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...

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Main Authors: Oleg Yerstein, Mario F. Mendez
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
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.
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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