In a vicious cycle, poor nutritional health leads to acute and chronic disease, and disease states are catastrophic to nutritional health. The magnitude of nutritional depletion from any cause depends to a large extent on the nutritional reserves an individual has accumulated over time. In our increasingly older population, nutritional reserves are marginal and the magnitude of the effect on nutritional health is amplified. Strategies to improve nutritional health in older individuals require a unique approach and sensitivity to the individual's needs.

Drawing from a group of outstanding experts in the field, Geriatric Nutrition is a state-of-the-art review of current nutritional thinking. Beginning with an overview of nutrition in older persons, the book addresses nutrition epidemiology, obesity, immunity, as well as molecular theories of aging. A detailed scientific review of nutritional requirements follows with chapters on energy balance, water metabolism, vitamin disorders, and traceelements. Techniques for the clinical assessment of nutrition in older adults include comparisons between US and European Union strategies and standards. The book includes a revealing section on the management of undernutrition in nursing homes and assisted living environments. It offers prescriptions for enteral and parenteral nutrition, as well as protein energy undernutrition. A significant portion of the book covers nutrition recommendations in specific disease states, including psychological issues such as dementia and depression, cancer, diabetes, anemia, and fracture risk. The book also considers multicultural and ethical issues relevant to the sensitive treatment of older individuals.

Exploring exciting new ideas in normal, pathological, and optimal nutrition, Geriatric Nutrition ties basic research with clinical practiceto further the understanding of nutrition in older persons.

In a vicious cycle, poor nutritional health leads to acute and chronic disease, and disease states are catastrophic to nutritional health. The magnitude of nutritional depletion from any cause depends to a large extent on the nutritional reserves an individual has accumulated over time. In our increasingly older population, nutritional reserves are marginal and the magnitude of the effect on nutritional health is amplified. Strategies to improve nutritional health in older individuals require a unique approach and sensitivity to the individual's needs. Drawing from a group of outstanding experts in the field, Geriatric Nutrition is a state-of-the-art review of current nutritional thinking. Beginning with an overview of nutrition in older persons, the book addresses nutrition epidemiology, obesity, immunity, as well as molecular theories of aging. A detailed scientific review of nutritional requirements follows with chapters on energy balance, water metabolism, vitamin disorders, and trace elements. Techniques for the clinical assessment of nutrition in older adults include comparisons between US and European Union strategies and standards. The book includes a revealing section on the management of undernutrition in nursing homes and assisted living environments. It offers prescriptions for enteral and parenteral nutrition, as well as protein energy undernutrition. A significant portion of the book covers nutrition recommendations in specific disease states, including psychological issues such as dementia and depression, cancer, diabetes, anemia, and fracture risk. The book also considers multicultural and ethical issues relevant to the sensitive treatment of older individuals. Exploring exciting new ideas in normal, pathological, and optimal nutrition, Geriatric Nutrition ties basic research with clinical practiceto further the understanding of nutrition in older persons.

"Neuropeptides and Stress" presents a comprehensive survey by leading pioneers in the field of the knowledge and concepts implicating neuropeptides in the regulations of responses to stress. Topics covered include: recent advances on the regulation and modulation of the behavioral, endocrine, autonomic, gastrointestinal, immune and analgesic responses to stress by neuropeptides. Neuroanatomical and biological data are considered. Special emphasis is given to corticotropin-releasing factor (CRF) and opioid peptides.

Distinguished physicians critically review the clinical consequences of the endocrinological changes that occur with aging-in both men and women-and examine the use of hormonal therapy to reduce them. Topics range from bone disease and water balance in all older people, to androgen deficiency in aging males, gynecomastia, and menopause. The authors also discuss Type II diabetes in persons over 65, emphasizing the cognitive benefits of good glycemia control, and the interaction of nutrition and metabolism, focusing on hypocholesterolemia, obesity, the anorexia of aging, trace elements, and vitamins. The aging of the sympathetic nervous system and its impact on hypertension in the elderly is also covered. Timely and authoritative, Endocrinology of Aging offers endocrinologists, geriatricians, and primary care physicians critical insight into the endocrine problems of our rapidly growing elderly population.

Distinguished physicians critically review the clinical consequences of the endocrinological changes that occur with aging-in both men and women-and examine the use of hormonal therapy to reduce them. Topics range from bone disease and water balance in all older people, to androgen deficiency in aging males, gynecomastia, and menopause. The authors also discuss Type II diabetes in persons over 65, emphasizing the cognitive benefits of good glycemia control, and the interaction of nutrition and metabolism, focusing on hypocholesterolemia, obesity, the anorexia of aging, trace elements, and vitamins. The aging of the sympathetic nervous system and its impact on hypertension in the elderly is also covered. Timely and authoritative, Endocrinology of Aging offers endocrinologists, geriatricians, and primary care physicians critical insight into the endocrine problems of our rapidly growing elderly population.

This issue of Clinics in Geriatric Medicine is devoted to Nutrition in Older Adults. Guest Editor John E. Morley, MD has assembled a group of expert authors to review the following topics: Anorexia of Aging; Protein and Older Persons; Screening for Malnutrition in Older People; Obesity and Aging; Vitamins; Sarcopenia; Diabetes: Nutrition and Exercise; Frailty, Exercise and Nutrition; Dehydration; Cholesterol and Older Persons; Cognition and Nutrition; and Gastric Emptying in the Elderly.

This issue of Clinics in Geriatric Medicine, devoted to Alzheimer's and Other Dementias, is guest edited by Dr. John E. Morley of Saint Louis University School of Medicine. Articles in this important issue include: An Overview of Cognitive Impairment in Geriatrics; Screening for Cognitive Impairment in Geriatrics; Treatable Dementias; Mild Cognitive Impairment in Geriatrics; Alzheimer's Disease; Vascular Dementia; Lewy-Body Dementia; Traumatic Brain Injury in Geriatrics; Diabetes and Dementia; Behavioral Problems and Dementia; Cognitive Stimulation Therapy in Geriatrics; Cognitive Frailty in Geriatrics; and Nutrition and Alzheimer's.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. John Morley, is devoted to Rapid Geriatric Assessment. Articles in this issue will address Frailty; Sarcopenia; Anorexia of Aging; Mild Cognitive Impairment; Cognitive Frailty; Falls; Hip Fracture; Depression; Delirium; and Advanced Directives and Palliative Care.

With the projected shortage of geriatricians over the next many years, it is essential for every internist and primary care physician to be equipped with the most current information and clinical skills for the treatment of older adults. This edition of Medical Clinics of North America brings the reader up to date on important issues in geriatrics including the following: treatment strategies for sarcopenia and frailty; congestive heart failure; revitalizing the aged brain; nutritional strategies for aging successfully; falls, osteoporosis and hip fractures; late-life Hypogonadism; hypertension in older persons; incontinence; delirium; weight loss; nursing homes and the physician; and diabetes and insulin resistance in older persons.

Articles in this issue include: Aging Male: Demographics and Unique Aspects; Sexuality and Aging Male; Late Life Onset Hypogonadism; Erectile Dysfunction; Benign Prostate Hypertrophy; Prostate Cancer; Lower Urinary Tract Symptomatology; Diabetes and Metabolic Syndrome; Frailty; Nutritional Aspects; Osteoporosis in Older Males; ip Fracture in Older Men; Sarcopenia.