Nutritional status in Parkinson's Disease patients undergoing deep brain stimulation surgery: a pilot study

Sheard, J. M., Ash, S., Silburn, P. A. and Kerr, G. K. (2013) Nutritional status in Parkinson's Disease patients undergoing deep brain stimulation surgery: a pilot study. Journal of Nutrition Health & Aging, 17 2: 148-151. doi:10.1007/s12603-012-0386-4

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Author Sheard, J. M.
Ash, S.
Silburn, P. A.
Kerr, G. K.
Title Nutritional status in Parkinson's Disease patients undergoing deep brain stimulation surgery: a pilot study
Journal name Journal of Nutrition Health & Aging   Check publisher's open access policy
ISSN 1279-7707
1760-4788
Publication date 2013-02
Sub-type Article (original research)
DOI 10.1007/s12603-012-0386-4
Volume 17
Issue 2
Start page 148
End page 151
Total pages 4
Place of publication Paris, France
Publisher Editions S E R D I
Collection year 2014
Language eng
Formatted abstract
Objectives: People with Parkinson's disease (PD) are at higher risk of malnutrition due to PD symptoms and pharmacotherapy side effects. When pharmacotherapy is no longer effective for symptom control, deep-brain stimulation (DBS) surgery may be considered. The aim of this study was to assess the nutritional status of people with PD who may be at higher risk of malnutrition related to unsatisfactory symptom management with optimised medical therapy.

Design: This was an observational study using a convenience sample. Setting: Participants were seen during their hospital admission for their deep brain stimulation surgery.

Participants: People with PD scheduled for DBS surgery were recruited from a Brisbane neurological clinic (n=15).

Measurements: The Patient-Generated Subjective Global Assessment (PG-SGA), weight, height and body composition were assessed to determine nutritional status.

Results: Six participants (40%) were classified as moderately malnourished (SGA-B). Eight participants (53%) reported previous unintentional weight loss (average loss of 13%). On average, participants classified as well-nourished (SGA-A) were younger, had shorter disease durations, lower PG-SGA scores, higher body mass (BMI) and fat free mass indices (FFMI) when compared to malnourished participants (SGA-B). Five participants had previously received dietetic advice but only one in relation to unintentional weight loss.

Conclusion: Malnutrition remains unrecognised and untreated in this group despite unintentional weight loss and presence of nutrition impact symptoms. Improving nutritional status prior to surgery may improve surgical outcomes.
Keyword Nutritional status
Parkinson's disease
Deep brain stimulation
Malnutrition
Prevalence
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2014 Collection
 
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