Skip to main content
Log in

Olfactory function, eating ability, and visceral obesity associated with MMSE three years after Parkinson’s disease diagnosis

  • Published:
The journal of nutrition, health & aging

Abstract

Objective

This study examines whether risk factors for poor nutrition are associated with global cognitive function three years after confirmed Parkinson’s disease (PD) diagnosis.

Design

The follow-up investigations for this prospective community-based study were conducted three years after PD diagnosis.

Setting

The study participants lived in Västerbotten County, a region in northern Sweden with 142,000 inhabitants.

Participants

This study population consisted of 118 PD outpatients from the study of Newly Diagnosed PD in Umeå (NYPUM).

Measurements

Global cognition was assessed with the Mini Mental State Examination (MMSE) at baseline and at follow-up. Anthropometry, nutrition (Mini Nutritional Assessment, MNA, 3-day food registration, 3-FDR), olfactory function (Brief Smell Identification Test, B-SIT), and swallowing, cutting food, and salivation (single questions from the Unified Parkinson’s Disease Rating Scale, UPDRS) were used as markers for nutritional status.

Results

The MMSE score decreased over three years (–1.06±3.38, p=0.001). Olfactory function at baseline was associated to MMSE at three years (B=0.365, p=0.004). Changes in waist/hip ratio (B=113.29, p=0.017), swallowing (B=1.18, P=0.033), and cutting food (B=-1.80, p=0.000) were associated with MMSE at follow-up.

Conclusion

This study indicates that olfactory function, cutting food, swallowing, and visceral obesity are associated with MMSE three years after PD diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Barichella M, Cereda E, Madio C, Iorio L, Pusani C, Cancello R, et al. Nutritional risk and gastrointestinal dysautonomia symptoms in Parkinson’s disease outpatients hospitalised on a scheduled basis. Br J Nutr. 2013; 110: 347–53.

    Article  CAS  PubMed  Google Scholar 

  2. Heetun ZS, Quigley EM. Gastroparesis and Parkinson’s disease: A systematic review Parkinsonism Relat Disord. 2012; 18:433–40.

    Article  PubMed  Google Scholar 

  3. Martinez-Martin P, Falup Pecurariu C, Odin P, van Hilten JJ, Antonini A, Rojo-Abuin JM, et al. Gender-related differences in the burden of non-motor symptoms in Parkinson’s disease. J Neurol. 2012; 259:1639–47.

    Article  PubMed  Google Scholar 

  4. Elgh E, Domellöf M, Linder J, Edström M, Stenlund H, Forsgren L. Cognitive function in early Parkinson’s disease: a population-based study. Eur J Neurol. 2009; 16:1278–84.

    Article  CAS  PubMed  Google Scholar 

  5. Muslimovic D, Post B, Speelman JD, Schmand B. Cognitive profile of patients with newly diagnosed Parkinson disease. Neurology 2005; 25:1239–45.

    Article  Google Scholar 

  6. Foltynie T, Brayne CE, Robbins TW, Barker RA. The cognitive ability of an incident cohort of Parkinsons patients in the UK. Brain. 2004; 127: 550–60.

    Article  PubMed  Google Scholar 

  7. Aarsland D, Brønnick K, Larsen JP, Tysnes OB, Alves G. Cognitive impairment in incident, untreated Parkinson disease: the Norwegian ParkWest study. Neurology 2009; 72:1121–6.

    Article  CAS  PubMed  Google Scholar 

  8. Sheard JM, Ash S, Mellick GD, Silburn PA, Kerr G K. Malnutrition in a sample of community-dwelling people with Parkinson’s disease. PLoS One. 2013; 8:e53290.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Sheard JM, Ash S, Silburn PA, Kerr GK. Nutritional status in Parkinson’s disease patients undergoing deep brain stimulation surgery: a pilot study. J Nutr Health Aging 2013; 17: 148–51.

    Article  CAS  PubMed  Google Scholar 

  10. Morley JE. Cognition and nutrition. Curr Opin Clin Nutr Metab Care. 2014; 17:1–4.

    CAS  PubMed  Google Scholar 

  11. Andersson I, Sidenvall B. Case studies of food shopping, cooking and eating habits in older women with Parkinson’s disease. J Adv Nurs. 2001; 35:69–78.

    Article  CAS  PubMed  Google Scholar 

  12. Ådén E, Carlsson M, Poortvliet E, Stenlund H, Linder J, Edström M, et al. Dietary intake and olfactory function in patients with newly diagnosed Parkinson’s disease: a case-control study. Nutr Neurosci 2011; 14: 25–31.

    Article  PubMed  Google Scholar 

  13. Schubert CR, Carmichael LL, Murphy C, Klein BEK, Klein R, Cruickshanks KJ. Olfaction and the 5-year incidence of cognitive impairment in an epidemiologic study of older adults. J Am Geriatr Soc 2008; 56: 1517–21.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Strupeit S, Meyer S, Buss A, Gräske J, Worch A, Wolf-Ostermann K. Influence of living situation on vulnerable elderly: focus on nutritional status. J Nutr Health Aging 2014; 18: 787–91.

    Article  CAS  PubMed  Google Scholar 

  15. Sheard JM, Ash S, Mellick GD, Silburn PA, Kerr GK. Markers of disease severity are associated with malnutrition in Parkinson’s disease. PLoS One 2013; 8: e57986.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Linder J, Stenlund H, Forsgren L. Incidence of Parkinson’s disease and Parkinsonism in northern Sweden: a population-based study. Mov Disord 2010; 25: 341–8.

    Article  PubMed  Google Scholar 

  17. Fahn S, Elton RL, the UPDRS Development Committee. Unified Parkinson’s disease rating scale. In: Fahn S, Marsden CD, Calne D, Goldstein M, Eds. Recent developments in Parkinson’s disease. Florham Park, NJ: Macmillan Healthcare Information; 1987: 153–64.

    Google Scholar 

  18. Gibb WR, Lees AJ. The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson’s disease. J Neurol Neurosurg Psychiatry 1988; 51: 745–52.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967; 17: 427–42.

    Article  CAS  PubMed  Google Scholar 

  20. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189–98.

    Article  CAS  PubMed  Google Scholar 

  21. Doty RL, Marcus A, Lee WW. Development of the 12-item Cross-Cultural Smell Identification Test (CC-SIT). Laryngoscope. 1996; 106(3 Pt 1): 353–6. (B-SIT)

    Article  CAS  PubMed  Google Scholar 

  22. Vikdahl M, Carlsson M, Linder J, Forsberg L, Håglin L. Wei ght gain and increased central obesity in the early phase of Parkinson’s disease. Clin Nutr. doi: 10.1016/j.clnu.2013.12.012.

  23. Nicaretta H D, Rosso A L, de Mattos J P, Maliska C, Costa M B M. Dysphagia and sialorrhea: the relationship to Parkinson’s disease. Arq Gastroenterol. 2013; 50:42–9.

    Article  PubMed  Google Scholar 

  24. van Steijn J, van Harten B, Flapper E, Droogsma E, van Walderveen, Blaauw M, et al. The nutritional status of Dutch elderly patients with Parkinson’s disease. J Nutr Health Aging. 2014; 18:601–7.

    Article  CAS  PubMed  Google Scholar 

  25. Khoo TK, Yarnall AJ, Duncan GW, Coleman S, O’Brien JT, Brooks DJ, et al. The spectrum of nonmotor symptoms in early Parkinson Disease. Neurology. 2013; 80:276–81.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Karpa MJ, Gopinath B, Rochtchina E, Wang JJ, Gumming R G, Sue C M, et al. Prevalence and neurodegenerative or other associations with olfactory impairment in an older community. J Aging Health. 2010; 22; 154–68.

    Article  PubMed  Google Scholar 

  27. Lee JE, Cho KH, Ham JH, Song SK, Sohn YH, Lee PH. Olfactory performance acts as a cognitive reserve in non-demented patients with Parkinson’s disease. Parkinsonism Relat Disord. 2014; 20:186–91.

    Article  PubMed  Google Scholar 

  28. Coin A, Veronese N, De Rui M, Mosele M, Bolzetta F, Girardi A, et al. Nutritional predictors of cognitive impairment severity in demented elderly patients: the key role of BMI. J Nutr Health Aging. 2012; 16:553–6.

    Article  CAS  PubMed  Google Scholar 

  29. Kurth F, Levitt JG, Philips OR, Luders E, Woods RP, Mazziotta JC, et al. Relationships between gray matter, body mass index and waist circumference in healthy adults. Hum Brain Mapp. 2013; 34:1737–46.

    Article  PubMed  Google Scholar 

  30. Cereda E, Sansone V, Meola G, Malavazos AE. Increased visceral adipose tissue rather than BMI as a risk factor for dementia. Age Ageing 2007; 36:488–91.

    Article  PubMed  Google Scholar 

  31. Wirth R, Smoliner C, Sieber CC, Volkert D. Cognitive function is associated with body composition and nutritional risk of geriatric patients. J Nutr Health Aging 2011; 15:706–10.

    Article  CAS  PubMed  Google Scholar 

  32. Heller J, Dogan I, Schulz JB, Reetz K. Evidence for gender differences in cognition, emotion and quality of life in Parkinson’s disease. Aging and Disease 2014; 1: 63–75.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Vikdahl.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vikdahl, M., Domellöf, M.E., Forsgren, L. et al. Olfactory function, eating ability, and visceral obesity associated with MMSE three years after Parkinson’s disease diagnosis. J Nutr Health Aging 19, 894–900 (2015). https://doi.org/10.1007/s12603-015-0573-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-015-0573-1

Keywords

Navigation