What's new about hydration in dementia?

IF 3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-01-01 Epub Date: 2024-12-04 DOI:10.1097/MCO.0000000000001089

Xenophon Theodoridis, Kalliopi Anna Poulia, Michail Chourdakis

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引用次数: 0

Abstract

Purpose of review: The aim of this study was to conduct a review of the literature published over the past 18 months and present the latest findings on hydration in individuals with dementia.

Recent findings: A systematic review identified sarcopenia, polypharmacy, delayed oral transit, and poor rinsing ability as markers of eating-drinking-swallowing difficulties in early-stage dementia. A cross-sectional study found a high prevalence of dehydration (57-68%) among dementia patients, associated with hypertension, diabetes, chronic kidney disease, dysphagia, and cognitive decline. An analysis of national dementia care guidelines showed that only the UK and Switzerland addressed assisted nutrition and hydration. "Jelly Drops," a hydrating product for dementia patients, received innovation awards. A study on US Physician Orders for Life Sustaining Treatment forms highlighted inconsistent terminology for end-of-life nutrition and hydration, calling for clearer language to aid decision-making.

Summary: The new hydration-related recommendations in the ESPEN 2024 guidelines for dementia reflect a more individualized, proactive, and comprehensive approach to managing hydration. These guidelines emphasize the importance of early detection, personalized interventions, and consistent monitoring to ensure that dehydration is identified and treated promptly. Furthermore, the current literature supports the need for a specific terminology for dementia management using nutrition and hydration to improve patients' health outcomes.

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痴呆症中的水合作用有什么新发现？

综述目的：本研究的目的是对过去18个月发表的文献进行综述，并介绍痴呆症患者体内水合作用的最新发现。最近的发现：一项系统综述发现，早期痴呆患者的肌肉减少症、多药、口腔转运延迟和冲洗能力差是饮食吞咽困难的标志。一项横断面研究发现，痴呆患者中脱水的患病率很高（57-68%），并伴有高血压、糖尿病、慢性肾病、吞咽困难和认知能力下降。一项对国家痴呆症护理指南的分析表明，只有英国和瑞士提到了辅助营养和补水。针对痴呆症患者的补水产品“Jelly Drops”获得了创新奖。一项关于美国医生生命维持治疗表格的研究强调了生命末期营养和水合作用的术语不一致，呼吁更清晰的语言来帮助决策。总结：ESPEN 2024痴呆指南中新的与水合作用相关的建议反映了一种更加个性化、主动和全面的水合作用管理方法。这些指南强调早期发现、个性化干预和持续监测的重要性，以确保及时发现和治疗脱水。此外，目前的文献支持需要一个专门的术语来管理痴呆症，利用营养和水合作用来改善患者的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Clinical Nutrition and Metabolic Care 医学-内分泌学与代谢

CiteScore

5.30

自引率

6.50%

发文量

116

审稿时长

6-12 weeks

期刊介绍： A high impact review journal which boasts an international readership, Current Opinion in Clinical Nutrition and Metabolic Care offers a broad-based perspective on the most recent and exciting developments within the field of clinical nutrition and metabolic care. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include protein, amino acid metabolism and therapy, lipid metabolism and therapy, nutrition and the intensive care unit and carbohydrates. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.