Use of nutritional complete supplements in older adults with dementia: systematic review and meta-analysis of clinical outcomes

Allen, Victoria, Methven, Lisa and Gosney, Margot (2013) Use of nutritional complete supplements in older adults with dementia: systematic review and meta-analysis of clinical outcomes. Clinical Nurtrition, 32 (6). pp. 950-957. ISSN 0261-5614

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Abstract

Background & aims

Malnutrition is prevalent in people diagnosed with dementia however ensuring adequate oral intake within this group is often problematic. It is important to determine whether providing nutritionally complete oral nutritional supplements (ONS) drinks is an effective way of improving clinical outcomes for older people with dementia. This paper systematically reviewed clinical, wellbeing and nutritional outcomes in people with long-term cognitive impairment.

Methods

The CINAHL, Medline and EMBASE databases were searched from their inception until January 2012. Reference lists of the included papers, foreign language papers and review articles obtained were manually searched.

Results

Twelve articles were included in the review containing 1076 people in the supplement groups (intervention) and 748 people in the control groups. Meta-analysis shows there was a significant improvement in weight (p = <0.0001), Body Mass Index (BMI) (p = <0.0001) and cognition at 6.5 ± 3.9 month follow-up (p = 0.002) when supplements were given compared to the control group.
Conclusions

Providing ONS drinks has a positive effect on weight gain and cognition at follow-up in older people with dementia. Additional research is required in both comparing nutritional supplements to vitamin/mineral tablets and high protein/calorie shots and clinical outcomes relevant to people with dementia.

Item Type: Article
Subjects: Medicine and health > Nutrition
Depositing User: Rod Pow
Date Deposited: 19 May 2014 09:42
Last Modified: 23 Jun 2017 08:36
URI: http://repository.uwl.ac.uk/id/eprint/858

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