Dietary intakes and nutritional status of old peoplewith dementia living at home in Oslo.


Nes M; Rousseau B; Sem SV; Bjørneboe GE; Engedal K; Trygg K; Pedersen JI
Bok Engelsk 1988 Nes M et al
Flere språk: Engelsk
Utgitt
Section of Dietary Research, Institute for Nutriti , 1988
Omfang
13 s.
Opplysninger
A nutritional study was carried out of 16independent-living elderly (9 women, 7 men) suffering from dementia and a controlgroup matched for sex and age. The study consisted of interview (withparticipants or relatives/home helps), a 3-d weighed dietary record andbiochemical determinations of blood components. No significantdifference in mean daily energy intake between demented elderly (women 7.2+/- 2.0 MJ, men 8.6 +/- 1.2 MJ) and controls (women 6.9 +/- 0.7 MJ, men9.4 +/- 2.0 MJ) was found. The women with dementia had lower dietaryintakes of protein (P less than 0.05), thiamin (P less than 0.05) andvitamin C (P less than 0.01) than female controls. For both sexes in bothgroups the nutrients most lacking were vitamin D and thiamin. Dietarysupplements were more frequently used among elderly with dementia (50 percent) than among controls (13 per cent) (P less than 0.05). Except forvitamin D, supplements did not reduce the number of demented elderly with low intakes (less than two-thirds of the recommendations)because generally those in most need were non-users. The demented elderly had lower levels of haemoglobin and folic acid (blood and plasma) (P lessthan 0.05) but better thiamin status (alpha-transketolase) thancontrols (P less than 0.05). No difference in mean levels of protein,25-hydroxyvitamin D, vitamin E, vitamin B12 in serum was found. Individuals with blood or serum levels of nutrients below reference values were more frequently found among the demented elderly than among controls. In the dementia group 2 individuals with low levels of 25-hydroxyvitamin D also had clinical evidence of osteomalacia.
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