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Malnutrition risk in Parkinson's disease
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
Lunds universitet.
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.ORCID iD: 0000-0003-4820-6203
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Forskningsplattformen Hälsa i samverkan.ORCID iD: 0000-0003-2174-372X
2014 (English)In: Journal of Aging Research & Clinical Practice, ISSN 2258-8094, Vol. 3, no 2, 93-99 p.Article in journal (Refereed) Published
Abstract [en]

Background: Unintentional weight loss and undernutrition have been found common in  Parkinson’s disease but its relation to other disease aspects is unclear.

Objectives: To explore nutritional status in relation to disease duration in Parkinson’s disease, as well as associations between nutritional status and motor and autonomic features.

Design: Cross-sectional.

Setting: South-Swedish outpatient Parkinson-clinic.

Participants: Home-dwelling people with Parkinson’s disease (n=71), without significant cognitive impairment (mean age, 67.3 years; 56% men; mean disease duration, 6.3 years).

Measurements: Parkinsonian motor symptoms, mobility, activity level, disability, dyskinesias, dysautonomia, under- and malnutrition risk screening (using MEONF II and MUST for undernutrition and SCREEN II for malnutrition) and anthropometric measures (BMI, handgrip strength, triceps skin-fold, mid-arm circumference and mid-upper arm muscle circumference) were recorded. The sample was divided into those with longer (n=34) and shorter disease duration (n=37) according to the median (5 years).

Results: Longer disease duration was associated with more, disability, dyskinesias and dysautonomia than shorter duration (P ≤0.04). Mean (SD) body weight and BMI were 80.3 (16.3) kg and 28.1 (4.8) kg/m 2, respectively, and did not differ between duration groups (body weight, 80.9 vs. 79.6 kg; BMI, 28.0 vs. 28.3 kg/m 2; P≥0.738). There were no differences in other anthropometric measures between duration groups (P ≥0.300). BMI identified 4% and 62% as under- and overweight, respectively, and 4% exhibited  undernutrition risk, whereas 87% were at risk for malnutrition. Nutritional and motor/dysautonomic variables showed relatively weak correlations (r s, ≤ 0.33), but people with orthostatic hypotension had lower BMI (26.7 vs 29.2 kg/m 2; P=0.026) and lower handgrip strength (33.2 vs 41.6 kg; P=0.025) than those without orthostatic hypotension.

Conclusion: Motor and autonomic features showed expected relationships with disease duration. In contrast to these observations, and to most previous reports on nutrition in PD, frequencies of underweight and undernutrition were low. However, malnutrition risk was high, emphasizing the need for regular clinical monitoring of nutritional status. The reasons for the preserved nutritional status have to be explored prospectively.

Place, publisher, year, edition, pages
2014. Vol. 3, no 2, 93-99 p.
Keyword [en]
duration, nutrition, parkinson's disease, weight
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-12794OAI: oai:DiVA.org:hkr-12794DiVA: diva2:742551
Projects
Ofrivillig viktförändring vid Parkinson's disease
Available from: 2014-09-02 Created: 2014-09-02 Last updated: 2016-11-16Bibliographically approved
In thesis
1. Nutritionsstatus och viktförändring vid Parkinsons sjukdom
Open this publication in new window or tab >>Nutritionsstatus och viktförändring vid Parkinsons sjukdom
2015 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Malmö: Institutionen för kliniska vetenskaper, Malmö, Lund universitet, 2015. 77 p.
Keyword
Parkinson, nutrition, viktförändring
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16230 (URN)
Presentation
2015-11-24, Malmö, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2016-11-16 Created: 2016-11-14 Last updated: 2016-11-17Bibliographically approved

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