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Nutrients 2015, 7(4), 2456-2468; doi:10.3390/nu7042456

Enteral Nutrition in Dementia: A Systematic Review

1
Kent Community Health NHS Trust, The Oast, Unit D, Maidstone Kent ME16 9NT, UK
2
School of Health and Social Care, Faculty of Education and Health, University of Greenwich, Avery Hill Campus, London SE9 2UG, UK
*
Author to whom correspondence should be addressed.
Received: 25 November 2014 / Revised: 26 March 2015 / Accepted: 27 March 2015 / Published: 3 April 2015
(This article belongs to the Special Issue Recent Advances in Enteral Nutrition)
View Full-Text   |   Download PDF [122 KB, uploaded 3 April 2015]

Abstract

The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life. View Full-Text
Keywords: enteral nutrition; dementia; percutaneous endoscopic gastrostomy; nasogastric tube; serum albumin enteral nutrition; dementia; percutaneous endoscopic gastrostomy; nasogastric tube; serum albumin
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Brooke, J.; Ojo, O. Enteral Nutrition in Dementia: A Systematic Review. Nutrients 2015, 7, 2456-2468.

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