Use of nutritional complete supplements in older adults with dementia: Systematic review and meta-analysis of clinical outcomes

Allen, Victoria J.; Methven, Lisa; Gosney, Margot

doi:10.1016/j.clnu.2013.03.015

Cited by 80 publications

(61 citation statements)

References 42 publications

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“…The study of Allen et al included both institutionalized and community-dwelling patients with dementia but not specifically with AD. Most of the patients included (75 %) were residents in long-term care establishments [1] which might explain the differences in results compared to our systemic review, e.g. the compliance in institutionalized patients may be better than in community-dwelling patients, because community-dwelling patients have no professional caregiver to ensure that the patient adheres to therapy.…”

Section: Treatment Of Weight Loss and Undernutritionmentioning

confidence: 56%

“…Based on the results of this recently published systematic review, no recommendations for the best approach to community-dwelling AD patients with (risk of) undernutrition could be formulated. Allen et al performed a systematic review and meta-analysis of the effects of ONS in people with dementia [1] and concluded that providing ONS has a positive effect on weight gain and cognition [1]. The study of Allen et al included both institutionalized and community-dwelling patients with dementia but not specifically with AD.…”

Section: Treatment Of Weight Loss and Undernutritionmentioning

confidence: 98%

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Weight loss and undernutrition in community-dwelling patients with Alzheimer’s dementia

2015

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Weight loss and undernutrition are commonly described in patients with Alzheimer's disease (AD) and have been associated with various adverse outcomes. Therefore, it is important to know what the best approach is to community-dwelling AD patients with a risk of developing a poor nutritional status; however, there is currently no evidence on which to base nutritional recommendations. Expert based recommendations are that the nutritional status should be part of the work-up of all AD patients. If weight loss of 5% or more has occurred in 3-6 months or if the mini-nutritional assessment (MNA) classifies a patient as undernourished, a nutritional intervention should be started. The intervention should be multifactorial and encompass treatment of the underlying proposed causes and risk factors of weight loss and undernutrition as well as improvement of the nutritional status by increasing energy and protein intake combined with daily physical activity.

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Section: Treatment Of Weight Loss and Undernutritionmentioning

confidence: 56%

Section: Treatment Of Weight Loss and Undernutritionmentioning

confidence: 98%

Weight loss and undernutrition in community-dwelling patients with Alzheimer’s dementia

2015

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“…State Examination scores improved after ONS usage; however, their effectiveness is still debated. The most expected problem of insufficient adherence to drinks was reported to be significant in only 1 of 12 studies (36). Even the serving method can matter.…”

Section: Interventions To Improve Nutritional Statusmentioning

confidence: 98%

Nutritional issues in dementia patients

Kılıç¹,

Sümer²,

Ülger³

2015

Turk J Med Sci

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IntroductionDementia is defined as a progressive decline in cognitive functions that interacts with activities of daily living, causing dependency while performing tasks such as bathing, eating, and ambulation. Reversible conditions such as hypothyroidism, vitamin B12 deficiency, intracranial lesions, normal pressure hydrocephalus, subdural hematoma, and drugs can result in symptoms resembling dementia and resolve after appropriate medical or surgical therapy. However, the leading cause of dementia is Alzheimer disease and current medications can only slow its progression. Advanced age, female sex, low level of education, and genetic factors increase the risk of cognitive impairment. In addition, metabolic and vascular risk factors like smoking, diabetes, hyperlipidemia, hypertension, and obesity play roles in the development of dementia. As a result of more common vaccination programs and better sanitation, expected survival at birth has increased worldwide over the last 5 decades. Therefore, the aging population became a major problem of western countries due to its burden on health care services devoted to older patients. More and more patients with dementia are admitted to hospitals for complications like infections, pressure sores, and feeding problems. Malnutrition is important and should be prevented; otherwise, susceptibility to infection, development of pressure sores, and immobilization due to sarcopenia will ensue. Demented patients are prone to malnutrition owing to many different conditions such as edentulism, dysphagia, and financial and social restrictions. Their caregivers are also at risk of malnutrition (1). This review will focus on common nutritional problems of patients with dementia and their management. Common problems 2.1. Oral healthEdentulism, poorly fitting dentures, and alterations in the sense of taste and smell of the foods by aging can lead to malnutrition by decreasing solid food intake (2). Thus, optimization of oral health is mandatory to maintain adequate nutrition. In addition, cognitive impairment itself can threaten oral health (3). Gil-Montoya et al. reported that the Oral Health Impact Profile (OHIP), a 14-item questionnaire, was able to detect malnutrition presence and risk effectively in geriatric patients. Malnutrition/risk was 3.43-fold more prevalent in patients with OHIP-reported problems than in those who did not report any problems (4). Several studies reported an association between oral health and malnutrition. Furuta et al., in their study conducted among 286 dementia patients receiving home-care services, reported that cognitive impairment, denture wearing, and number of teeth affected nutritional status by interacting with swallowing function, leading to malnutrition and restriction in activities of daily living (5). Dion et al. indicated the importance of regular dental examination in order to prevent malnutrition in a study performed among 1094 geriatric institutionalized patients (6). DysphagiaDysphagia, defined as difficulty in swallowing, is a late clinica...

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“…A meta-analysis by Alen et al (2013) [41] stated that malnutrition is the most prevalent nutritional status in people diagnosed with dementia and therefore the use of ONS is indicated by having a positive effect on weight gain. Pivi et al (2011) [42] demonstrated that oral nutritional supplement used for 6 months increased all anthropometric measurements (weight, arm, and muscle circumference), with a positive impact on the body mass index and improvement of the immune status of these patients.…”

Section: Nutritional Intervention Strategies For Moderately Impaired mentioning

confidence: 99%

Nutritional management for Alzheimer’s disease in all stages: mild, moderate, and severe

Pivi

Vieira

Ponte

et al. 2017

Nutrire

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Alzheimer's disease corresponds to 50-70% of all dementia syndromes, classified as a progressive neurodegenerative disease showing diffuse cortical atrophy with three stages of evolution: mild, moderate, and severe. Behavioral symptoms and memory loss are major manifestations of the disease. Non-pharmacological interventions are essential to improve the quality of life of these patients. Interdisciplinary assistance is essential throughout the disease course. Regarding nutrition for patients with Alzheimer's disease, weight loss and behavioral changes related to food are major objects of scientific study, as they trigger deterioration of the quality of life of patients and caregivers. Knowing which nutritional guidelines should be used helps in clinical decisions. The study of nutrition in dementia is, therefore, critical for patient management.

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Use of nutritional complete supplements in older adults with dementia: Systematic review and meta-analysis of clinical outcomes

Cited by 80 publications

References 42 publications

Weight loss and undernutrition in community-dwelling patients with Alzheimer’s dementia

Weight loss and undernutrition in community-dwelling patients with Alzheimer’s dementia

Nutritional issues in dementia patients

Nutritional management for Alzheimer’s disease in all stages: mild, moderate, and severe

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