In a nutshell
This study investigated the effects of malnutrition in elderly patients with Parkinson's disease (PD). Researchers suggested that patients with more advanced PD are more likely to be malnourished.
Some background
PD is a chronic disease that affects the brain cells. These cells lose their ability to control body functions which results in physical and mental symptoms. Patients with advanced PD need help with daily activities. Therefore, many patients need to be treated in the hospital to improve treatment response. People with PD are at a high risk of malnutrition (insufficient nutrients for a healthy life). This is associated with physical impairments, disease duration, and other things such as depression.
Poor diet is associated with poor health-related quality of life. Prior studies showed that depression and advanced PD is associated with poorer diets in non-hospitalized patients. However, it is not clear if the same effects are present in hospitalized patients with PD.
Methods & findings
This study included information about 92 hospitalized elderly patients with PD. Data about their nutrition state, as well as their symptoms and quality of life, was assessed.
Every second patient was malnourished or at risk of malnutrition. Male gender, longer disease duration, and depression were associated with malnutrition. This condition was associated with poor quality of life, decreased emotional well-being, and social support.
The bottom line
This study concluded that elderly patients with advanced PD in the hospital are more likely to have a poor diet and a decreased quality of life. The authors suggested that emotional problems should be evaluated and physical activity increased to help improve nutrition in these patients.
The fine print
Other factors such as an inability to swallow (dysphagia) were not evaluated. Further studies are needed.
Published By :
PLOS ONE
Date :
May 05, 2020