Nutritional Interventions for Early Dementia

Cesari, Matteo; Azzolino, Domenico; Arosio, Beatrice; Canevelli, Marco

doi:10.1007/s12603-021-1616-4

Cited by 9 publications

(7 citation statements)

References 34 publications

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“… 9 However, inconsistent results have also been reported that nutritional supplements did not improve cognitive function in older adults who were malnourished, 10 and persons with MCI may not present major differences in nutritional status compared to healthy individuals. 11 Therefore, the association between malnutrition and cognitive function needs to be further evaluated.…”

Section: Introductionmentioning

confidence: 99%

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Wu¹,

Hou²,

Han³

et al. 2021

CIA

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We aimed to propose a serial mediational model to further analyze the relationship between poor physical performance, malnutrition, depression and cognitive impairment in Chinese community-dwelling older adults. Patients and Methods: This study consisted of 1386 community-dwelling Chinese older adults aged 65 years and older in Shanghai, China. Mild cognitive impairment (MCI) was assessed by the Mini-Mental State Examination (MMSE) and Instrumental Activities Of Daily Living (IADL). Physical performance was assessed by short physical performance battery (SPPB). Malnutrition was defined with the Mini Nutritional Assessment (MNA). Depressive symptoms were evaluated by the 30-item Geriatric Depression Scale (GDS). Serial multiple mediator models were used. Results: The mean age of the final analysis sample was 73.62±6.14, and 57.6% (n=809) were females. The prevalence of MCI was 14.35% (n=199). Physical performance (p<0.001), nutritional status (p=0.025), and depressive symptoms (p=0.002) were correlated with MCI. The serial mediational model revealed that MNA and GDS scores significantly mediated association of SPPB and MMSE scores (c'=0.4728, p<0.001). Furthermore, depressive symptoms significantly mediated the association of physical performance and cognition (p=0.0311), while malnutrition had no independent mediating effect between these two factors (p=0.794). Conclusion:Our study examined the serial multiple mediation roles of nutritional status and depressive symptoms on the relationship between physical performance and cognitive function in community-dwelling Chinese older adults. Older adults who were in poor physical condition tend to have worse nutritional status, more severe depression, and poorer cognitive function.

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Section: Introductionmentioning

confidence: 99%

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Wu¹,

Hou²,

Han³

et al. 2021

CIA

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“…For their mental health, perceived quality of life, cognition, and psychological wellness can be measured (3). In addition to nutritional care, individuals can benefit from exercise or physical activity programs, cognitive care, and encouragement of social connections (79)(80)(81)(82). For healthcare systems, nutritional interventions for care of older people can also be measured in terms of resource use, cost savings, and cost-effectiveness.…”

Section: How Can Healthcare Professionals Monitor the Effectiveness O...mentioning

confidence: 99%

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

et al. 2023

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Ensuring healthy lives and promoting wellbeing across the age spectrum are essential to sustainable development. Nutrition is at the heart of the World Health Organization (WHO) Sustainable Development Goals, particularly for Sustainable Development Goal 2/Subgoal 2, which is to End all forms of malnutrition by 2030. This subgoal addresses people of all ages, including targeted groups like young children and older adults. In recent decades, there have been marked advances in the tools and methods used to screen for risk of malnutrition and to conduct nutritional assessments. There have also been innovations in nutritional interventions and outcome measures related to malnutrition. What has been less common is research on how nutritional interventions can impact healthy aging. Our Perspective article thus takes a life-course approach to consider what is needed to address risk of malnutrition and why, and to examine how good nutrition across the lifespan can contribute to healthy aging. We discuss broad-ranging yet interdependent ways to improve nutritional status worldwide—development of nutritional programs and policies, incorporation of the best nutrition-care tools and methods into practice, provision of professional training for quality nutritional care, and monitoring health and economic benefits of such changes. Taken together, our Perspective aims to (i) identify current challenges to meeting these ideals of nutritional care, and to (ii) discover enabling strategies for the improvement of nutrition care across the lifespan. In harmony with the WHO goal of sustainable development, we underscore roles of nutrition to foster healthy human development and healthy aging worldwide.

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“…It also serves an important role in the onset and prognosis of dementia ( Brockdorf and Morley, 2021 ). As such, nutritional assessment and intervention provides rich potential when nested within a comprehensive integrative approach to dementia care ( Cesari et al, 2021 ). When overlooked, a vicious cycle may present as cognitive decline affects nutritional status, and malnutrition in turn worsens cognitive decline ( Cesari et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…As such, nutritional assessment and intervention provides rich potential when nested within a comprehensive integrative approach to dementia care ( Cesari et al, 2021 ). When overlooked, a vicious cycle may present as cognitive decline affects nutritional status, and malnutrition in turn worsens cognitive decline ( Cesari et al, 2021 ). Indeed, even the most well-designed pharmaceutical will fail in the face of unmet needs that are fundamental to healthy living, such as social interaction, physical activity, and a healthy diet ( Cesari et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…When overlooked, a vicious cycle may present as cognitive decline affects nutritional status, and malnutrition in turn worsens cognitive decline ( Cesari et al, 2021 ). Indeed, even the most well-designed pharmaceutical will fail in the face of unmet needs that are fundamental to healthy living, such as social interaction, physical activity, and a healthy diet ( Cesari et al, 2021 ). The World Health Organization has recognized the problem of malnutrition in this population and recently developed the Integrated Care for Older People (ICOPE) program to promote functional ability and intervention steps to manage declines in older age, including malnourishment and frailty ( Won et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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An integrative approach to dementia care

Warren

2023

Front. Aging

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As the aging population continues to increase, Alzheimer’s disease and related dementias are becoming a global health crisis. The burdens experienced by the person living with dementia, their caregivers, healthcare, and society persist unabated. Persons with dementia represent an important population in need of a tenable care plan. Caregivers need the tools with which to properly care for these persons and to mitigate their own stress response. A viable healthcare model utilizing integrated approaches to care for persons with dementia is in overwhelming demand. While much research is focused on a cure, it is equally important to address the difficulties faced by those currently affected. One approach is to incorporate interventions to increase quality of life within the caregiver-patient dyad via a comprehensive integrative model. Improving daily life of the persons with dementia, along with their caregivers and loved ones may aid in attenuating the pervasive psychological and physical impacts of this disease. A focus on interventions that provide neural and physical stimulation may facilitate quality of life in this regard. The subjective experience of this disease is challenging to capture. The relationship between neurocognitive stimulation and quality of life is at least, in part, therefore still uncertain. This narrative review aims to explore the efficacy and evidence-base of an integrative approach to dementia care in facilitating optimal cognition and quality of life outcomes. These approaches will be reviewed alongside person-centered care that is fundamental to integrative medicine, including exercise; music; art and creativity; nutrition; psychosocial engagement; memory training; and acupuncture.

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Nutritional Interventions for Early Dementia

Cited by 9 publications

References 34 publications

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Association Between Physical Performance and Cognitive Function in Chinese Community-Dwelling Older Adults: Serial Mediation of Malnutrition and Depression

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

An integrative approach to dementia care

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