| |
M.P. Vaquero, Instituto de Nutrición y Bromatología , C/Ramiro
de Maeztu s/n (edificio Instituto del Frío), Ciudad Universitaria,
28040 Madrid, Spain. Tel. +34 91 5490038. Fax +34 91 5495079. E-mail:
vaquero@inb.csic.es
Imbalances between mineral intakes and recommended amounts have been
observed in different groups of elderly subjects. Nevertheless, assessment
of the status of magnesium and trace elements in the elderly is difficult,
even for iron because infection and inflammation increases ferritin. Mineral
bioavailability may change due to ageing. Therefore, formulation of mineral
recommendations is complex and individual recommendations are sometimes
necessary. A number of surveys show magnesium, zinc, selenium and chromium
intakes by old persons to be lower than the corresponding reference nutrient
intakes. Contrarily, intakes of iron are generally adequate or higher
than recommended, and it has been suggested that increased storage of
iron in the elderly may be related with the development of age-related
diseases through the increase in oxidative stress. Low iron status together
with iron excess may be common in an elderly population. The same applies
for zinc. Magnesium and selenium deficiencies among the elderly are also
well documented, especially among the institutionalised and people with
pathologies. Chromium deficiency is associated with type II diabetes mellitus.
Recommended iron intake is lower for elderly women compared to young,
because menstruation ceases after menopause, but in old men, it is similar
to that of young men. Dietary Reference Values for the rest of the elements
are similar to those of adults, although several suggestions have been
made about the quantities. This review examines various aspects of the
changes in mineral bioavailability due to ageing, of data published on
mineral intakes and status, and finally the dietary recommendations for
this vulnerable population group. Nutrition, magnesium, trace elements,
intake, status, reference dietary intakes, bioavailability, elderly.
|
|