Health and nutrition promotion program for patients with dementia (NutriAlz): cluster randomized trial.
J Nutr Health Aging
; 15(10): 822-30, 2011 Dec.
Article
en En
| MEDLINE
| ID: mdl-22159768
ABSTRACT
OBJECTIVE:
To assess the effectiveness of health and nutrition program (NutriAlz) versus usual care on functional level in elderly people with dementia living at home, as well as on clinical practice related to nutrition and on the caregiver's burden.DESIGN:
Cluster randomized multi-centre study with one-year follow-up.SETTING:
11 Alzheimer outpatients and day care centres (Barcelona, Spain).PARTICIPANTS:
Nine hundred and forty six home-living Alzheimer patients with identified caregiver were consecutively recruited (intervention group 6 centres, 448 patients vs control group 5 centres, 498 patients). INTERVENTION The intervention was a teaching and training intervention on health and nutrition program, NutriAlz, directed both to physician and main caregiver, as well as persons affected by Alzheimer's disease or other dementias, including a standardised protocol for feeding and nutrition. MAIN OUTCOMEMEASURES:
The main outcome measure was the reduction in the loss of autonomy (Activities of daily living (ADL/IADL) scales) assessed at 6 and 12 months. Secondary outcomes measures were Improvement in nutritional status (Mini Nutritional Assessment (MNA), BMI, and weight changes), and caregiver burden (Zarit scale).RESULTS:
The one-year assessment was completed for 293 patients (65.4%) in the intervention group and 363 patients (72.9%) in the control group (usual care). The annual rate of ADL change was -0.83 vs -0.62 (p=0.984), and the caregiver's subjective burden 0.59 vs 2.36 (p=0.681) in intervention and control group, respectively. MNA, however, showed an improvement (+0.46 vs -0.66, p=0.028), suggesting an effective nutritional behaviour.CONCLUSION:
The NutriAlz program had no effect on functional decline in Alzheimer disease patients living at home over one year, but reduced the risk for malnutrition, as recommendations concerning diet and exercise were provided.
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Base de datos:
MEDLINE
Asunto principal:
Actividades Cotidianas
/
Estado Nutricional
/
Educación en Salud
/
Desnutrición
/
Dieta
/
Enfermedad de Alzheimer
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Nutr Health Aging
Asunto de la revista:
CIENCIAS DA NUTRICAO
/
GERIATRIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
España