Energy and protein consumption in patients with senile dementia

Demented elderly patients unable to eat independently and often refusing food are threatened by malnutrition. Therefore, we determined in 6 female patients aged 74-100 with senile dementia the average daily food consumption within a 3-week period by the exact weighing methods on six occasions. The average daily energy intake was 7,364 kJ (carbohydrates 3,300, fat 3,030, and protein 1,034 kJ). Acceptance of food was best at breakfast; during lunch and dinner all patients refused nutrients in two-thirds of the meals. During the observation period the subjects remained in a steady state (weight, serum albumin). It is concluded that spontaneous nutrient intake is sufficient in stable conditions. In times of increased energy needs the observed eating habits may lead to malnutrition.