PRACTICAL ASPECTS OF NUTRITION IN INTERNAL MEDICINE
cod. 1009050

Academic year 2021/22
1° year of course - Second semester
Professor
- Marcello Giuseppe MAGGIO
Academic discipline
Medicina interna (MED/09)
Field
Attività formative affini o integrative
Type of training activity
Related/supplementary
8 hours
of face-to-face activities
1 credits
hub: -
course unit
in ITALIAN

Learning objectives

Translate the acquired knowledge of epidemiology and pathphysiology of aging, multimorbidity, geriatric syndromes, clinical complexity and International Guide Lines (ESPEN) on Multimorbidity and Nutrition and Hydration on Geriatrics into practical behaviors.

Prerequisites

Basic knowledge of physiology of aging, and pathpysiology of geriatric syndromes, pharmacology, and assessment and nutritional interventions.

Course unit content

Education on clinical nutrition inside the clinical complexity, multimorbidity and polypharmacotherapy typical of older patients.
Balancing evidence-based medicine based on European Guidelines with personalized interventions.

Full programme

1.Specifities of older persons (acute and/or chronic disease; related degenerative changes; limitations in physical, cognitive and/or social functions; reduced ability to perform ADL; increased need of rehabilitative, physical, psychological and social care requiring a holistic approach).
2.Chronological versus biological Age (main aim of geriatric medicine to optimize functional status and quality of life).
3.Multimorbidity and polypharmacy
4.Nutritional assessment (history of diseases and weight, body composition, biochemical evaluation in older heathy and multimorbid subjects)
5.Dysphagia and Sarcopenia as main geriatric syndromes: evidence-based approaches from guidelines
6.Nutritional challenges in older persons (malnutrition, dehydration, obesity).
7.Anorexia of Aging: the role of Inflammaging, Hormonal status, and Mitochondrial dysfunction
8.Nutrition and Cognitive impairment
9.Changing nutrients needs in older adults (Espen Guidelines, EFSA, Italian (...) assunzione raccomandata, adeguata, ecc..). Macro and micro-nutrients: protein needs/intake (anabolic resistance, nitrogen balance, protein/aminoacids type, amount, protein pattern); lipids; energy intake; hydration; micronutrients (Mg, iron, Vitamins ecc..)
10.Supplementation of nutritional deficiencies: how and when

Bibliography

Textbook: Human Nutrition, 13th Edition, Eds. C. Geissler & H. Powers, Oxford University Press 2017.

Manuale di Geriatria 2019. Edra Editore. Curato da Antonelli Incalzi R, Cesari M, Ungar A, Pedone C, Volpato S, Leosco D.

Teaching methods

The course will be held through lectures to Students either in the classroom (“in presenza”) or in synchronous-streaming (“in telepresenza”) on the Teams platform. Therefore, the opportunity of Student/Teacher interaction will be preserved both face to face and remotely, by the simultaneous use of the Teams platform.
Lectures will be supported by slide presentations, which will be available to students on the Elly platform (https://elly2020.medicina.unipr.it/).

Assessment methods and criteria

Oral examination. Scale of assessment: 1-30

Other information

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