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Evaluation of strategies to improve nutrition in people with dementia in an assessment unit

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The Journal of Nutrition Health and Aging

Abstract

Objectives: To evaluate strategies designed to improve nutrition in elderly hospitalised patients with dementia.Design: Observation phase followed by sequential interventions.Setting: A Short stay assessment unit.Participants: Hospital Inpatients with a variety of conditions causing dementia.Interventions: Phase 1: Observation. Phase 2: Encouraging dietary, ‘Grazing’. Phase 3: Using volunteers to feed patients. Phase 4: Improving dining room ambience by playing soothing music.Measurements: Body Mass Index (BMI), mid arm circumference, mini nutrition index and caloric intake by plate waste measurement.Results: BMI fell in the Observation phase 0.6+0.68 kg/m2 (p< 0.001), but increased in each of the Intervention phases. Phase2 0.3+0.86 kg/m2 (p< 0.04), Phase 3 0.37+0.4 kg/m2 (p< 0.04), Phase 4 0.39+0.7 kg/m2 (p< 0.007). Caloric intake increased in the intervention phases.Conclusions: Simple, inexpensive and easy to implement strategies can improve nutrition in hospital inpatients with dementia.

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References

  1. Sandman PO, Adolfson R et al. Nutritional status and dietary intake in institutionalised patients with Alzheimer’s disease and multi-infarct dementia. J Am Geriatric Soc 1986; 35: 31–8.

    Google Scholar 

  2. Watson R. Undernutrition, weight loss and feeding difficulty in elderly patients with dementia: A nursing perspective. Reviews in Clinical Gerontology 1997, 317–326.

  3. Morgan DB, Hullin RP. The body composition of the chronic mentally ill. HumanNutrition-Clinical Nutrition 1982;36: 439–48.

    CAS  Google Scholar 

  4. Morley JE. Anorexia of aging: Physiologic and pathologic. Am Journal of Clinical Nutrition 1997: 66: 760–73.

    CAS  Google Scholar 

  5. Appolioni I, Carabellese C. Influence of dental status on dietary intake and survival in community dwelling elderly subjects. Age and Ageing 1997;26: 445–456

    Article  Google Scholar 

  6. Wang S.Y.N, Fugukawa et al. Longitudinal weight changes, length of survival, and energy requirements of long term residents with dementia. Journal of the American Geriatric Society 1997;45(10): 1189–95.

    CAS  Google Scholar 

  7. Grundman MJ, Corey-Bloom et al. Low body weight in Alzheimer’s disease is associated with mesial temporal cortex atrophy. Neurology 46(6): 1585–91.

  8. Thompson MP, Morris LK. Unexplained weight loss in the ambulatory elderly. J Am Geriatric Soc 1991: 39: 497–500.

    CAS  Google Scholar 

  9. Morley JE, Kraenzle D. Causes of weight loss in a community nursing home. J Am Geriatric Soc 1994;42: 583–5.

    CAS  Google Scholar 

  10. American Psychiatric Asoociation. Delirium, Dementia and Amnestic and other Cognitive Disorders. Diagnostic and Statistical Manual of Mental Disorders 4th Edition. American Psychiatric Association 2000.

  11. Musson ND, Kincaid J et al. Nature, nurture, nutrition: Interdisciplinary programs to address the prevention of malnutrition and dehydration. Dysphagia 1990: 5: 96–101.

    Article  PubMed  CAS  Google Scholar 

  12. Mathey MF, Vanneste VG et al. Health effects of improved meal ambience in a Dutch nursing home: a one year intervention study. Preventative Medicine 2001;32: 416–423.

    Article  CAS  Google Scholar 

  13. Vellas B, Guigoz Y et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999;15: 116–22.

    Article  PubMed  CAS  Google Scholar 

  14. Tully MW, Matrakas KL et al. The Eating Behaviour Scale: A simple method of assessing functional ability in Alzheimer’s disease. J Gerontol. Nursing 1997;23: 9–15.

    CAS  Google Scholar 

  15. Faxen-Irving G, Andren-Olssen A, af Geijerstam A et al. The effect of nutritional intervention in elderly subjects residing in group-living for the demented. European Journal of Clinical Nutrition 2002;56: 221–227.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to R. Sainsbury.

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Wong, A., Burford, S., Wyles, C.L. et al. Evaluation of strategies to improve nutrition in people with dementia in an assessment unit. J Nutr Health Aging 12, 309–312 (2008). https://doi.org/10.1007/BF02982660

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  • DOI: https://doi.org/10.1007/BF02982660

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