Article1 December 1955THE SPECTER OF MALNUTRITION IN CHRONIC ILLNESSJOSEPH I. GOODMAN, M.D., F.A.C.P., WILLIAM DOWDELL, M.D.JOSEPH I. GOODMAN, M.D., F.A.C.P.Search for more papers by this author, WILLIAM DOWDELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-43-6-1241 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTwo major nutritional disturbances are encountered among chronically ill patients. These are malnutrition, or nutritional deficiency, and obesity, or overweight. In a recent study of 431 patients at the Cuyahoga County Nursing Home,5 nutritional disturbances were present in 187 patients (43%). Of these, 142 patients suffered from malnutrition and 45 were obese. In other words, approximately one out of every three patients admitted to the Home had undernutrition, and one out of every 10 carried a burden of obesity. It is noteworthy that advanced starvation was the sole disability in nine patients.In the present paper 138 cases of undernutrition...Bibliography1. AllisonBelfDavies RSMDRP: The treatment of functional anorexia, Lancet 1: 902-907 (Apr. 25) 1931. CrossrefGoogle Scholar2. BenedictCarpenter FGTM: Food ingestion and energy transformations with special reference to the stimulating effect of nutrients, 1918, Carnegie Inst. of Washington, Washington, D. C. Google Scholar3. DuBoisChambers EFWH: Calories in medical practice, in Handbook of nutrition, 1943, American Medical Association, Chicago, pp. 55-69. Google Scholar4. Goodman JI: Pathogenesis of acute infectious hepatitis, Am. J. Digest. Dis. 14: 26-29 (Jan.) 1947. CrossrefMedlineGoogle Scholar5. Goodman JI: Causes of disability in patients with chronic disease, J. A. M. A. 152: 1336-1338 (Aug. 1) 1953. CrossrefMedlineGoogle Scholar6. GoodmanGarvin JIRO: Results of high caloric feeding, Gastroenterology 6: 537-562 (June) 1946. MedlineGoogle Scholar7. HoaglandLabbyKunkelShank CLDHHGRE: An analysis of the effect of fat in the diet on recovery in infectious hepatitis, Am. J. Pub. Health 36: 1287-1292 (Nov.) 1946. CrossrefGoogle Scholar8. Lusk G: Science of nutrition, 4th ed., 1928, W. B. Saunders Co., Philadelphia. Google Scholar9. PembreySpriggs MSEI: The influence of fasting and feeding upon the respiratory and nitrogenous exchange, J. Physiol. 31: 320-345 (Aug.) 1904. CrossrefMedlineGoogle Scholar10. SeelandBarfurthNoe VDJ, quoted by Pembrey and Spriggs.9 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*Received for publication May 4, 1955. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTherapie der HerzinsuffizienzTHE PROBLEM OF MALNUTRITION IN THE ELDERLY 1 December 1955Volume 43, Issue 6Page: 1241-1258KeywordsHemoglobinMalnutritionMultiple sclerosisNutritionObesityOverweightPneumoniaStarvationThyroidUlcers ePublished: 1 December 2008 Issue Published: 1 December 1955 PDF downloadLoading ...