Machado Jacqueline, Caram Carmen Lucia Barreto, Frank Andrea Abdala, Soares Eliane de Abreu, Laks Jerson
Instituto de Nutrição, Universidade Federal do Rio de Janeiro, RJ.
Rev Assoc Med Bras (1992). 2009 Mar-Apr;55(2):188-91. doi: 10.1590/s0104-42302009000200024.
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.
描述轻度至中度阿尔茨海默病老年患者的营养状况。
根据NINCDS-ADRDA标准诊断为轻度至中度阿尔茨海默病的男女受试者（n = 40）参与了本研究。对社会经济状况、日常生活活动、人体测量、临床和饮食情况进行了调查。
总受试者中65%为女性。超过70%的人能够自行完成日常活动。受试者营养状况良好，轻度和中度组之间的臂围存在统计学显著差异。至于阿尔茨海默病继发的疾病，52%的老年人患有高血压，其次是关节类型改变（17%）。轻度痴呆老年人的能量和宏量营养素平均摄入量为1645千卡，其中碳水化合物占53.7%，蛋白质占17.5%或0.9克/千克，脂质占28.8%。对于中度痴呆患者，能量和宏量营养素平均摄入量为1482千卡，其中碳水化合物占59.3%，蛋白质占16.1%，脂质占24.6%。
在这项对轻度和中度阿尔茨海默病老年门诊患者的描述性研究中，大多数患者营养状况良好，碳水化合物、蛋白质、脂质和维生素C的饮食摄入量充足，但维生素E的饮食摄入量较低。
