Nutritional status often deteriorates in Alzheimer's disease (AD). Less is known about whether nutritional care reverses malnutrition and its harmful consequences in AD. The aim of this study is to examine whether individualized nutritional care has an effect on weight, nutrition, health, physical functioning, and quality of life in older individuals with AD and their spouses living at home.
AD patients and their spouses (aged > 65?years) living at home (n?=?202, 102?AD patients) were recruited using central AD registers in Finland. The couples were randomized into intervention and control groups. A trained nutritionist visited intervention couples 4-8 times at their homes and the couples received tailored nutritional care. When necessary, the couples were given protein and nutrient-enriched complementary drinks. All intervention couples were advised to take vitamin D 20?µg/day. The intervention lasted for one year. The couples of the control group received a written guide on nutrition of older people. Participants in the intervention group were assessed every three months. The primary outcome measure is weight change. Secondary measures are the intake of energy, protein, and other nutrients, nutritional status, cognition, caregiver's burden, depression, health related quality of life and grip strength.
This study provides data on whether tailored nutritional care is beneficial to home-dwelling AD patients and their spouses.
ACTRN 12611000018910.
Notes
Cites: BMJ. 1997 Jan 18;314(7075):178-99022430
Cites: Neurology. 1994 Dec;44(12):2308-147991117
Cites: J Am Geriatr Soc. 1998 Oct;46(10):1223-79777903
Cites: Clin Nutr. 2005 Jun;24(3):390-715896425
Cites: Ann Intern Med. 2006 Jan 3;144(1):37-4816389253
Cites: J Gerontol A Biol Sci Med Sci. 2006 Sep;61(9):935-4216960024
Cites: J Nutr Health Aging. 2006 Nov-Dec;10(6):466-85; discussion 485-717183419
Cites: Am J Alzheimers Dis Other Demen. 2007 Oct-Nov;22(5):360-817959871
Cites: J Am Diet Assoc. 2007 Dec;107(12):2091-918060894
Cites: J Nutr Health Aging. 2008 Aug-Sep;12(7):461-918615228