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ESPEN guidelines on nutrition in dementia
Dorothee Volkert1, Michael Chourdakis2, Gerd Faxen-Irving3
1Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Nuremberg, Germany.
Clinical Nutrition (Edinburgh, Scotland)
|November 3, 2015
Summary
Nutritional interventions for older adults with dementia should focus on screening for malnutrition and oral support. Oral nutritional supplements can improve status, but artificial nutrition is reserved for specific cases.
Area of Science:
- Gerontology
- Nutritional Science
- Dementia Care
Background:
- Older adults with dementia face malnutrition risks.
- Effective nutritional interventions are needed to maintain intake and status.
- The role of supplementation and artificial nutrition in cognitive health requires clarification.
Purpose of the Study:
- To provide evidence-based recommendations for nutritional care in older persons with dementia.
- To address the effectiveness of various nutritional interventions.
- To guide decisions on artificial nutritional support.
Main Methods:
- Development of guidelines by an international multidisciplinary working group.
- Adherence to officially accepted standards and the GRADE system for evidence strength.
- Recommendations refined through Delphi rounds and ESPEN member surveys.
Main Results:
- 26 recommendations for nutritional care are provided.
- Screening for malnutrition and weight monitoring are universally recommended.
- Oral nutrition support, oral supplements for status improvement, and limited artificial nutrition in specific dementia stages are advised.
Conclusions:
- Nutritional care is integral to dementia management.
- Decisions on nutritional interventions require individual assessment of benefits, burdens, and patient wishes.
- Personalized nutritional strategies are crucial for optimizing outcomes in dementia care.
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