Dietary recommendations for patients with dementia
Abstract With the emergence of support for diet in the maintenance of cognition, clinicians have been justifiably eager to promote diet recommendations for their older patients. But popular diets, such as the Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH), and the Mediterranean‐D...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
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Online Access: | https://doi.org/10.1002/trc2.12011 |
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author | Oleg Yerstein Mario F. Mendez |
author_facet | Oleg Yerstein Mario F. Mendez |
author_sort | Oleg Yerstein |
collection | DOAJ |
description | Abstract With the emergence of support for diet in the maintenance of cognition, clinicians have been justifiably eager to promote diet recommendations for their older patients. But popular diets, such as the Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH), and the Mediterranean‐DASH Intervention for Neurodegenerative Delay (MIND), have not been shown to benefit cognition among patients who already have dementia or cognitive decline. In our experience, promoting these restrictive diets can be detrimental to patients with dementia who are already prone to eating disturbance; vulnerable to malnutrition; and, if underweight, demonstrate increased mortality. Moreover, we have seen both patient and caregiver satisfaction negatively affected by dietary modification. Clinicians need to be aware that any dietary recommendations for patients with dementia should be mitigated by the lack of evidence for improvement in cognition, the risks for exacerbating poor nutrition, and the potential for further limiting their quality of life. |
first_indexed | 2024-12-19T12:01:02Z |
format | Article |
id | doaj.art-e08b0a4ab6df42a59316064fc7ce3851 |
institution | Directory Open Access Journal |
issn | 2352-8737 |
language | English |
last_indexed | 2024-12-19T12:01:02Z |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
spelling | doaj.art-e08b0a4ab6df42a59316064fc7ce38512022-12-21T20:22:28ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372020-01-0161n/an/a10.1002/trc2.12011Dietary recommendations for patients with dementiaOleg Yerstein0Mario F. Mendez1V.A. Greater Los Angeles Healthcare System Los Angeles California USAV.A. Greater Los Angeles Healthcare System Los Angeles California USAAbstract With the emergence of support for diet in the maintenance of cognition, clinicians have been justifiably eager to promote diet recommendations for their older patients. But popular diets, such as the Mediterranean diet, Dietary Approaches to Stop Hypertension (DASH), and the Mediterranean‐DASH Intervention for Neurodegenerative Delay (MIND), have not been shown to benefit cognition among patients who already have dementia or cognitive decline. In our experience, promoting these restrictive diets can be detrimental to patients with dementia who are already prone to eating disturbance; vulnerable to malnutrition; and, if underweight, demonstrate increased mortality. Moreover, we have seen both patient and caregiver satisfaction negatively affected by dietary modification. Clinicians need to be aware that any dietary recommendations for patients with dementia should be mitigated by the lack of evidence for improvement in cognition, the risks for exacerbating poor nutrition, and the potential for further limiting their quality of life.https://doi.org/10.1002/trc2.12011cognitiondementiadietnutrition |
spellingShingle | Oleg Yerstein Mario F. Mendez Dietary recommendations for patients with dementia Alzheimer’s & Dementia: Translational Research & Clinical Interventions cognition dementia diet nutrition |
title | Dietary recommendations for patients with dementia |
title_full | Dietary recommendations for patients with dementia |
title_fullStr | Dietary recommendations for patients with dementia |
title_full_unstemmed | Dietary recommendations for patients with dementia |
title_short | Dietary recommendations for patients with dementia |
title_sort | dietary recommendations for patients with dementia |
topic | cognition dementia diet nutrition |
url | https://doi.org/10.1002/trc2.12011 |
work_keys_str_mv | AT olegyerstein dietaryrecommendationsforpatientswithdementia AT mariofmendez dietaryrecommendationsforpatientswithdementia |