Current Nutritional Approaches in Dementia And Nurses’ Responsibilities

Year 2024, , 463 - 476, 15.07.2024

Emine Özer Küçük , Buğse Yüceer , Ayla Demirtaş , Fatma İlknur Çınar

https://doi.org/10.46483/jnef.1516575

Abstract

The decline in thinking, memory processes and executive functions that occur in the early stages of dementia cause some problems in the nutrition process of individuals with dementia. One of these problems is malnutrition. The lack of energy and micronutrients due to malnutrition can accelerate the progression of dementia by causing further aggravation of the disorders in cognitive functions. Therefore, it is very important to prevent the risk of regression in cognitive activities and to effectively manage malnutrition in individuals with dementia. Nurses, who provide uninterrupted care through 24-hour with a holistic care approach, have a key role in monitoring the nutritional status of individuals with dementia and reducing the risk of dementia development in individuals without dementia. Therefore, in this article, it is aimed to raise awareness of the nutritional status, which has serious effects on the progression of dementia, and to have knowledge about preventive and therapeutic approaches for individuals with dementia in the light of evidence-based guidelines.

Demansta Güncel Beslenme Yaklaşımları ve Hemşirelerin Sorumlulukları

Abstract

Demansın erken evrelerinde meydana gelen düşünme, hafıza süreçlerindeki gerileme ve yürütücü işlevlerdeki bozulma demanslı bireylerin beslenme sürecinde birtakım sorunlara yol açmaktadır. Bu sorunlardan birisi de malnütrisyondur. Malnütrisyona bağlı meydana gelen enerji ve mikro besin eksikliği, bilişsel fonksiyonlarda meydana gelen bozuklukların daha da fazla şiddetlenmesine sebep olarak demansın progresyonunu hızlandırabilmektedir. Bu nedenle, demanslı bireylerde bilişsel faaliyetlerdeki gerileme riskinin önlenmesi ve malnütrisyonun etkili bir şekilde yönetimi çok önemlidir. Bütüncül bakım anlayışı ile 24 saat kesintisiz bakım hizmeti veren hemşireler, demanslı bireylerin beslenme durumlarının izlenmesinde ve demansı olmayan bireylerde demans gelişme riskinin azaltılmasında kilit role sahiptirler. Bu nedenle bu makalede, hemşirelerin demansın progresyonu üzerinde ciddi etkileri bulunan beslenme durumuna ilişkin farkındalık geliştirmeleri, demanslı bireyler için koruyucu ve tedavi edici yaklaşımlar konusunda kanıta dayalı rehberler ışığında bilgi sahibi olmaları amaçlanmıştır.

Keywords

Demans, Beslenme, Malnütrisyon, Nöroprotektif Diyet Modeli, Hemşirelik

References

• Abbatecola, A. M., Russo, M., & Barbieri, M. (2018). Dietary patterns and cognition in older persons. Current Opinion in Clinical Nutrition & Metabolic Care, 21(1), 10-13.
• Altomari, N., Bruno, F., Laganà, V., Smirne, N., Colao, R., Curcio, S., Di Lorenzo, R., Frangipane, F., Maletta, R., & Puccio, G. (2022). A comparison of behavioral and psychological symptoms of dementia (BPSD) and BPSD sub-syndromes in early-onset and late-onset Alzheimer’s disease. Journal of Alzheimer’s disease, 85(2), 691-699.
• Atkins, D., Eccles, M., Flottorp, S., Guyatt, G. H., Henry, D., Hill, S., Liberati, A., O’Connell, D., Oxman, A. D., & Phillips, B. (2004). Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches The GRADE Working Group. BMC health services research, 4, 1-7.
• Barnard, N. D., Bunner, A. E., & Agarwal, U. (2014). Saturated and trans fats and dementia: a systematic review. Neurobiology of aging, 35, S65-S73.
• Borders, J. C., Blanke, S., Johnson, S., Gilmore-Bykovskyi, A., & Rogus-Pulia, N. (2020). Efficacy of mealtime interventions for malnutrition and oral intake in persons with dementia: a systematic review. Alzheimer Disease & Associated Disorders, 34(4), 366-379.
• Bouchard, B., Bouchard, K., & Bouzouane, A. (2014a). A smart range helping cognitively-impaired persons cooking. Proceedings of the AAAI Conference on Artificial Intelligence,
• Bouchard, B., Bouchard, K., & Bouzouane, A. (2014b). A smart range helping cognitively-impaired persons cooking. Twenty-Sixth IAAI Conference,
• Brockdorf, Y., & Morley, J. E. (2021). Nutrition and Dementia. In: Springer. 25, 590–592.
• Bunn, D. K., Abdelhamid, A., Copley, M., Cowap, V., Dickinson, A., Howe, A., Killett, A., Poland, F., Potter, J. F., & Richardson, K. (2016). Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review. BMC geriatrics, 16(1), 1-21.
• Carson, V. B., Vanderhorst, K. J., & Koenig, H. G. (2015). Care giving for Alzheimer’s disease: A compassionate guide for clinicians and loved ones. Springer Press.
• Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C., Compher, C., Correia, I., Higashiguchi, T., & Holst, M. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical nutrition, 36(1), 49-64.
• Chang, C.-C., & Roberts, B. L. (2011). Strategies for feeding patients with dementia. AJN The American Journal of Nursing, 111(4), 36-44.
• Charisis, S., Ntanasi, E., Yannakoulia, M., Anastasiou, C. A., Kosmidis, M. H., Dardiotis, E., Hadjigeorgiou, G., Sakka, P., & Scarmeas, N. (2021). Mediterranean diet and risk for dementia and cognitive decline in a Mediterranean population. Journal of the American Geriatrics Society, 69(6), 1548-1559.
• Edwards, N. E., & Beck, A. M. (2013). The influence of aquariums on weight in individuals with dementia. Alzheimer Disease & Associated Disorders, 27(4), 379-383.
• Gayathri, K., & Easwarakumar, K. (2016). Intelligent decision support system for dementia care through smart home. Procedia Computer Science, 93, 947-955.
• Hong, X., Nugent, C. D., Mulvenna, M. D., Martin, S., Devlin, S., & Wallace, J. G. (2012a). Dynamic similarity‐based activity detection and recognition within smart homes. International Journal of Pervasive Computing and Communications. 8(3), 264-27.
• Hong, X., Nugent, C. D., Mulvenna, M. D., Martin, S., Devlin, S., & Wallace, J. G. (2012b). Dynamic similarity‐based activity detection and recognition within smart homes. International Journal of Pervasive Computing and Communications, 8(3), 264-278.
• Iosifidis, A., Marami, E., Tefas, A., Pitas, I., & Lyroudia, K. (2015). The MOBISERV-AIIA eating and drinking multi-view database for vision-based assisted living. Journal of Information Hiding and Multimedia Signal Processing, 6(2), 254-273.
• Jönsson, K.-E., Ornstein, K., Christensen, J., & Eriksson, J. (2019). A reminder system for independence in dementia care: a case study in an assisted living facility. Proceedings of the 12th ACM international conference on pervasive technologies related to assistive environments,
• Kimura, A., Sugimoto, T., Kitamori, K., Saji, N., Niida, S., Toba, K., & Sakurai, T. (2019). Malnutrition is associated with behavioral and psychiatric symptoms of dementia in older women with mild cognitive impairment and early-stage Alzheimer’s disease. Nutrients, 11(8), 1951.
• Lee, S., Cho, E.-J., & Kwak, H.-B. (2021). Personalized healthcare for dementia. Healthcare, 9(2), 128:
• Limongi, F., Siviero, P., Bozanic, A., Noale, M., Veronese, N., & Maggi, S. (2020). The effect of adherence to the Mediterranean diet on late-life cognitive disorders: a systematic review. Journal of the American Medical Directors Association, 21(10), 1402-1409.
• Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., & Cooper, C. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The lancet, 396(10248), 413-446.
• Loughrey, D. G., Lavecchia, S., Brennan, S., Lawlor, B. A., & Kelly, M. E. (2017). The impact of the Mediterranean diet on the cognitive functioning of healthy older adults: a systematic review and meta-analysis. Advances in Nutrition, 8(4), 571-586.
• McGrattan, A., van Aller, C., Narytnyk, A., Reidpath, D., Keage, H., Mohan, D., Su, T. T., Stephan, B., Robinson, L., & Siervo, M. (2020). Nutritional interventions for the prevention of cognitive impairment and dementia in developing economies in East-Asia: a systematic review and meta-analysis. Critical reviews in food science and nutrition, 1-18.
• Morris, M. C., Tangney, C. C., Wang, Y., Sacks, F. M., Bennett, D. A., & Aggarwal, N. T. (2015). MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimer’s & Dementia, 11(9), 1007-1014.
• Morris, M. C., Wang, Y., Barnes, L. L., Bennett, D. A., Dawson-Hughes, B., & Booth, S. L. (2018). Nutrients and bioactives in green leafy vegetables and cognitive decline: Prospective study. Neurology, 90(3), e214-e222.
• Murphy, J. L., Holmes, J., & Brooks, C. (2017a). Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes. BMC geriatrics, 17(1), 1-14.
• Murphy, J. L., Holmes, J., & Brooks, C. (2017b). Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes. BMC geriatrics, 17, 1-14.
• Omar, S. H., Scott, C. J., Hamlin, A. S., & Obied, H. K. (2019). Olive biophenols reduces alzheimer’s pathology in SH-SY5Y cells and APPswe mice. International journal of molecular sciences, 20(1), 125.
• Risk reduction of cognitive decline and dementia: WHO guidelines. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO
• Pivi, G. A. K., Vieira, N. M. d. A., da Ponte, J. B., de Moraes, D. S. C., & Bertolucci, P. H. F. (2017). Nutritional management for Alzheimer’s disease in all stages: mild, moderate, and severe. Nutrire, 42, 1-6.
• Rassmus-Gröhn, K., & Magnusson, C. (2014). Finding the way home: supporting wayfinding for older users with memory problems. Proceedings of the 8th Nordic Conference on Human-Computer Interaction: Fun, Fast, Foundational,
• Rathnayake, S., Moyle, W., Jones, C., & Calleja, P. (2021). Co-design of an mHealth application for family caregivers of people with dementia to address functional disability care needs. Informatics for Health and Social Care, 46(1), 1-17.
• Roque, M., Salva, A., & Vellas, B. (2013). Malnutrition in community-dwelling adults with dementia (NutriAlz Trial). The journal of nutrition, health & aging, 17, 295-299.
• Sanders, C., Behrens, S., Schwartz, S., Wengreen, H., Corcoran, C. D., Lyketsos, C. G., & Tschanz, J. T. (2016). Nutritional status is associated with faster cognitive decline and worse functional impairment in the progression of dementia: the cache county dementia progression study 1. Journal of Alzheimer’s disease, 52(1), 33-42.
• Sanders, C. L., Wengreen, H. J., Schwartz, S., Behrens, S. J., Corcoran, C., Lyketsos, C. G., Tschanz, J. T., & Investigators, C. C. (2018). Nutritional status is associated with severe dementia and mortality: the Cache County Dementia Progression Study. Alzheimer disease and associated disorders, 32(4), 298.
• Shannon, O. M., Lee, V., Bundy, R., Gillings, R., Jennings, A., Stephan, B., Hornberger, M., Balanos, G., Paddick, S. M., & Hanson, S. (2021). Protocol: Feasibility and acceptability of a multi-domain intervention to increase Mediterranean diet adherence and physical activity in older UK adults at risk of dementia: protocol for the MedEx-UK randomised controlled trial. BMJ Open, 11(2).
• Solfrizzi, V., Custodero, C., Lozupone, M., Imbimbo, B. P., Valiani, V., Agosti, P., Schilardi, A., D’Introno, A., La Montagna, M., & Calvani, M. (2017). Relationships of dietary patterns, foods, and micro-and macronutrients with Alzheimer’s disease and late-life cognitive disorders: a systematic review. Journal of Alzheimer’s disease, 59(3), 815-849.
• Tangvik, R. J., Bruvik, F. K., Drageset, J., Kyte, K., & Hunskår, I. (2021). Effects of oral nutrition supplements in persons with dementia: A systematic review. Geriatric Nursing, 42(1), 117-123.
• Terkeş, N., & Bektaş, H. (2016). Yaşlı sağlığı ve teknoloji kullanımı. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(4), 153-159.
• Ülger, Z., Halil, M., Kalan, I., Yavuz, B. B., Cankurtaran, M., Güngör, E., & Arıoğul, S. (2010). Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clinical nutrition, 29(4), 507-511.
• van den Brink, A. C., Brouwer-Brolsma, E. M., Berendsen, A. A., & van de Rest, O. (2019). The Mediterranean, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diets are associated with less cognitive decline and a lower risk of Alzheimer’s disease—a review. Advances in Nutrition, 10(6), 1040-1065.
• Vinciguerra, F., Graziano, M., Hagnäs, M., Frittitta, L., & Tumminia, A. (2020). Influence of the mediterranean and ketogenic diets on cognitive status and decline: a narrative review. Nutrients, 12(4), 1019.
• Vlachos, G. S., & Scarmeas, N. (2022). Dietary interventions in mild cognitive impairment and dementia. Dialogues in Clinical Neuroscience. 69-82.
• Volkert, D., Chourdakis, M., Faxen-Irving, G., Frühwald, T., Landi, F., Suominen, M. H., Vandewoude, M., Wirth, R., & Schneider, S. M. (2015). ESPEN guidelines on nutrition in dementia. Clinical nutrition, 34(6), 1052-1073.
• Whear, R., Abbott, R., Thompson-Coon, J., Bethel, A., Rogers, M., Hemsley, A., Stahl-Timmins, W., & Stein, K. (2014). Effectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic review. Journal of the American Medical Directors Association, 15(3), 185-193.
• Yassine, H. N., Samieri, C., Livingston, G., Glass, K., Wagner, M., Tangney, C., Plassman, B. L., Ikram, M. A., Voigt, R. M., & Gu, Y. (2022). Nutrition state of science and dementia prevention: recommendations of the Nutrition for Dementia Prevention Working Group. The Lancet Healthy Longevity, 3(7), e501-e512.