What is associated with low food intake in older people with dementia?

Lin, Li-Chan, Watson, Roger and Wu, Shiao-Chi (2010) What is associated with low food intake in older people with dementia?. Journal of Clinical Nursing, 19 1-2: 53-59. doi:10.1111/j.1365-2702.2009.02962.x

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Author Lin, Li-Chan
Watson, Roger
Wu, Shiao-Chi
Title What is associated with low food intake in older people with dementia?
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2010-01
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2009.02962.x
Volume 19
Issue 1-2
Start page 53
End page 59
Total pages 7
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2011
Language eng
Formatted abstract
Aims. The aim of this study was to investigate the risk factors of institutionalised older people for developing low food intake.
Background. Eating difficulties among patients with dementia have been identified in western society and typically progress as dementia advances. Findings from previous studies reflect that low food intake or weight loss might not be a consequence of
people with dementia being unable or unwilling to eat independently.
Design. The study consisted of observers’ training and mealtime observations. Each data collector received two days of didactic and clinical training. Observation was done for two days during lunch and dinner.
Methods. Four hundred seventy-seven participants were selected from residents with dementia at nine dementia special care units in licensed long-term care facilities in northern and central Taiwan. Data were collected using the Barthel index, Mini-
Mental State Examination (MMSE), and the Edinburgh Feeding Evaluation in Dementia (EdFED) scale.
Results. The prevalence of low food intake at meals in residents with dementia in LTCF’s was 30Æ7%. Eating difficulty, no feeding assistance, moderate dependence, fewer family visits, being female and older, were six independent factors associated
with low food intake after controlling for all other factors.
Conclusion. Nursing staff need to assess residents’ feeding ability to continue to self-feed. Also, to supervise the feeding of residents with moderate dependency and provide appropriate verbal or physical assistance at meal times is recommended.
Relevance to clinical practice. Constructing strategies to encourage families to visit their older relatives in institutions is recommended.
© 2010 Blackwell Publishing Ltd.
Keyword Dementia
Eating difficulty
Family visit
Feeding assistance
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Institutional Status UQ
Additional Notes Article first published online: 17 DEC 2009

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 26 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 11 Mar 2010, 15:12:34 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work