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Nutrition initiatives in the context of population aging: where does the United States stand?

机译:人口老龄化背景下的营养举措:美国的立场是什么?

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In 2011, the earliest segment of the baby boom generation turned 65 years of age. This event marks the beginning of a new phase of growth of the older adult population in the United States and is in line with what is referred to worldwide as "population aging." By 2030, older adults will comprise 20% of the U.S. population. With the impending increase in the older adult population, the United States is unprepared to handle the accompanying social and economic impact of growing rates of age-related diseases such as diabetes, hypertension, and cardiovascular disease. These diseases have nutritional determinants and, as such, they signify the need for effective preventive nutrition initiatives to address population aging in the United States. Comparatively, the European Union (EU) is projected to reach an older adult population of 24% by 2030. In this special article we evaluate nutrition initiatives for older adults in the United States and also examine nutrition initiatives in the European Union in search of an ideal model. However, we found that available data for EU initiatives targeted at population aging were limited. We conclude by offering the proposal of a physician-based model that establishes the primary care physician as the initiator of nutrition screening, education, referrals, and follow-up for the older adult population in the United States as a long-term goal. Apropos of the immediate future, we consider barriers that underscore the establishment of a physician-based model and suggest objectives that are attainable. Although the data are limited for the European Union, this model may serve to guide management of chronic diseases with a nutritional component in economies similar to the United States worldwide.Digital Object Identifier http://dx.doi.org/10.1080/21551197.2011.623924
机译:2011年,婴儿潮一代的最早年龄段达到65岁。此事件标志着美国老年人口进入新的增长阶段的开始,并且与世界范围内的“人口老龄化”相一致。到2030年,老年人将占美国人口的20%。随着即将到来的成年人口的增加,美国没有做好应对诸如糖尿病,高血压和心血管疾病等与年龄有关的疾病发病率上升的社会和经济影响的准备。这些疾病具有营养决定因素,因此,它们表明需要采取有效的预防性营养措施来解决美国人口老龄化问题。相比之下,预计到2030年,欧盟(EU)的老年人口将达到24%。在这篇特别文章中,我们评估了美国老年人的营养计划,并研究了欧盟的营养计划理想模型。但是,我们发现针对欧盟针对人口老龄化的举措的可用数据有限。最后,我们提出了一种基于医生的模型的建议,该模型将长期护理目标确立为初级保健医生作为美国老年人群的营养筛查,教育,转诊和随访的发起者。对于不久的将来,我们考虑了强调建立基于医生的模型的障碍,并提出了可以实现的目标。尽管欧盟的数据有限,但该模型可能有助于指导与全球类似美国的经济中具有营养成分的慢性疾病的管理。数字对象标识符http://dx.doi.org/10.1080/21551197.2011。 623924

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