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J Am Geriatr Soc. 2011 Mar;59(3):463-72. doi: 10.1111/j.1532-5415.2011.03320.x.

Oral feeding options for people with dementia: a systematic review.

Author information

1
Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. lhanson@med.unc.edu

Abstract

To review the benefits of oral feeding options in people with dementia.

DESIGN:

Systematic literature search with review of potentially eligible studies by two independent investigators.

SETTING:

PubMed/MEDLINE, EMBASE, the Cochrane Library, CINAHL, and PsychINFO literature indices between January 1990 and October 2009.

PARTICIPANTS:

Clinical trials with random or nonrandom control groups were included if they reported on clinical outcomes of oral feeding interventions for people with dementia.

MEASUREMENTS:

Investigators abstracted data from included studies using a structured instrument. Studies were graded on quality and potential bias, and overall strength of evidence was summarized.

RESULTS:

Thirteen controlled trials provided data on use of supplements for people with dementia, and 12 controlled trials tested assisted feeding or other interventions. Studies provide moderate-strength evidence for high-calorie supplements, and low-strength evidence for appetite stimulants, assisted feeding, and modified foods to promote weight gain in people with dementia. The few studies measuring function or survival showed no difference.

CONCLUSION:

High-calorie supplements and other oral feeding options can help people with dementia with feeding problems to gain weight; they are unlikely to improve other outcomes. These treatments can be offered alone or in combination as an alternative to tube feeding.

PMID:
21391936
PMCID:
PMC3164780
DOI:
10.1111/j.1532-5415.2011.03320.x
[Indexed for MEDLINE]
Free PMC Article
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