Texture-modified food and fluids in dementia and residential aged care facilities

Virginia Painter,1 David G Le Couteur,1–3 Louise M Waite1–3 1Aged and Chronic Care Department, Concord Repatriation General Hospital, Concord, NSW, Australia; 2Ageing and Alzheimer’s Institute, Concord Repatriation General Hospital, Concord, NSW, Australia; 3Centre for...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Painter V, Le Couteur DG, Waite LM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	modified diet dementia residential aged care facilities dysphagia aspiration Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/138977a274404fc9afc0a987bd0dcbfd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:138977a274404fc9afc0a987bd0dcbfd
record_format	dspace
spelling	oai:doaj.org-article:138977a274404fc9afc0a987bd0dcbfd2021-12-02T04:20:35ZTexture-modified food and fluids in dementia and residential aged care facilities1178-1998https://doaj.org/article/138977a274404fc9afc0a987bd0dcbfd2017-08-01T00:00:00Zhttps://www.dovepress.com/texture-modified-food-and-fluids-in-dementia-and-residential-aged-care-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Virginia Painter,1 David G Le Couteur,1–3 Louise M Waite1–3 1Aged and Chronic Care Department, Concord Repatriation General Hospital, Concord, NSW, Australia; 2Ageing and Alzheimer’s Institute, Concord Repatriation General Hospital, Concord, NSW, Australia; 3Centre for Education and Research on Ageing, University of Sydney, Concord, NSW, Australia Introduction: Dysphagia is common in people living with dementia and associated with increased risk of aspiration pneumonia, dehydration, malnutrition, and death. Treatment options are limited and the use of texture-modified food and fluids (TMF) is a widespread clinical practice. This review aimed to evaluate the evidence for TMF in dementia.Methods: A literature search using terms “dysphagia,” “texture-modified food and fluids,” “dementia,” and “aged care” was performed by using three electronic databases from 1990 to March 2017. Studies were assessed for suitability, then reviewed with data extracted, and grouped by categories of outcome measures.Results: A total of 3,722 publications were identified, and 22 studies met the inclusion criteria. Studies were heterogeneous in design and methodology. There were no publications examining dementia exclusively; however, many subjects with dementia were included in studies of residential aged care facilities. TMF reduced the risk of aspiration seen on videofluoroscopy but not clinical aspiration and pneumonia. TMF was associated with lower daily energy and fluid intake and variable adherence.Conclusion: There is a lack of evidence for people living with dementia and in residential care facilities that TMF improves clinical outcomes such as aspiration pneumonia, nutrition, hydration, morbidity, and mortality. Adverse effects including poorer energy and fluid intake were identified. Keywords: modified diet, dysphagia, aspiration, aged care, nursing homes, dehydration, nutritionPainter VLe Couteur DGWaite LMDove Medical Pressarticlemodified diet dementia residential aged care facilities dysphagia aspirationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1193-1203 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	modified diet dementia residential aged care facilities dysphagia aspiration Geriatrics RC952-954.6
spellingShingle	modified diet dementia residential aged care facilities dysphagia aspiration Geriatrics RC952-954.6 Painter V Le Couteur DG Waite LM Texture-modified food and fluids in dementia and residential aged care facilities
description	Virginia Painter,1 David G Le Couteur,1–3 Louise M Waite1–3 1Aged and Chronic Care Department, Concord Repatriation General Hospital, Concord, NSW, Australia; 2Ageing and Alzheimer’s Institute, Concord Repatriation General Hospital, Concord, NSW, Australia; 3Centre for Education and Research on Ageing, University of Sydney, Concord, NSW, Australia Introduction: Dysphagia is common in people living with dementia and associated with increased risk of aspiration pneumonia, dehydration, malnutrition, and death. Treatment options are limited and the use of texture-modified food and fluids (TMF) is a widespread clinical practice. This review aimed to evaluate the evidence for TMF in dementia.Methods: A literature search using terms “dysphagia,” “texture-modified food and fluids,” “dementia,” and “aged care” was performed by using three electronic databases from 1990 to March 2017. Studies were assessed for suitability, then reviewed with data extracted, and grouped by categories of outcome measures.Results: A total of 3,722 publications were identified, and 22 studies met the inclusion criteria. Studies were heterogeneous in design and methodology. There were no publications examining dementia exclusively; however, many subjects with dementia were included in studies of residential aged care facilities. TMF reduced the risk of aspiration seen on videofluoroscopy but not clinical aspiration and pneumonia. TMF was associated with lower daily energy and fluid intake and variable adherence.Conclusion: There is a lack of evidence for people living with dementia and in residential care facilities that TMF improves clinical outcomes such as aspiration pneumonia, nutrition, hydration, morbidity, and mortality. Adverse effects including poorer energy and fluid intake were identified. Keywords: modified diet, dysphagia, aspiration, aged care, nursing homes, dehydration, nutrition
format	article
author	Painter V Le Couteur DG Waite LM
author_facet	Painter V Le Couteur DG Waite LM
author_sort	Painter V
title	Texture-modified food and fluids in dementia and residential aged care facilities
title_short	Texture-modified food and fluids in dementia and residential aged care facilities
title_full	Texture-modified food and fluids in dementia and residential aged care facilities
title_fullStr	Texture-modified food and fluids in dementia and residential aged care facilities
title_full_unstemmed	Texture-modified food and fluids in dementia and residential aged care facilities
title_sort	texture-modified food and fluids in dementia and residential aged care facilities
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/138977a274404fc9afc0a987bd0dcbfd
work_keys_str_mv	AT painterv texturemodifiedfoodandfluidsindementiaandresidentialagedcarefacilities AT lecouteurdg texturemodifiedfoodandfluidsindementiaandresidentialagedcarefacilities AT waitelm texturemodifiedfoodandfluidsindementiaandresidentialagedcarefacilities
_version_	1718401293598326784

Texture-modified food and fluids in dementia and residential aged care facilities

Ejemplares similares