OBJECTIVES: We studied the nutritional status and the effects of nutritional intervention on body weight, cognition and activities of daily life (ADL)-function in demented individuals. DESIGN: Controlled non-randomised study. SETTING:Group-living for demented elderly (GLD), ie community assisted housing. SUBJECTS AND INTERVENTIONS:Twenty-two residents living in one of two units (GLD-I), receivedoral liquid supplements (1720 kJ/410 kcal/day) and the personnel of the GLD-I were given nutritional education. Fourteen residents in the other unit (GLD-C) served as controls. After 6 months 21 (83 (4) y, 81% women) and 12 (85 (4) y, 100% women) of the participants, respectively, were re-examined according to body mass index (BMI, kg/m2), cognitive function (Mini Mental State Examination (MMSE, 0-30 p) and Clinical Dementia Rating Scale (CDR) and the Katz' ADL index. RESULTS: Body mass index (BMI) < or =20 was found in 19% of the participants and 44% had BMI< or =23. BMI correlated with MMSE (r=0.43, P<0.01). The weight of the residents in the intervention group increased by 3.4 (3) kg (P=0.001) at follow-up, whereas the weight remained unchanged in the control group. The cognitive function was low at the start in both groups, ie MMSE approximately 9 and no apparent positive effect of the nutritional intervention was seen. In addition, the ADL functions appeared to deteriorate in both groups. CONCLUSIONS: Being underweight was common among demented elderly in group-living and was related to low cognitive capacity. Five months of oral supplementation, along with education of personnel, was followed by a weight gain. In this study the nutritional treatment did not affect the rate of decline in cognitive function or Katz' ADL index. SPONSORSHIP: Supported by grants from the Swedish National Board of Health and Social Welfare. Semper Foods AB provided the liquid supplements.
RCT Entities:
OBJECTIVES: We studied the nutritional status and the effects of nutritional intervention on body weight, cognition and activities of daily life (ADL)-function in demented individuals. DESIGN: Controlled non-randomised study. SETTING: Group-living for demented elderly (GLD), ie community assisted housing. SUBJECTS AND INTERVENTIONS: Twenty-two residents living in one of two units (GLD-I), received oral liquid supplements (1720 kJ/410 kcal/day) and the personnel of the GLD-I were given nutritional education. Fourteen residents in the other unit (GLD-C) served as controls. After 6 months 21 (83 (4) y, 81% women) and 12 (85 (4) y, 100% women) of the participants, respectively, were re-examined according to body mass index (BMI, kg/m2), cognitive function (Mini Mental State Examination (MMSE, 0-30 p) and Clinical Dementia Rating Scale (CDR) and the Katz' ADL index. RESULTS: Body mass index (BMI) < or =20 was found in 19% of the participants and 44% had BMI< or =23. BMI correlated with MMSE (r=0.43, P<0.01). The weight of the residents in the intervention group increased by 3.4 (3) kg (P=0.001) at follow-up, whereas the weight remained unchanged in the control group. The cognitive function was low at the start in both groups, ie MMSE approximately 9 and no apparent positive effect of the nutritional intervention was seen. In addition, the ADL functions appeared to deteriorate in both groups. CONCLUSIONS: Being underweight was common among demented elderly in group-living and was related to low cognitive capacity. Five months of oral supplementation, along with education of personnel, was followed by a weight gain. In this study the nutritional treatment did not affect the rate of decline in cognitive function or Katz' ADL index. SPONSORSHIP: Supported by grants from the Swedish National Board of Health and Social Welfare. Semper Foods AB provided the liquid supplements.
Authors: R Endevelt; J Lemberger; J Bregman; G Kowen; I Berger-Fecht; H Lander; T Karpati; D R Shahar Journal: J Nutr Health Aging Date: 2011-08 Impact factor: 4.075
Authors: A Salvà; S Andrieu; E Fernandez; E J Schiffrin; J Moulin; B Decarli; X Rojano-i-Luque; Y Guigoz; B Vellas Journal: J Nutr Health Aging Date: 2011-12 Impact factor: 4.075
Authors: L W Sorbye; M Schroll; H Finne Soveri; P V Jonsson; E Topinkova; G Ljunggren; R Bernabei Journal: J Nutr Health Aging Date: 2008-01 Impact factor: 4.075
Authors: M Manders; L C P G M De Groot; W H L Hoefnagels; R A M Dhonukshe-Rutten; W Wouters-Wesseling; A J M J Mulders; W A Van Staveren Journal: J Nutr Health Aging Date: 2009-11 Impact factor: 4.075
Authors: Glaucia A K Pivi; Rosimeire V da Silva; Yara Juliano; Neil F Novo; Ivan H Okamoto; César Q Brant; Paulo H F Bertolucci Journal: Nutr J Date: 2011-09-26 Impact factor: 3.271
Authors: Diane K Bunn; Asmaa Abdelhamid; Maddie Copley; Vicky Cowap; Angela Dickinson; Amanda Howe; Anne Killett; Fiona Poland; John F Potter; Kate Richardson; David Smithard; Chris Fox; Lee Hooper Journal: BMC Geriatr Date: 2016-05-04 Impact factor: 3.921