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. 2011 Mar;59(3):463-72.
doi: 10.1111/j.1532-5415.2011.03320.x.

Oral feeding options for people with dementia: a systematic review

Laura C Hanson  1 , Mary Ersek, Robin Gilliam, Timothy S Carey
Affiliations

Oral feeding options for people with dementia: a systematic review

Laura C Hanson et al. J Am Geriatr Soc. 2011 Mar.

Abstract

To review the benefits of oral feeding options in people with dementia.

Design: Systematic literature search with review of potentially eligible studies by two independent investigators.

Setting: PubMed/MEDLINE, EMBASE, the Cochrane Library, CINAHL, and PsychINFO literature indices between January 1990 and October 2009.

Participants: Clinical trials with random or nonrandom control groups were included if they reported on clinical outcomes of oral feeding interventions for people with dementia.

Measurements: Investigators abstracted data from included studies using a structured instrument. Studies were graded on quality and potential bias, and overall strength of evidence was summarized.

Results: Thirteen controlled trials provided data on use of supplements for people with dementia, and 12 controlled trials tested assisted feeding or other interventions. Studies provide moderate-strength evidence for high-calorie supplements, and low-strength evidence for appetite stimulants, assisted feeding, and modified foods to promote weight gain in people with dementia. The few studies measuring function or survival showed no difference.

Conclusion: High-calorie supplements and other oral feeding options can help people with dementia with feeding problems to gain weight; they are unlikely to improve other outcomes. These treatments can be offered alone or in combination as an alternative to tube feeding.

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Conflict of interest statement

Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper.

Figures

Figure
Figure
Flow of information for systematic review of feeding interventions
See this image and copyright information in PMC

Comment in

References

    1. Morris J, Volicer L. Nutritional management of individuals with Alzheimer’s disease and other progressive dementias. Nutr Clin Care. 2001;4:148–155.
    1. Volicer L, Seltzer B, Rheaume Y, et al. Eating difficulties in patients with probable dementia of the Alzheimer type. J Geriatr Psych Neurol. 1989;2:188–195. - PubMed
    1. Mitchell SL, Teno JM, Kiely DK, et al. The clinical course of advanced dementia. N Engl J Med. 2009;361:1529–1538. - PMC - PubMed
    1. Lewis CL, Cox CE, Garrett JM, et al. Trends in the use of feeding tubes in North Carolina Hospitals: 1989 to 2000. J Gen Intern Med. 2004;19:1034–1038. - PMC - PubMed
    1. Rabeneck L, Wray NP, Petersen NJ. Long-term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes. J Gen Intern Med. 1996;11:287–293. - PubMed

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