Examination concerning indicators for body composition and nutritional status in each category of clinical dementia rating among older people with Alzheimer's disease

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  • Motokawa Keiko
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology
  • Tanaka Yayoi
    Department of Health and Nutrition Science, Komazawa Women's University
  • Suga Yoko
    Department of Nutritional Management, Kantogakuin University
  • Yoko Hosoyamada
    Department of Nutritional Management, Kantogakuin University
  • Edahiro Ayako
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology
  • Takagi Daisuke
    Division of Medically Compromised Geriatric Dentistry, Department of Critical Care Medicine and Dentistry, Graduate School of Dentistry, Kanagawa Dental University
  • Hirano Hirohiko
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology
  • Watanabe Yutaka
    Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology

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  • アルツハイマー病高齢者における認知症重症度別, 身体組成・栄養指標に関する検討
  • アルツハイマービョウ コウレイシャ ニ オケル ニンチショウ ジュウショウド ベツ,シンタイ ソセイ ・ エイヨウ シヒョウ ニ カンスル ケントウ

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Abstract

<p>Aim: This study targeted institutionalized elderly people with Alzheimer's disease to obtain basic data for examining appropriate methods of diet support and intervention by clarifying the differences in body composition and nutritional status according to severity of dementia.</p><p>Methods: Among the institutionalized elderly people, 301 persons diagnosed with Alzheimer's disease took part in the research.Survey items included basic information, dementia severity, body composition, diagnosis of malnutrition, dietary variety, appetite, and activities of daily living.</p><p>Results: The evaluation indexes related to body composition and nutritional status were examined using a clinical dementia rating. As a result, signiicant differences were observed in terms of body mass index (BMI), skeletal muscle mass index (SMI), fat-free mass index (FFMI), Mini Nutritional Assessment®-Short Form scores, dietary variety scores, Council on Nutrition Appetite Questionnaire scores, calf circumference, and basal metabolic rate only in the female subjects. The person had the lowest value in the group of severe dementia.</p><p>Conclusion: In elderly people with Alzheimer's disease, evaluating their physical conditions on the basis of BMI alone has limitations from the viewpoint of accuracy of evaluation of body composition. Thus, detailed evaluation of body composition including SMI and FFMI will contribute to the quality of prognosis in these patients.</p>

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