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Music malnutrition in the elderly is really a big issue you find it everywhere you find it in the community you find in nursing homes and you find it also with a high prevalence in those in the nursing home we see it being at about 50% in some studies there's definitely a wide under recognition in the field we need more resources we need more training we need more interest among those who provide the care for all the persons we first should focus on the aging process if you look at persons that I have beyond age 18 they have underlying changes of pathophysiology we have a decrease of appetite we have a decrease of hunger increasing satiety postprandial so we have age associated changes we have issues with functional status so that if older adults can't get around and buy shop ad to buy the food that they need and they can't cook the food that they need they may have a decrease in their actual dietary intake they may have functional impairments they may not be able to actually feed them

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