| Autor: |
Borders JC; Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY., Blanke S; University of Wisconsin-Madison., Johnson S; Ebling Library for the Health Sciences., Gilmore-Bykovskyi A; Department of Medicine, Division of Geriatrics and Gerontology.; University of Wisconsin-Madison School of Nursing.; Geriatric Research Education and Clinical Center (GRECC), William S. Middleton Memorial Veterans Hospital, Madison, WI., Rogus-Pulia N; Department of Communication Sciences and Disorders, University of Wisconsin-Madison.; Department of Medicine, Division of Geriatrics and Gerontology.; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Public Health, University of Wisconsin-Madison.; Geriatric Research Education and Clinical Center (GRECC), William S. Middleton Memorial Veterans Hospital, Madison, WI. |
| Jazyk: |
angličtina |
| Zdroj: |
Alzheimer disease and associated disorders [Alzheimer Dis Assoc Disord] 2020 Oct-Dec; Vol. 34 (4), pp. 366-379. |
| DOI: |
10.1097/WAD.0000000000000387 |
| Abstrakt: |
Malnutrition and weight loss are highly prevalent in persons with Alzheimer's disease and related dementias. Oral intake is an important interventional target for addressing these nutritional consequences. However, the efficacy of interventions remains poorly understood as prior syntheses have failed to examine the impact of intervention approaches on malnutrition and hypothesized mechanisms of action in persons with dementia. This review aimed to determine the efficacy of mealtime interventions to improve oral intake and nutritional outcomes in persons with dementia. Four databases yielded 1712 studies, resulting in 32 studies that met inclusion criteria. Studies included education, environmental modifications, feeding, oral supplementation, and other pharmacologic/ecopsychological interventions. While the majority of studies reported statistically significant improvements in at least 1 nutritional outcome, study design and outcome measures were heterogenous with many lacking adequate statistical power or blinding. Collectively, we found moderate evidence to suggest the efficacy of oral supplementation, and preliminary evidence to suggest that feeding interventions, education, and environmental modifications may confer improvements. Findings clarify the state of existing evidence regarding various interventional strategies for improving malnutrition in persons with dementia. While some approaches are promising, adequately powered and rigorously designed multidimensional intervention trials are needed to inform clinical decision-making in real-world contexts. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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