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Ageing and the gut.

Edward Britton1, John T McLaughlin

  • 1Institute of Inflammation and Repair and Manchester Academic Health Science Centre, University of Manchester, Manchester M13 9PL, UK.

The Proceedings of the Nutrition Society
|November 14, 2012
PubMed
Summary
This summary is machine-generated.

Ageing affects the gut, potentially causing malnutrition in older adults. While some gastrointestinal changes occur, the small intestine remains largely unaffected by age.

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Area of Science:

  • Gastroenterology
  • Gerontology
  • Nutritional Science

Background:

  • Malnutrition is a significant concern in the elderly population.
  • Age-related changes in the gastrointestinal (GI) tract can contribute to anorexia and malnutrition.
  • Understanding these changes is crucial for clinical practice.

Purpose of the Study:

  • To review the role of the ageing gut in malnutrition among the elderly.
  • To assess physiological changes in the GI tract and their clinical implications.
  • To explore the impact of the gut microbiome and 'inflamm-ageing' on elderly nutrition.

Main Methods:

  • Literature review of physiological changes in the ageing gastrointestinal tract.
  • Assessment of malnutrition burden and contributing factors in the elderly.
  • Analysis of neurohumoral changes and comorbid conditions related to ageing anorexia.

Main Results:

  • Ageing impacts swallowing, esophageal motility, gastric compliance, and fundic pressure.
  • Hypochlorhydria in the stomach may lead to malabsorption or bacterial overgrowth.
  • The small intestine's absorptive function is notably unaffected by age; colon transit time may prolong.

Conclusions:

  • Specific age-related GI changes, like hypochlorhydria, can predispose to malnutrition.
  • The gut microbiome and 'inflamm-ageing' are potential factors in elderly malnutrition.
  • Further research is needed to address the clinical impact of these changes and guide interventions.