Effects of oral nutrition supplements in persons with dementia: A systematic review

Tangvik, Randi Julie; Bruvik, Frøydis Kristine; Drageset, Jorunn; Kyte, Kristin; Hunskår, Irene

doi:10.1016/j.gerinurse.2020.12.005

Cited by 27 publications

(26 citation statements)

References 36 publications

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“…A high hemoglobin level generally indicates a good trophic condition. Patients maintaining better nutritional status are unlikely to have a risk for aspiration because they are anticipated to intake sufficient nutrition 15 . Indeed, another scale for nutrition, the BMI, did not differ between patients with and without lower lobe-predominant distribution.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with gravity-dependent distribution on chest CT in elderly patients with community-acquired pneumonia: a retrospective observational study

Komiya

Yamamoto

Yoshikawa

et al. 2022

Sci Rep

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Although lung involvement in aspiration pneumonia typically has a gravity-dependent distribution on chest images, which patient’s conditions contribute to its radiological pattern has not been fully elucidated. This study was designed to determine the factors associated with the gravity-dependent distribution of community-acquired pneumonia (CAP) on chest computed tomography (CT). This retrospective study included elderly patients aged ≥ 65 years with CAP who underwent chest CT within 1 week before or after admission. The factors associated with lower lobe- and posterior-predominant distributions of ground glass opacity or airspace consolidation were determined. Of the 369 patients with CAP, 348 (94%) underwent chest CT. Multivariate analyses showed that impaired consciousness, a low Barthel index of activities of daily living, and high hemoglobin levels were associated with lower lobe-predominant distribution, while male sex and impaired consciousness were associated with posterior-predominant distribution. Cerebrovascular diseases were unrelated to these distributions. While male sex, impaired consciousness, high hemoglobin levels, low albumin levels, and the number of involved lobes were associated with in-hospital mortality, gravity-dependent distributions were not. Impaired consciousness might be the most significant predictor of aspiration pneumonia; however, the gravity-dependent distribution of this disease is unlikely to affect disease prognosis.

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Section: Discussionmentioning

confidence: 99%

Factors associated with gravity-dependent distribution on chest CT in elderly patients with community-acquired pneumonia: a retrospective observational study

Komiya

Yamamoto

Yoshikawa

et al. 2022

Sci Rep

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“…There has been a great interest in diet as a modifiable risk factor for dementia. Until recently, there has been limited evidence to suggest any form of additional dietary supplements play a role in dementia prevention [ 25 – 28 ] however the recently published LipiDiDiet clinical trial, randomising participants with prodromal Alzheimer’s Disease to Fortasyn Connect (Souvenaid) or placebo, demonstrated promising improvements in cognition, functional outcomes and cerebral atrophy within the intervention group [ 29 ]. Beyond this, there is a shift to explore the role of whole dietary patterns.…”

Section: Discussionmentioning

confidence: 99%

Are clinical trials randomising households to lifestyle interventions to delay cognitive decline feasible? A pilot study to determine the beliefs, preferences, and deterrents for households impacted by dementia based on semi-structured interviews

et al. 2022

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Introduction While lifestyle risk factors are implicated in the development and progression of cognitive impairment, interventional trials of individual participants have yielded unconvincing evidence. We sought to explore the development of lifestyle interventions targeting the household-unit. Methods Semi-structured interviews were carried out among eight households affected by cognitive impairment (i.e. member of the household had cognitive impairment). Interviews took place online using a secure, web-based video platform recommended for patient clinician interaction. Interview content was analysed, and important themes identified. Results Eighteen participants were interviewed within households, of which eight (one per household) had cognitive impairment and others were spouses or first-degree relatives living in the same home. Several themes emerged; 1) household members without cognitive impairment were more likely to report poor sleep habits, and sleep was perceived to be the hardest behaviour to change; 2) diet generated most interest as a potential lifestyle intervention target as most participants believed there is a strong link with nutrition and cognition; 3) physical activity is challenging to adapt due to lack of motivation and focus when individuals are cognitively impaired. Barriers to study participation, including risk of harm, complexity of intervention and deviation from routine emerged during discussions. Conclusions This study identified beliefs and preferences of households towards lifestyle intervention trials. Findings from this study may be used to inform future clinical trial protocols and future qualitative studies should explore acceptability and feasibility of digital intervention applications.

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“…If food intake for nursing home residents is insufficient, oral nutritional supplements (ONS) can be considered to improve total energy, protein and micronutrient intake. There is strong evidence that ONS have a positive effect on nutritional status, body weight and body mass index in older adults 6 . Research suggests no beneficial effect of ONS on survival of disease‐related malnutrition in adults 7 .…”

Section: Introductionmentioning

confidence: 99%

“…There is strong evidence that ONS have a positive effect on nutritional status, body weight and body mass index in older adults. 6 Research suggests no beneficial effect of ONS on survival of disease-related malnutrition in adults. 7 A recent systematic review by Tangvik et al 6 reported that, although ONS may improve nutritional status, no effects on functional outcomes were observed.…”

Section: Introductionmentioning

confidence: 99%

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Decision‐making regarding oral nutritional supplements for nursing home residents with advanced dementia: A cross‐sectional pilot study

Kramer

Perry

Lodewijks

et al. 2021

J Human Nutrition Diet

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Background Surrogate decision‐making regarding oral nutritional supplements (ONS) for nursing home residents with advanced dementia is a complex process. In this cross‐sectional study, we assessed whether Dutch dietitians, elderly care physicians (physicians) and surrogate decision‐makers (SDMs) differ in the factors that they regard important when considering ONS. We also investigated differences in opinion regarding whether or not ONS is a life‐prolonging measure. Methods Through an online survey, 90 dietitians, 53 physicians and 70 SDMs of nursing home residents (all aged ≥ 65 years old with advanced dementia) rated the level of perceived influence of 11 pre‐defined factors on their decision‐making, ranked factors in order of importance and stated whether they considered ONS a life‐prolonging measure or not. By statistical analysis, we tested differences in the mean sum of ranks for perceived influence differing between groups. We also tested differences in proportions between groups of those who considered ONS a life‐prolonging measure. Results Rating of perceived influence significantly differed for six factors. Quality of life was ranked as the most influential factor by all groups. Dietitians significantly differed in their opinion on the life‐prolonging effect of ONS from physicians (odds ratio = 0.29, 95% confidence interval = 0.13–0.65), as well as from SDMs (odds ratio = 0.22, 95% confidence interval = 0.10–0.45). Conclusions Although all groups proclaimed quality of life to be first priority in decision‐making, we found that Dutch dietitians, physicians and SDMs differed in what they regarded important when considering ONS for nursing home residents with advanced dementia. Regarding the life‐prolonging effect of ONS, dietitians differed in opinion from physicians, as well as from SDMs.

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Effects of oral nutrition supplements in persons with dementia: A systematic review

Cited by 27 publications

References 36 publications

Factors associated with gravity-dependent distribution on chest CT in elderly patients with community-acquired pneumonia: a retrospective observational study

Factors associated with gravity-dependent distribution on chest CT in elderly patients with community-acquired pneumonia: a retrospective observational study

Are clinical trials randomising households to lifestyle interventions to delay cognitive decline feasible? A pilot study to determine the beliefs, preferences, and deterrents for households impacted by dementia based on semi-structured interviews

Decision‐making regarding oral nutritional supplements for nursing home residents with advanced dementia: A cross‐sectional pilot study

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