The journal of nutrition, health & aging

, Volume 19, Issue 2, pp 169–177 | Cite as

Outcomes of enteral nutrition for patients with advanced dementia — A systematic review

  • Ana Lucia Ribeiro Salomon
  • M. R. Carvalho Garbi Novaes
Article

Abstract

The present article aims to evaluate the outcomes of enteral nutrition for people with advanced dementia. A systematic review was conducted by searching The Cochrane Library, MEDLINE, EMBASE, PROQUEST and LILACS for articles that were published from 2008 to 2013. Prospective and retrospective studies involving a control group were searched. Data were independently extracted and assessed by one reviewer and checked by a second. Searched outcomes included survival, clinical and nutritional parameters and complications. In total, nine controlled studies were identified from several parts of the world: Israel, Italy, Japan, the United States and Brazil. Most of the studies did not report any outcome of harm with enteral nutrition use in dementia patients compared with patients without dementia. A study with a higher follow-up period demonstrated improvements in albumin, weight and chronic inflammation parameters. It is not possible to affirm that tube feeding is harmful for dementia patients. Thus, an adequate follow-up by a multidisciplinary team may lower complications associated with this therapy and thus improve survival.

Key words

Home care services enteral nutrition dementia Alzheimer’s disease outcomes 

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Copyright information

© Serdi and Springer-Verlag France 2014

Authors and Affiliations

  • Ana Lucia Ribeiro Salomon
    • 1
  • M. R. Carvalho Garbi Novaes
    • 2
  1. 1.Nutritionist of the Health Department of the Federal DistrictDoctor in Health Sciences - University of Brasilia, Coordinator of the Clinical Nutrition Residency of Hospital Regional da Asa NorteBrasíliaBrazil
  2. 2.Hospital Pharmaceutics of the Health Department of the Federal DistrictPost-doctoral in Ethics in Clinical Research - Universidad del Chile, Professor of Medicine - ESCS-Fepecs, Coordinator of Ethics Committee of Fepecs/SES-DFBrasíliaBrazil
  3. 3.SQS 102 — bloco “G” — aptº 201, CEP: 70.330-070BrasíliaBrazil

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