Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T01:48:36.816Z Has data issue: false hasContentIssue false
  • English
  • Français

Energy, protein, zinc and copper status of twenty-one elderly inpatients: analysed dietary intake and biochemical indices

Published online by Cambridge University Press:  09 March 2007

Anita J. Thomas ,
Valda W. Bunker ,
Leslie J. Hinks ,
Nidish Sodha ,
Mark A. Mullee  and
Barbara E. Clayton
Anita J. Thomas
Affiliation:
Geriatric Medicine, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY Chemical Pathology and Human Metabolism, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Valda W. Bunker
Affiliation:
Chemical Pathology and Human Metabolism, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Leslie J. Hinks
Affiliation:
Chemical Pathology and Human Metabolism, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Nidish Sodha
Affiliation:
Chemical Pathology and Human Metabolism, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Mark A. Mullee
Affiliation:
MedicalStatistics and Computing, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Barbara E. Clayton
Affiliation:
Chemical Pathology and Human Metabolism, Medical Faculty of the University of Southampton, Level D, South Laboratory Block, Southampton General Hospital, Tremona Road Southampton SO9 4XY
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

1. Duplicate diet analysis for energy, protein, zinc and copper with estimates of biochemical status for Zn and Cu were undertaken in twenty-one elderly long-stay inpatients (mean age 82 (range 63–89) years) consuming their customary hospital diet and in a stable medical condition. Fourteen patients had a long-standing and significant healing problem, either a leg ulcer or pressure sore.

2. Mean daily intakes of energy (5·2 MJ), protein (45 g), Zn (85 μmol) and Cu (14 μmol) were low in comparison with both official recommendations and levels of intake at which metabolic equilibrium was observed in healthy elderly people studied by the same methods (Bunker et al. 1984a).

3. Mean leucocyte Zn (9 pmol/106 cells) and Cu (7·5 pmol/106cells) were low in comparison with results from healthy elderly people (Bunker et al. 1984a), implying suboptimal status for these elements. Those patients with healing problems tended to have the lower values within the range.

4. Recommendations are made with respect to improving nutritional status in this disadvantaged group of people.

Type
Clinical and Human Nutrition Papers Studies in Man
Information
British Journal of Nutrition , Volume 59 , Issue 2 , March 1988 , pp. 181 - 191
Copyright
Copyright © The Nutrition Society 1988

References

Andrews, K. (1985). British Medical Journal 290, 1023–1023.CrossRefGoogle Scholar
Bender, A. E. (1984). British Medical Journal 288, 92–93.CrossRefGoogle Scholar
Bunker, V. W., Hinks, L. J., Lawson, M. S. & Clayton, B. E. (1984 a). American Journal of Clinical Nutrition 40, 1096–1102.Google Scholar
Bunker, V. W., Hinks, L. J., Stansfield, M. F., Lawson, M.S., Clayton, B. E. (1987 a). American Journal of Clinical Nutrition 46, 353–359.CrossRefGoogle Scholar
Bunker, V. W., Lawson, M. S., Delves, H. T. & Clayton, B. E. (1984 b). American Journal of Clinical Nutrition 39, 797–802.Google Scholar
Bunker, V. W., Lawson, M. S., Stansfield, M. F., Clayton, B. E. (1987 b). British Journal of Nutrition 57, 211–221.Google Scholar
Chandra, R. K. (1980). American Journal of Clinical Nutrition 33, 736–738.Google Scholar
Daly, J. M., Heymsfield, S. B., Head, C. A., Harvey, L. P., Nixon, D. W., Katzeff, H. & Grossman, G. D. (1985). American Journal of Clinical Nutrition 42, 1170–1174.CrossRefGoogle Scholar
Davies, N. T. & Olpin, S. E. (1979). British Journal of Nutrition 41, 590–603.Google Scholar
Delves, H. T. (1985). Clinical Endocrinology and Metabolism 14, 725–760.Google Scholar
Department of Health and Social Security (1979 a). Recommended Daily Amounts of Food Energy and Nutrients for Groups of People in the United Kingdom. Report on Health and Social Subjects no. 15. London: H.M.S.O.Google Scholar
Department of Health and Social Security (1979 b). Nutrition and Health in Old Age. Report on Health Subjects no. 16. London: H.M.S.O.Google Scholar
Department of Health and Social Security (1986). Hospital Inpatient Enquiry 1984. Office of Population Censuses and Surveys Series MB4 no. 24, London: H.M.S.O.Google Scholar
Fenton Lewis, A. (1981). British Medical Journal 283, 1217–1219.CrossRefGoogle Scholar
Food and Nutrition Board (1980). Recommended Dietary Allowances, 9th revised ed. Washington DC: National Academy of Sciences.Google Scholar
Freeman, H. & Cox, M. C. (1984). In Clinical Biochemistry of the Elderly, pp. 48–74 [Hodkinson, H. M., editor]. Edinburgh: Churchill Livingstone.Google Scholar
Freudenheim, J. L., Johnson, N. E. & Smith, E. L. (1986). American Journal of Clinical Nutrition 44, 863–876.CrossRefGoogle Scholar
Geissler, C. A. & Bates, J. F. (1984). American Journal of Clinical Nutrition 39, 478–489.Google Scholar
Greger, J. L. & Snedeker, S. M. (1980). Journal of Nutrition 110, 2243–2253.CrossRefGoogle Scholar
Grundy, E. (1984). British Medical Journal 288, 663–664.Google Scholar
Haeger, K. & Lanner, E. (1974). VASA Journal for Vascular Diseases 3, 77–81.Google Scholar
Hall, M. R. P. (1974). Medicine 25, 1465–1480.Google Scholar
Henery, E. C. & Smith, R. G. (1987). Proceedings of the Nutrition Society 46, 63A.Google Scholar
Hinks, L. J., Colmsee, M. & Delves, H. T. (1982). Analyst 107, 815–823.Google Scholar
Husain, L. (1969). Lancet i, 1069–1071.Google Scholar
Isakov, E., Susak, Z. & Becker, E. (1985). Scandinavian Journal of Rehabilitation and Medical Suppl. 12, 108–111.Google Scholar
Lapidus, L., Anderson, H., Bengtsson, C. & Bosaeus, I. (1986). American Journal of Clinical Nutrition 44, 444–448.CrossRefGoogle Scholar
Lawson, M., Bunker, V., Delves, H. & Clayton, B. E. (1982). Proceedings of the Nutrition Society 41, 91A.Google Scholar
Lonergan, M. E., Milne, J. S., Maule, M. M. & Williamson, J. (1975). British Journal of Nutrition 34, 517–527.Google Scholar
MacLellan, W. J., Martin, P. & Mason, B. J. (1975). Gerontologica Clinica 17, 173–180.Google Scholar
MacLeod, C. C., Judge, T. G. & Caird, F. I. (1974). Age and Ageing 3, 158–166.CrossRefGoogle Scholar
Meret, S. & Henkin, R. I. (1971). Clinical Chemistry 17, 369–376.Google Scholar
Miller, D. S. & Payne, P. R. (1959). British Journal of Nutrition 13, 501–508.CrossRefGoogle Scholar
Minitab Inc. (1985). Minitab Reference Manual. Birmingham: CLE. COM.Google Scholar
Moore, R. (1978). British Medical Journal i, 754.CrossRefGoogle Scholar
Murphy, E. W., Wells Willis, B. & Watt, B. (1975). Journal of the American Dietetic Association 66, 345–355.Google Scholar
Osis, D., Kramer, L., Wiatrowski, E. & Spencer, H. (1972). American Journal of Clinical Nutrition 25, 582–588.Google Scholar
Patrick, J. & Dervish, C. (1984). CRC Critical Reviews in Clinical Laboratory Sciences 20, 95–114.CrossRefGoogle Scholar
Pories, W. J., Henzel, J. H., Rob, C. G. & Strain, W. H. (1967). Lancet i, 121–124.CrossRefGoogle Scholar
Reeds, P. J. (1983). Proceedings of the Nutrition Society 43, 463–471.Google Scholar
Rheinhold, J. G., Faradji, B., Abadi, P. & Ismail-Beigi, F. (1976). Journal of Nutrition 106, 493–503.Google Scholar
Sandstead, H. H. (1982). In Clinical, Biochemical and Nutritional Aspects of Trace Elements pp. 83–101 [Prasad, A., editor]. New York: Alan Liss.Google Scholar
Schneider, E. L., Vining, E. M., Hadley, E. C. & Farnham, S. A. (1986). New England Journal of Medicine 314, 157–160.CrossRefGoogle Scholar
Sheldon, J. H. (1948). The Social Medicine of Old Age. London: Nuffield Foundation, Oxford University Press.Google Scholar
Shroeder, H. (1971). American Journal of Clinical Nutrition 24, 562–573.Google Scholar
Smith, J. M. (1977). A study of the oral handicaps, dental status and dental needs of an elderly population living at home. Dissertation submitted for Master of Medical Science in Community Medicine, University of Nottingham.Google Scholar
Solomons, N. (1985). Journal of the American College of Nutrition 4, 83–105.Google Scholar
Stafford, W., Smith, R. G., Henery, E. C., Lewis, S. & O'Rorke, K. (1987). Proceedings of the Nutrition Society 46, 62A.Google Scholar
Thomas, A. J., Bunker, V. W., Brennan, E. & Clayton, B. E. (1986). Human Nutrition: Applied Nutrition 40A, 440–446.Google Scholar
Turnlund, J., King, J., Keyes, W., Gong, B. & Michel, M. (1984). American Journal of Clinical Nutrition 40, 1071–1077.CrossRefGoogle Scholar
Vir, S. C. & Love, A. M. G. (1979). American Journal of Clinical Nutrition 32, 1934–1947.Google Scholar
Waterlow, J. C. (1986). Annual Review of Nutrition 6, 495–526.CrossRefGoogle Scholar
World Health Organization (1985). Energy and Protein Requirements. Technical Report Series no. 724. Geneva: WHO.Google Scholar