Caregivers’ male gender is associated with poor nutrient intake in AD families (NuAD-trial)

Puranen, T.M.; Pietilä, Sirpa; Pitkälä, Kaisu; Kautiainen, Hannu; Raivio, Minna; Eloniemi‐Sulkava, Ulla; Jyväkorpi, Satu; Suominen, Merja

doi:10.1007/s12603-014-0448-x

Cited by 9 publications

(4 citation statements)

References 36 publications

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“…An involuntary loss of weight was measured in one of every three caregivers. In contrast to previous literature, no differences were observed between male and female caregivers in nutritional status [ 46 ].…”

Section: Discussioncontrasting

confidence: 95%

Health and frailty among older spousal caregivers: an observational cohort study in Belgium

et al. 2018

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BackgroundAmong older couples, spouses are first in line to provide care, and they are key elements in the home support of dependent older persons. In this context, ensuring the health of these older spousal caregivers should be an important issue for all of the providers who care for older adults. The aim of this study was to longitudinally assess the health of older spousal caregivers considering frailty, nutrition, cognition, physical performance and mood disorders.MethodsIn this longitudinal, observational cohort study, participants were assessed at home in Wallonia, Belgium. At baseline, 82 community-dwelling spouses of older patients with cognitive deficits or functional impairment were assessed; 78 caregivers were assessed at follow-up (16 months). The clinical instruments used included Frailty Phenotype (Fried), the Mini Nutritional Assessment-short form (MNA-SF), Short Physical Performance Battery (SPPB), Geriatric Depression Scale (GDS-15), clock drawing test, medications, Zarit Burden Index (ZBI), and Caregiver Reaction Assessment (CRA). Biological assessments included plasma interleukin-6 (IL-6), ultrasensitive C-reactive protein (CRP), cortisol, albumin and insulin growth factor-1 (IGF-1).ResultsAmong caregivers, 54% were women, and the mean age was 80 years. Among care-receivers, 83% had cognitive impairment. Caregivers were more likely to be in a pre-frail stage. In one-third of the caregivers, the frailty status worsened. Transitions were observed between each of the states, except from frail to robust. In contrast to frailty, items including nutrition, cognitive status, SPPB and mood assessments were stable over time, with approximately 70% of the caregivers not experiencing significant change at follow-up. Caregiver experiences assessed with the Zarit Burden Interview and CRA were relatively stable over 16 months.ConclusionMany caregivers of geriatric patients are spouses who are old themselves. A failure in the health of the caregiver may anticipate an undesired care breakdown. Caregiver health and its determinants should be explored in future longitudinal studies that cover a longer time period.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0980-3) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 95%

Health and frailty among older spousal caregivers: an observational cohort study in Belgium

et al. 2018

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“…As older 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 male caregivers often are not familiar with household activities, cooking, preparing meals and caring [70,72], there seems to be a need for specific training for this subgroup of caregivers.…”

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confidence: 99%

ESPEN guidelines on nutrition in dementia

et al. 2015

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“…This was the only qualitative study involving people with dementia as the main participants. A gender difference in the ability of spouses being able to cope with adequate nutritional intake for both themselves and their spouses with Alzheimer's disease was observed by one study (Puranen et al, 2014), where male caregivers were reported to struggle more so than female caregivers. Increased caregiver burden was identified as a predictor of weight loss in people with Alzheimer's disease (Bilotta, Bergamaschini, Arienti, Spreafico, & Vergani, 2010;Gillette-Guyonnet et al, 2000).…”

Section: Category 3: the Care-giving Dyad And The Influence On Nutrmentioning

confidence: 96%

“…The Care-giving Dyad The Care-giving Dyad (Ball et al, 2015;Fjellstrom et al, 2010;Hua-Chen et al, 2013;Johansson et al, 2011;Keller et al, 2007Keller et al, , 2008Puranen et al, 2014;Rullier et al, 2013;Shatenstein et al, 2016;Wlodarek & Glabska, 2013) Caregiver nutritional status is linked with nutritional status of person they are caring for Caregiver burden is a risk factor for weight loss Caregivers may develop coping strategies…”

Section: Supporting Carersmentioning

confidence: 99%

The nutritional care of people living with dementia at home: A scoping review

Mole

Kent

Abbott

et al. 2018

Health Soc Care Community

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There are an increasing number of people with dementia living in their own home for longer, often supported by a family member. The symptoms of dementia can affect an individual's nutritional status, which can lead to a reduced quality of life for the person with dementia and their family members. A scoping review was conducted from July 2016 until September 2016, using a recognised framework, to explore what is currently known, and identify any gaps in the research regarding the nutritional care of people living with dementia at home. This included any interventions that may have been trialled or implemented, and the views of those living with dementia, carers and clinicians. Six electronic databases were searched from inception to July 2016. A review team was involved in screening and data extraction for selected articles. Published qualitative and quantitative studies were included that explored the nutritional care of people living with dementia at home. Methods included data extraction and conventional content analysis. Stakeholders were involved in the development of final categories. Following screening, 61 studies reported in 63 articles were included. Most studies were cross-sectional (n = 24), cohort (n = 15) or qualitative (n = 9). Only three were randomised controlled trials. Three overarching categories represented the results: Timely identification of nutritional risk and subsequent regular monitoring of nutritional status, multi-component tailored interventions and the influence of the care-giving dyad on nutritional status. Many studies identify people living at home with dementia as a vulnerable group prone to malnutrition; however, a lack of interventions exists to address the increased risk. There is a lack of research exploring the role of home care providers and healthcare professionals in the provision of nutritional care. Further research is required to explore how the emotional aspect of the care-giving dyad influences nutritional care.

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Caregivers’ male gender is associated with poor nutrient intake in AD families (NuAD-trial)

Abstract: A gender difference exists in the ability to cope with caregiver responsibilities related to nutrition. A need exists for tailored nutritional guidance among older individuals and especially among male caregivers.

Cited by 9 publications

References 36 publications

Health and frailty among older spousal caregivers: an observational cohort study in Belgium

Health and frailty among older spousal caregivers: an observational cohort study in Belgium

ESPEN guidelines on nutrition in dementia

The nutritional care of people living with dementia at home: A scoping review

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