Journal of the Korean Society of Food Culture (한국식생활문화학회지)

Korean Society of Food Culture (한국식생활문화학회)
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Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon

인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교

  • Bae, Mi Ae (Department of Food and Nutrition, College of Natural Sciences, Inha University) ;
  • Lee, Young Whee (Department of Nursing, College of Medical, Inha University) ;
  • Kim, Hwa Soon (Department of Nursing, College of Medical, Inha University) ;
  • You, Jeong Soon (Incheon Dong-gu Center for Children's Foodservice Management) ;
  • Chang, Kyung Ja (Department of Food and Nutrition, College of Natural Sciences, Inha University)
  • 배미애 (인하대학교 자연과학대학 식품영양학과) ;
  • 이영휘 (인하대학교 의과대학 간호학과) ;
  • 김화순 (인하대학교 의과대학 간호학과) ;
  • 유정순 (인천동구 어린이급식관리지원센터) ;
  • 장경자 (인하대학교 자연과학대학 식품영양학과)
  • Received : 2019.06.04
  • Accepted : 2019.08.04
  • Published : 2019.08.31
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Abstract

In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

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References

  1. Ahn HJ, Kang JH, Lee HM. 2014. Nutrition status of elderly female patients in long-term care hospital according to meal types and eating ability. Korean J Community Nutr, 19(2):187-197 https://doi.org/10.5720/kjcn.2014.19.2.187
  2. Annweiler C, Schott AM, Berrut G, Chauvire V, Le Gall D, Inzitari M, Beauchet O. 2010. Vitamin D and ageing: neurological issues. Neuropsychobiology, 62:139-150 https://doi.org/10.1159/000318570
  3. Brigelius-Flohe R. 2009. Vitamin E: the shrew waiting to be tamed. Free Radic Biol Med, 46:543-554 https://doi.org/10.1016/j.freeradbiomed.2008.12.007
  4. Cho EY, Cho EH, Kim SS. 2010 Effects of family relationship on burden of family caregivers of older adult with dementia. J Korean Gerontological Society, 30(2):421-437
  5. Christina F, Asa S, Annika W, Licentiate MS, Ann-Christine TB, Gerd FI, The OmegAD Study Group. 2010. To be a good food provider: An exploratory study among spouses of persons with Alzheimer’s disease. American Journal of Alzheimer’s Disease & Other Dementias, 25(6):521-526 https://doi.org/10.1177/1533317510377171
  6. Colodny N. 2000. Comparison of dysphagics and nondysphagics on pulse oximetry during oral feeding. Dysphagia, 15(2):68-73 https://doi.org/10.1007/s004550010003
  7. Gabriele C, Ceclila C, Claudio L, Sabrina D, Angelo N. 2016. Eating behaviors and dietary changes in patients with dementia. American journal of Alzheimer’s Disease & Other Dementias, 31(8):706-716 https://doi.org/10.1177/1533317516673155
  8. Gu Y, Nieves JW, Stern Y, Luchsinger JA, Scarmeas N. 2010. Food combination and Alzheimer disease risk: a protective diet. Arch Neurol, 67(6):699-706 https://doi.org/10.1001/archneurol.2010.84
  9. Han JW, Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, Choo IH, Lee DW, Yoon JC, Do YJ, Lee SB, Kim MD, Kim KW. 2010. A normative study of the minimental state examination for dementia screening (MMSEDS) and its short form (SMMSE-DS) in the Korean elderly. J Korean Geriatr Psychiatry. 14:27-37
  10. Han TS, Tajar A, Lean ME. 2011. Obesity and weight management in the elderly. Br Med Bull, 97:169-196 https://doi.org/10.1093/bmb/ldr002
  11. Hong HH, Gu MO. 2015 Feeding Difficulty and its influencing factors of elders with dementia in long-term care facilities. J Korea Academia-Industrial cooperation Society, 16(2):1240-1252 https://doi.org/10.5762/KAIS.2015.16.2.1240
  12. Hyun EY, Oh JJ. 2017. Malnutritional status and it’s related factors of demented elderly in long-term care facilities. The Journal of the Korea Contents Association, 17(9):426-436 https://doi.org/10.5392/JKCA.2017.17.01.426
  13. Jang JS, Hong MS. 2015. A study on health-related lifestyle, dietary habits, nutritional knowledge and food intake of the elder in Gyeong-gi area. Korean J. Food Nutr. 28(6):1056-1064 https://doi.org/10.9799/ksfan.2015.28.6.1056
  14. Jin JY, Kang JS. 2009. A comparative study of cognitive function, anxiety, and quality of life for the demented elderly in health facilities. Korean Joural of Adult Nursing. 21(3):339-348
  15. Jung KA, Lee YA, Kim SY, Chang NS. 2008. Associations of cognitive function and dietary factors in elderly patients with Alzheimer’s disease. Korean J Nutr. 41(8):718-732
  16. Kim CS. 2010. Related factors affecting satisfaction of eldercare hospitals and intention to reuse. Master's degree thesis. Daegu Haany University
  17. Kim HJ, Kim H, Kim KN, Kim G, Son JI, Kim SY, Chang N. 2011. Relationship among plasma homocysteine, folate, vitamin B12 and nutrient intake and neurocognitive function in the elderly. Korean J Nutr, 44(6):498-506 https://doi.org/10.4163/kjn.2011.44.6.498
  18. Kim HS, Jung YM, Lee HJ. 2009. Cognitive impairment, behavioral problems, and mental health in institutionalized Korean elders. Journal of Korean Academy of Nursing, 39(5):741-750 https://doi.org/10.4040/jkan.2009.39.5.741
  19. Kim HY, Lee JS, Youn JC, Chang MJ. 2016 Food and nutrient intake status of Korean elderly by degree of cognitive function. J Nutr Health, 49(5):313-322 https://doi.org/10.4163/jnh.2016.49.5.313
  20. Kim SH, Jung JH. 2013. The correlation between cognitive function and basic activities of daily living of the elderly people with dementia in the residential care facilities. The Journal of Occupational Therapy for the Aged and Dementia, 7(1):57-67
  21. Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2)
  22. Kwak CS, Cho JH, Yon MY, Park SC. 2012. Anthropometric index, dietary habits and nutrient intake of the oldest-old population aged 95 and over living in Seoul. Korean J Community Nutr 17(5):603-622 https://doi.org/10.5720/kjcn.2012.17.5.603
  23. Kwon JH, Lee JS, Moon YP, Han EJ. 2015. Policy issues of nutritional care and foodservice quality in nursing home: a comparative analysis in Korea, Germany and Japan. Journal of Critical Social Policy, 46:7-47
  24. Kwon JS, Lee SH, Lee KM, Lee YN. 2016. Study on energy and nutrient intake and food preference of the elderly in care facilities. The Korean Society of Community Nutrition, 21(2):200-217 https://doi.org/10.5720/kjcn.2016.21.2.200
  25. Kwon JS, Kim KM, Kim HK. 2010. A study on application of food photographs for estimating individuals’ dietary intake. Korean J Community Nutr. 15(6):760-775
  26. Lee HH. 2008. A comparative study on the difference between demented seniles in day care center and demented senileimpatients in nursing facility by analysing several indexes such as the performance status of daily activities, cognitive function and depressive symptoms. Unpublished master's thesis, Ewha women university Seoul, Korea, pp 28
  27. Lee JW, Lee MS, Kim JH, Son SM, Lee BS. 2011. Nutritional Assessment. Kyomunsa, p 89-90
  28. Lee KM, Song JA. 2012. Characteristics of eating behavior in elders with dementia residing in long-term care facilities. J Korean Acad Nurs, 42(4):466-476 https://doi.org/10.4040/jkan.2012.42.4.466
  29. Lee MS. 2015. Quality of nutrient adequacy and health-related quality of life of the rural elderly. Korean J Community Nutr. 20(6):423-432 https://doi.org/10.5720/kjcn.2015.20.6.423
  30. Llewellyn DJ, Lang IA, Langa KM, Muniz-Terrera G, Phillips CL, Cherubini A, Ferrucci L, Melzer D. 2010. Vitamin D and risk of cognitive decline in elderly persons. Arch Intern Med, 170:1135-1141 https://doi.org/10.1001/archinternmed.2010.173
  31. Luchsinger JA., Tang MX., Shea S, Mayeux R. 2003. Antioxidant vitamin intake and risk of Alzheimer disease. Arch Neurol, 60:203-208 https://doi.org/10.1001/archneur.60.2.203
  32. Mangialasche F, Solomon A, Kareholt I, Hooshmand B, Cecchetti R, Fratiglioni L, Soininen H, Laatikainen T, Mecocci P, Kivipelto M. 2013. Serum levels of vitamin E forms and risk of cognitive impairment in a Finnish cohort of older adults. Exp Gerontol, 48:1428-1435 https://doi.org/10.1016/j.exger.2013.09.006
  33. Morris MC, Evans DA, Bienias JL, Tangney CC, Bennett DA, Wilson RS, Aggarwal N, Schneider J. 2003. Consumption of fish and n-3 fatty acids and risk of incident Alzheimer disease. Arch Neurol, 60(7):940-946 https://doi.org/10.1001/archneur.60.7.940
  34. Paddon-Jones D, Rasmussen BB. 2009. Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care. 12(1):86-90 https://doi.org/10.1097/MCO.0b013e32831cef8b
  35. Pivi GA, Bertolucci PH, Schultz RR. 2012. Nutrition in severe dementia. Current Gerontology and Geriatrics Research. Article ID 983056, 7 pages
  36. Qiu C, Winblad B, Fratiglioni L. 2005. The age-dependent relation of blood pressure to cognitive function and dementia. Lancet Neurol 4:487-499 https://doi.org/10.1016/S1474-4422(05)70141-1
  37. Rahman A, Sawyer Baker P, Allman RM, Zamrini E. 2007. Dietary factors and cognitive impairment in communitydwelling elderly. J Nutr Health Aging, 11(1):49-54
  38. Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. 2010. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clinical Nutrition, 29(6):745-748 https://doi.org/10.1016/j.clnu.2010.04.006
  39. Scarmeas N, Stern Y, Tang MX, Mayeux R, Luchsinger JA. 2006. Mediterranean diet and risk for Alzheimer’s disease. Ann Neurol, 59(6):912-921 https://doi.org/10.1002/ana.20854
  40. Seamans KM, Hill TR, Scully L, Meunier N, Andrillo-Sanchez M, Polito A, Hininger-Favier I, Ciarapica D, Simpson EEA, Stewart-Knox BJ, O’Connor JM, Coudray C, Cashman KD. 2010. Vitamin D status and measures of cognitive function in healthy older european adults. Eur J Clin Nutr, 64:1172-1178 https://doi.org/10.1038/ejcn.2010.117
  41. Shin SJ, Hwang EH. 2017. Gender differences in the cognitive function and nutritional status in older age: a representative nationwide data of Korean elders. Journal of Korean Public Health Nursing, 31(2):209-219 https://doi.org/10.5932/JKPHN.2017.31.2.209
  42. Yoon MO, Moon HK, Jeon JY, Sohn CM. 2013. Nutritional management by dietitian at elderly nursing homes in Gyeonggi-do. J Korean Diet Assoc, 19(4):400-415 https://doi.org/10.14373/JKDA.2013.19.4.400
  43. Alzheimer's disease international. 2017. About dementia. Available from: https://www.alz.co.uk/about-dementia, [accessed 2019.04.16.]
  44. Central Dementia Center. 2019. Dementia prevalence status. Available from: https://www.nid.or.kr/info/today_list.aspx#a, [accessed 2019.04.16.]
  45. Korean society for the study of obesity. Available from: http://general.kosso.or.kr/html/?pmode=nutritionDiet, [accessed 2019.04.16.]
  46. Ministry of Health and Welfare. 2018. Welfare facilities for the elderly 2018. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp, [accessed 2019.04.16.]
  47. Ministry of Health & Welfare. 2015. Dietary Reference Intakes For Koreans 2015 Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337356 [accessed 2019.05.27.]
  48. Reliable Ministry of Government Legislation. National law information center. 2019. The Elderly Welfare Act. Available from: http://www.law.go.kr/lsSc.do?tabMenuId=tab18#undefined, [accessed 2019.04.16.]
  49. Statistics Korea. 2018. Estimated future population. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&conn_path=I2 [accessed 2019.05. 27.]
  50. The Korean Society of Hypertension. 2018. Guidelines for hypertension treatment Available from: http://www.koreanhypertension.org/reference/guide?mode=read&idno=4246, [accessed 2019.04.16.]
  51. World Health Organization. 2017. Dementia. Available from: http://www.who.int/mediacentre/factsheets/fs362/en/, [accessed 2019.04.16.]