Nutritional Risk in the Elderly with Cognitive Impairment: A Far Eastern Perspective
Malnutrition is one of the most prevalent problems in the elderly that is easily overlooked. Several studies have clearly demonstrated that nutritional factors are linked with AD, both as risk or protective factors in the onset of the disease and as elements that are capable of modifying the disease course. Although dietary intervention is capable of minimizing or preventing weight loss, patients at particular risk of malnutrition are not detected quickly enough; therefore, nutritional screening tools should be included in the multidimensional geriatric evaluation that must be performed in every elderly patient. Because functional and nutritional statuses are interrelated, functional impairment can also increase the risk of poor nutrition in mild cognitive impairment (MCI). Many of the identified nutritional risk factors of malnutrition are based on functional competencies such as mobility, depression, cognition, food shopping, and food preparation. Considering MCI has little known risk factors and minimal impairment in IADL, nutritional risk assessment will be helpful. According to the results of our study, the MMSE score was lower in the moderate or high nutritional risk state group of elderly subjects living in the community when compared with the good nutritional state group of elderly subjects. We found that the frequency of MCI was higher in the moderate or high nutritional risk state group of elderly subjects living in a community when compared with the group of elderly subjects in a good nutritional state.
KeywordsMild Cognitive Impairment Mild Cognitive Impairment Patient Nutritional Risk Mild Cognitive Impairment Subject Nutritional Risk Factor
Activities of daily living
Instrumental activities of daily living
Korean version of mini mental state examination
Mild cognitive impairment
Normal cognitive function
Nutrition screening initiative
This study was supported by a grant of the Korea Healthcare technology R & D Project, Ministry for Health, Welfare & Family Affairs, Republic of Korea (A050079).
- Engelhart MJ, Geerlings MI, Ruitenberg A, Van Swieten JC, Hofman A, Witteman JC, Breteler MM. Neurology. 2002;12:1915–21.Google Scholar
- Gillette-Guyonnet S, Abellan Van Kan G, Alix E, Andrieu S, Belmin J, Berrut G, Bonnefoy M, Brocker P, Constans T, Ferry M, Ghisolfi-Marque A, Girard L, Gonthier R, Guerin O, Hervy MP, Jouanny P, Laurain MC, Lechowski L, Nourhashemi F, Raynaud-Simon A, Ritz P, Roche J, Rolland Y, Salva T, Vellas B, International Academy on Nutrition and Aging Expert Group. J Nutr Health Aging. 2007;11:38–48.PubMedGoogle Scholar
- Kim JM, Shin IS, Yoon JS, Lee HY. J Kor Neuropsychiatr Assoc. 2003;42:124–30.Google Scholar
- Winblad B, Palmer K, Kivipelto M, Jelic V, Fratiglioni L, Wahlund LO, Nordberg A, Backman L, Albert M, Almkvist O, Arai H, Basun H, Blennow K, De Leon M, DeCarli C, Erkinjuntti T, Giacobini E, Graff C, Hardy J, Jack C, Jorm A, Ritchie K, Van Duijn C, Visser P, Petersen RC. J Intern Med. 2004;256:240–6.PubMedCrossRefGoogle Scholar