The relationship between dehydration and etiologic subtypes of major neurocognitive disorder in older patients

Aslan Kirazoglu, Damla; Heybeli, Cihan; Atcıyurt, Kübra; Yigitalp, Veliye; Smith, Lee; Veronese, Nicola; Rahmati, Masoud; Soysal, Pinar

doi:10.1007/s41999-024-00986-z

Eur Geriatr Med

2024

DOI: 10.1007/s41999-024-00986-z

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The relationship between dehydration and etiologic subtypes of major neurocognitive disorder in older patients

Damla Aslan Kirazoglu,

Cihan Heybeli,

Kübra Atcıyurt

et al.

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Cited by 2 publications

References 39 publications

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A systematic review on dysphagia treatments for persons living with dementia

Chan,

Wu,

Cheng

2024

Eur Geriatr Med

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Purpose Dysphagia in persons living with dementia (PLWD) is raising concern due to the absence of swallowing treatments specific to this population. Dysphagia can result in detrimental effects, such as malnutrition, dehydration, and aspiration pneumonia. This systematic review aimed to evaluate the existing literature on dysphagia management of PLWD and reveal their limitations to facilitate clinical practitioners in decision-making. Methods Five electronic databases were searched systematically from the date of inception to January 2024 by two independent reviewers. Eligible studies investigated any treatments with outcome measurements evaluating swallowing function. Qualitative analyses were performed. Results A total of 10 studies, involving 1360 participants, were included in the systematic review. They were analyzed qualitatively and evaluated for quality. Studies included were observational (n = 5) with prospective or retrospective designs, and randomized controlled trials (n = 5). Compensatory, rehabilitative, stimulation, and pharmacological treatments were addressed. Conclusion There is currently limited evidence available revealing the efficacy of dysphagia treatments for PLWD. Based on the current evidence, no definitive conclusions can be drawn on which treatments are more effective for this population. In the future, more randomized controlled trials with large sample sizes investigating the long-term effects of treatments are warranted.

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A systematic review on dysphagia treatments for persons living with dementia

Chan,

Wu,

Cheng

2024

Eur Geriatr Med

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What's new about hydration in dementia?

Theodoridis,

Poulia,

Chourdakis

2024

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review The aim of this study was to conduct a review of the literature published over the past 18 months and present the latest findings on hydration in individuals with dementia. Recent findings A systematic review identified sarcopenia, polypharmacy, delayed oral transit, and poor rinsing ability as markers of eating-drinking-swallowing difficulties in early-stage dementia. A cross-sectional study found a high prevalence of dehydration (57–68%) among dementia patients, associated with hypertension, diabetes, chronic kidney disease, dysphagia, and cognitive decline. An analysis of national dementia care guidelines showed that only the UK and Switzerland addressed assisted nutrition and hydration. “Jelly Drops,” a hydrating product for dementia patients, received innovation awards. A study on US Physician Orders for Life Sustaining Treatment forms highlighted inconsistent terminology for end-of-life nutrition and hydration, calling for clearer language to aid decision-making. Summary The new hydration-related recommendations in the ESPEN 2024 guidelines for dementia reflect a more individualized, proactive, and comprehensive approach to managing hydration. These guidelines emphasize the importance of early detection, personalized interventions, and consistent monitoring to ensure that dehydration is identified and treated promptly. Furthermore, the current literature supports the need for a specific terminology for dementia management using nutrition and hydration to improve patients’ health outcomes.

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The relationship between dehydration and etiologic subtypes of major neurocognitive disorder in older patients

Cited by 2 publications

References 39 publications

A systematic review on dysphagia treatments for persons living with dementia

A systematic review on dysphagia treatments for persons living with dementia

What's new about hydration in dementia?

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