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Related Experiment Videos

Resistance at mealtimes for persons with dementia.

E J Amella1

  • 1Medical University of South Carolina, College of Nursing, Charleston 29425, USA. amellaej@musc.edu

The Journal of Nutrition, Health & Aging
|August 9, 2002
PubMed
Summary

Resistance to mealtime assistance in dementia patients is linked to functional ability and caregiver interactions, not cognitive impairment. Understanding these factors is crucial for improving nutritional intake and caregiving quality.

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Area of Science:

  • Gerontology
  • Dementia Care
  • Nutritional Support

Background:

  • Mealtime resistance in individuals unable to feed themselves can lead to poor nutrition, increased illness, and premature death.
  • Unwillingness to accept food has significant social and ethical implications, impacting caregiving dynamics.

Purpose of the Study:

  • To identify predictors of resistance or acceptance of meal assistance in individuals with dementia.
  • To explore personal interaction and contextual factors influencing feeding resistance.

Main Methods:

  • A study of 53 nursing home residents with late-stage dementia assessed feeding resistance using the Edinburgh Feeding Evaluation in Dementia Questionnaire (EdFED-Q).
  • Participants were categorized into resistance (n=23) or acceptance (n=30) groups.
  • Food consumption was quantified by the weight of food offered.

Main Results:

  • While cognitive impairment (MMSE) and Body Mass Index did not differ, significant differences (p < .05) were observed in functional status (Global Deterioration Scale), food intake proportion, and meal assistance duration.
  • Resistors exhibited distinct interaction behaviors (8/10 items on Interaction Behavior Measure-Modified, r = .49–.68, p < .02) compared to those who accepted assistance.

Conclusions:

  • Factors influencing feeding resistance in dementia patients are multifaceted.
  • The quality of caregiver-patient interaction is a critical element to consider when addressing mealtime challenges.

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