Malnutrition in community-dwelling adults with dementia (Nutrialz Trial)

作者：Marta Roqué i Figuls, Antoni Salvà, Bruno J. Vellas · 发表于：The journal of nutrition health & aging · 年份：2012 · DOI：10.1007/s12603-012-0401-9 · 被引用次数：138 · 研究领域：Nutrition and Health in Aging、Dysphagia Assessment and Management、Dementia and Cognitive Impairment Research

OBJECTIVES: The objective of this study is to assess the nutritional status, measured by the MNA, in community-dwelling elderly individuals with dementia and to identify clinical risk factors for nutritional risk or malnutrition. DESIGN: Cross-sectional analysis of a cluster randomized clinical trial (Nutrialz). SETTING: Community-dwelling individuals attending dementia clinics. PARTICIPANTS: 940 individuals. MEASUREMENTS: The clinical scales assessed were Mini Nutritional Assessment (MNA), Eating Behaviour Scale (EBS), Charlson comorbidity index, Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Basic Activities of Daily Living (BADL) score, Instrumental Activities of Daily Living (IADL) score, Neuropsychiatric Inventory Questionnaire (NPI-Q), Cornell depression scale and Zarit Caregiver Burden Interview. RESULTS: 5.2% of participants were classified as being malnourished, 42.6% as being at risk of malnutrition and 52.2% as well nourished. Malnutrition by type of dementia was more frequent in Lewy bodies dementia (18.2%) than in the other types. Worse nutritional status is significantly related to more advanced age and worse cognitive, functional and behavioural profile, as well as increased burden for caregivers. Presence of behavioural symptoms is significantly related to worse nutritional level for all NPI-Q symptoms but depression, exaltation, lack of inhibition and irritability. The items more strongly related to malnutrition are appetite/feeding and...