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Nutritional Risk in the Elderly with Cognitive Impairment: A Far Eastern Perspective

  • Kang Soo Lee
  • Chang Hyung Hong
Chapter

Abstract

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.

Keywords

Mild Cognitive Impairment Mild Cognitive Impairment Patient Nutritional Risk Mild Cognitive Impairment Subject Nutritional Risk Factor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

AD

Alzheimer’s disease

ADL

Activities of daily living

IADL

Instrumental activities of daily living

K-MMSE

Korean version of mini mental state examination

MCI

Mild cognitive impairment

NCF

Normal cognitive function

NSI

Nutrition screening initiative

Notes

Acknowledgement

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).

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Psychiatry and Ajou Institute of AgingAjou University School of MedicineSuwon-siKorea

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