Abstract
To describe the nutritional status of elderly subjects with mild to moderate Alzheimer's disease. Subjects of both genders (n=40) diagnosed with mild to moderate Alzheimer's disease according to NINCDS-ADRDA criteria, participated in the study. Socioeconomic status, activities of daily life, anthropometric, clinical and dietary profiles were surveyed. Of the total, 65% were female. More than 70% were capable of accomplishing daily activities by themselves. Subjects were eutrophic with a statistically significant difference of the arm circumference between the mild and moderate groups. As for illnesses secondary to Alzheimer's, 52% of the elderly presented hypertension, followed by arthrosis type alterations (17%). The mean consumption of energy and macronutrients in the elderly classified as mild dementia was of 1645 kcal, distributed in 53.7% of carbohydrate, 17.5% of proteins or 0.9 g/kg and 28.8% of lipids. For those classified as moderate dementia it was of 1482 kcal, distributed in 59.3% of carbohydrate, 16.1% of proteins and 24.6% of lipids. In this descriptive study of elderly outpatients with mild and moderate Alzheimer's disease, most presented a nutritional status of eutrophy, with adequate dietary intake of carbohydrates, proteins, lipids and vitamin C, but with low dietary intake of vitamin E.
Highlights
More than 70% were capable of accomplishing daily activities by themselves
The mean consumption of energy and macronutrients in the elderly classified as mild dementia was of 1645 kcal, distributed in
Dietary intake of free-living elderly in northern Greece
Summary
JACQUELINE MACHADO*1, CARMEN LUCIA BARRETO CARAM1, ANDREA ABDALA FRANK1, ELIANE DE ABREU SOARES2,JERSON LAKS3 Trabalho realizado no Centro de Doenças de Alzheimer e outras Desordens Mentais na Velhice - Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ. Nesse estudo teve-se como objetivo descrever aspectos nutricionais e de saúde de uma amostra ambulatorial de idosos com DA no nosso meio, em grau de demência leve a moderado. A média de idade dos idosos foi de 77,2±6,9 anos, sendo a maioria do sexo feminino (65%), com renda superior a cinco salários mínimos e classificados no estágio leve da doença. Os idosos nos dois estágios da doença estavam eutróficos, porém os pacientes com DA leve apresentaram média dos índices de trofismo significativamente maior que os com DA moderada (p=0.03) (Tabela 1). O consumo médio de energia e de macronutrientes dos idosos classificados no estágio leve foi de 1645 kcal, distribuídos em 53,7% para carboidratos, 17,5% para proteínas e 28,8% para lipídeos, enquanto que o consumo médio dos pacientes no estágio moderado foi de 1482 kcal, distribuídos em 59,3% para carboidratos, 16,1% para proteínas e 24,6% para lipídeos (Tabela 1).
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