Nutrition In Individuals With Dementia
Özet
Dementia, particularly Alzheimer’s disease, is a globally growing health concern characterized by cognitive decline. Due to the progressive nature of the disease, individuals with dementia are at high risk of malnutrition. This chapter discusses the contributing factors to malnutrition, its causes, and nutritional management strategies for individuals with dementia. Malnutrition may result from a combination of appetite loss, dysphagia, medication side effects, behavioral changes, and caregiver limitations. As the disease advances, patients become increasingly dependent on others for their nutritional needs, which negatively impacts the quality of life for both patients and caregivers. Nutritional management should include early screening, individualized interventions, oral nutritional support, and if necessary, enteral or parenteral feeding options. Additionally, caregiver education and support are essential components of effective nutritional care. A multidisciplinary approach is crucial for improving the nutritional status and overall well-being of individuals with dementia.
Referanslar
Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413–446. doi:10.1016/S0140-6736(20)30367-6
Prince M, Bryce R, Albanese E, et al. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement. 2013;9(1):63–75.e2. doi:10.1016/j.jalz.2012.11.007
Chowdhary N, Barbui C, Anstey KJ, et al. Reducing the risk of cognitive decline and dementia: WHO recommendations. Front Neurol. 2022;12:765584. doi:10.3389/fneur.2021.765584
2022 Alzheimer's disease facts and figures. Alzheimers Dement. 2022;18(4):700–789. doi:10.1002/alz.12638
Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993;43(11):2412–2414. doi:10.1212/wnl.43.11.2412-a
Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49–64. doi:10.1016/j.clnu.2016.09.004
Dent E, Wright ORL, Woo J, et al. Malnutrition in older adults. Lancet. 2023;401(10380):951–966. doi:10.1016/S0140-6736(22)02612-5
Yildiz D, Büyükkoyuncu Pekel N, Kiliç AK, et al. Malnutrition is associated with dementia severity and geriatric syndromes in patients with Alzheimer disease. Turk J Med Sci. 2015;45(5):1078–1081. doi:10.3906/sag-1406-76
Perry E, Walton K, Lambert K. Prevalence of malnutrition in people with dementia in long-term care: a systematic review and meta-analysis. Nutrients. 2023;15(13):2927. doi:10.3390/nu15132927
Unsal P, Guner M, Ozsurekci C, et al. Prevalence of nutrition disorders and nutrition-related conditions in older patients with Alzheimer's disease. Nutr Clin Pract. 2023;38(5):1142–1153. doi:10.1002/ncp.10995
Agarwal E, Miller M, Yaxley A, et al. Malnutrition in the elderly: a narrative review. Maturitas. 2013;76(4):296–302. doi:10.1016/j.maturitas.2013.07.013
Belmin J, Expert Panel and Organisation Committee. Practical guidelines for the diagnosis and management of weight loss in Alzheimer's disease: a consensus from appropriateness ratings of a large expert panel. J Nutr Health Aging. 2007;11(1):33–37.
Yap AC, Mahendran R, Kua EH, et al. Olfactory dysfunction is associated with mild cognitive impairment in community-dwelling older adults. Front Aging Neurosci. 2022;14:930686. doi:10.3389/fnagi.2022.930686
Grober E, Hall CB, Lipton RB, et al. Memory impairment, executive dysfunction, and intellectual decline in preclinical Alzheimer's disease. J IntNeuropsycholSoc. 2008;14(2):266–278. doi:10.1017/S1355617708080302
Marshall GA, Rentz DM, Frey MT, et al. Executive function and instrumental activities of daily living in mild cognitive impairment and Alzheimer's disease. Alzheimers Dement. 2011;7(3):300–308.
Leung DK, Chan WC, Spector A, et al. Prevalence of depression, anxiety, and apathy symptoms across dementia stages: a systematic review and meta-analysis. Int J Geriatr Psychiatry. 2021;36(9):1330–1344.
Volkert D, Beck AM, Faxén-Irving G, et al. ESPEN guideline on nutrition and hydration in dementia – update 2024. Clin Nutr. 2024;43(6):1599–1626. doi:10.1016/j.clnu.2024.04.039
Alagiakrishnan K, Bhanji RA, Kurian M. Evaluation and management of oropharyngeal dysphagia in different types of dementia: a systematic review. Arch Gerontol Geriatr. 2013;56(1):1–9. doi:10.1016/j.archger.2012.04.011
Soysal P, Isik AT, Stubbs B, et al. Acetylcholinesterase inhibitors are associated with weight loss in older people with dementia: a systematic review and meta-analysis. J Neurol Neurosurg Psychiatry. 2016;87(12):1368–1374.
Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging. 2003;18(2):250–267. doi:10.1037/0882-7974.18.2.250
Puranen TM, Pietila SE, Pitkala KH, et al. Caregivers' male gender is associated with poor nutrient intake in AD families (NuAD-trial). J Nutr Health Aging. 2014;18(7):672–676. doi:10.1007/s12603-014-0499-z
Rullier L, Lagarde A, Bouisson J, et al. Nutritional status of community-dwelling older people with dementia: associations with individual and family caregivers' characteristics. Int J Geriatr Psychiatry. 2013;28(6):580–588. doi:10.1002/gps.3862
Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging. 2009;13(9):782–788. doi:10.1007/s12603-009-0214-7
