Abstract: The anorexia of aging is a widespread problem amongst older people, particularly in the hospital setting with up to 60% affected. Despite its high prevalence anorexia often goes undiagnosed in hospital, due to a lack of standardized assessment and evidence-based management, but also lack of knowledge regarding consequences. This review summarizes current evidence for anorexia of aging specific to the hospital setting, giving an overview of correlates of appetite in hospital and consequences of anorexia. It highlights an overall scarcity of research on this important clinical problem for hospitalized cohorts. The few studies point to the importance of anorexia of aging in major health burdens for older people, namely malnutrition, sarcopenia and reduced physical performance, as well as higher mortality. Further research is needed to assess temporal sequence in pathways of causality and to develop effective interventions to combat anorexia.

Keywords: appetite, older people, outcomes, sarcopenia


中文翻译：

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医院环境中老年厌食症的后果：最新综述


摘要：老年厌食症是老年人中普遍存在的问题，尤其是在医院环境中，高达 60% 的患者受到影响。尽管厌食症患病率很高，但由于缺乏标准化评估和循证管理，而且缺乏对后果的了解，厌食症在医院常常未被诊断出来。这篇综述总结了医院环境中特定的老年厌食症的当前证据，概述了医院食欲的相关性和厌食症的后果。它凸显了对住院人群这一重要临床问题的研究总体上缺乏。少数研究指出了衰老性厌食症对老年人的主要健康负担的重要性，即营养不良、肌肉减少症、身体机能下降以及更高的死亡率。需要进一步的研究来评估因果关系的时间顺序，并制定有效的干预措施来对抗厌食症。


关键词：食欲、老年人、结果、肌肉减少症