Vicente de Sousa Odete, Soares Guerra Rita, Sousa Ana Sofia, Pais Henriques Bebiana, Pereira Monteiro Anabela, Amaral Teresa Freitas
1 Psychogeriatrics Unit, Hospital de Magalhães Lemos EPE, Álvaro Rodrigues, Porto, Portugal.
2 Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.
Am J Alzheimers Dis Other Demen. 2017 Sep;32(6):329-341. doi: 10.1177/1533317517705221. Epub 2017 Apr 26.
This study aims to evaluate the impact of oral nutritional supplementation (ONS) and a psychomotor rehabilitation program on nutritional and functional status of community-dwelling patients with Alzheimer's disease (AD). A 21-day prospective randomized controlled trial was conducted and third intervention group performed a psychomotor rehabilitation program. Patients were followed up for 180 days. Mean (standard deviation) score of Mini Nutritional Assessment (MNA) increased both in the nutritional supplementation group (NSG; n = 25), 0.4 (0.8), and in the nutritional supplementation psychomotor rehabilitation program group (NSPRG; n = 11), 1.5 (1.0), versus -0.1 (1.1) in the control group (CG; n = 43), P < .05. Further improvements at 90-day follow-up for MNA in NSG: 1.3 (1.2) and NSPRG: 1.6 (1.0) versus 0.3 (1.7) in CG ( P < .05) were observed. General linear model analysis showed that the NSG and NSPRG ▵MNA score improved after intervention, at 21 days and 90 days, was independent of the MNA and Mini-Mental State Examination scores at baseline ( Ps > .05). The ONS and a psychomotor rehabilitation program have a positive impact on long-term nutritional and functional status of patients with AD.
本研究旨在评估口服营养补充剂(ONS)和一项精神运动康复计划对社区居住的阿尔茨海默病(AD)患者营养和功能状况的影响。进行了一项为期21天的前瞻性随机对照试验,第三干预组实施了精神运动康复计划。对患者进行了180天的随访。在营养补充组(NSG;n = 25)中,小型营养评定量表(MNA)的平均(标准差)得分增加了0.4(0.8),在营养补充精神运动康复计划组(NSPRG;n = 11)中增加了1.5(1.0),而在对照组(CG;n = 43)中下降了-0.1(1.1),P < 0.05。在90天随访时,NSG组MNA进一步改善:1.3(1.2),NSPRG组:1.6(1.0),而CG组为0.3(1.7)(P < 0.05)。一般线性模型分析表明,NSG组和NSPRG组干预后21天和90天的△MNA得分改善,与基线时的MNA和简易精神状态检查表得分无关(P > 0.05)。ONS和精神运动康复计划对AD患者的长期营养和功能状况有积极影响。