverse effects of treatment is most important. Munshi et al., 2012

4 Nutritional Needs in Obese Cardiac Seniors Obese elderly may have malnutrition and sarcopenia; Approach with caution: assess nutritional status first; Treat with nutrition plus protein, adequate daily hydration and exercise, and gradual weight loss (reduction of sweets and snacks).

5 Malnutrition in the Elderly Malnutrition occurs in 15-50% of older adults; Symptoms: weight loss, confusion, lightheadedness, lethargy and poor appetite; 30% of seniors skip > one meal a day; 16% of seniors consume < 1000 calories a day. Beattie et al., 2012


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