Kwh. Young et Ce. Greenwood, Shift in diurnal feeding patterns in nursing home residents with Alzheimer's disease, J GERONT A, 56(11), 2001, pp. M700-M706
Citations number
40
Categorie Soggetti
Public Health & Health Care Science","Medical Research General Topics
Journal title
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
Background. Individuals with Alzheimer's disease (AD) are highly susceptibl
e to weight loss and malnutrition, which, to date, have not been associated
with decreased food consumption. The current study examined food intake pa
tterns and how they change in relation to body mass index (BMI), behavioral
function, and cognitive status in institutionalized seniors with AD.,
Methods. Twenty-one consecutive days of investigator-weighted food intake c
ollections were conducted on 25 subjects with likely AD residing at a home
for the aged. All subjects maintained the ability to self-feed.
Results. Eighty-eight percent of participants did not meet targeted energy
needs, including an estimated 37% prevalence of protein inadequacy. Subject
s with increased behavioral difficulties, based on the London Psychogeriatr
ic Rating Scale, had reduced meal-related intakes that were highly associat
ed with decreased energy consumption at dinner. With behavioral changes, pa
rticularly increased mental disorganization and confusion, there was a shif
t in circadian eating patterns such that the greatest proportion of daily e
nergy was consumed at breakfast. Individuals with low BMIs tended to be tho
se with more behavioral difficulties, such that BMI was also associated wit
h the shift in overall eating patterns.
Conclusions. Chang es in behavioral function in seniors with AD result in a
circadian shift in intake patterns with the preponderance of calories cons
umed at break-fast in those with increased behavioral difficulties. This sh
ift in eating patterns associates both with poor overall intake and poor BM
I.