Top

BMC Geriatrics

Published in:

Open Access 01-12-2021 | Affective Disorder | Research article

Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study

Authors: Dukyoo Jung, Jennie C. De Gagne, Hyesoon Lee, Minkyung Lee

Published in: BMC Geriatrics | Issue 1/2021

Abstract

Background

The purpose of this study was to investigate factors influencing eating performance in older adults with dementia (OAWDs) in long-term care (LTC) facilities.

Methods

This cross-sectional study examined risk factors for compromised eating performance by comparing both independent and dependent older adults with dementia. The study participants were 117 OAWDs in LTC facilities in South Korea. Measurements included (a) general characteristics, (b) activities of daily living (ADL) including eating performance, (c) cognitive function, (d) physical capability, (e) grip strength, (f) Behavioral Psychological Symptoms of Dementia (BPSD), and (g) depression. Data were analyzed by the percentage, mean and standard deviation, Chi-square test, t-test, and logistic regression.

Results

The eating independent group had more comorbidities than the dependent group (t = 2.793, p < .006); had significantly higher cognition (t = 4.108, p < .001) and physical capability (t = 5.258, p < .001); and had stronger grip strength (t = 2.887, p = .005). Comorbidities and physical capability were determinants for independent eating performance (Odds Ratio [OR] = 1.969, p = .014; OR = 1.324, p < .001).

Conclusions

It is suggested that maintaining physical capability should be encouraged to support independent eating performance by OAWDs in LTC facilities. The results of this study could serve as a basis for developing function-focused care to maintain the residual eating performance of OAWDs in Korean LTC facilities. This is a subject area that has not been fully explored.

Lau KM, Parikh M, Harvey DJ, Huang C-J, Farias ST. Early cognitively based functional limitations predict loss of independence in instrumental activities of daily living in older adults. J Int Neuropsychol Soc. 2015;21(9):688–98. https://doi.org/10.1017/S1355617715000818.CrossRefPubMedPubMedCentral

Helvik A-S, Engedal K, Benth JŠ, Selbæk G. A 52 month follow-up of functional decline in nursing home residents–degree of dementia contributes. BMC Geriatr. 2014;14(1):45. https://doi.org/10.1186/1471-2318-14-45.CrossRefPubMedPubMedCentral

Ahn K-S, Park S-K, Cho Y-C. Physical function (ADL, IADL) and related factors in the elderly people institutionalized in long-term care facilities. J Korea Academia-Industrial Cooperation Soc. 2016;17(3):480–8. https://doi.org/10.5762/KAIS.2016.17.3.480.CrossRef

Ministry of Health and Welfare. The survey of living conditions and welfare needs of Korean older persons 2017 [Available from: https://www.data.go.kr/dataset/15004296/fileData.do. Accessed 6 Nov 2020.

Jerez-Roig J, Ferreira LMdBM, de Araujo JRT, Lima KC. Functional decline in nursing home residents: A prognostic study. PloS one. 2017;12(5):e0177353.

Liu W, Galik E, Boltz M, Nahm ES, Lerner N, Resnick B. Factors associated with eating performance for long-term care residents with moderate-to-severe cognitive impairment. J Adv Nurs. 2016;72(2):348–60. https://doi.org/10.1111/jan.12846.CrossRefPubMed

U.S. Centers for Medicare & Medicaid Services. Nursing home quality initiative: Quality measures 2019 [Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html. Accessed 6 Nov 2020.

Alzheimer’s Society. Eating and drinking. Factsheet 511LP 2016 [Available from: https://www.alzheimers.org.uk/sites/default/files/pdf/factsheet_eating_and_drinking.pdf. Accessed 6 Nov 2020.

Hanson LC, Ersek M, Lin FC, Carey TS. Outcomes of feeding problems in advanced dementia in a nursing home population. J Am Geriatr Soc. 2013;61(10):1692–7. https://doi.org/10.1111/jgs.12448.CrossRefPubMedPubMedCentral

10.

Guigoz Y, Jensen G, Thomas D, Vellas B. The mini nutritional assessment (MNA®) review of the literature-what does it tell us? J Nutr Health Aging. 2006;10(6):466–87.PubMed

11.

Liu W, Jao Y-L, Williams K. The association of eating performance and environmental stimulation among older adults with dementia in nursing homes: a secondary analysis. Int J Nurs Stud. 2017;71:70–9. https://doi.org/10.1016/j.ijnurstu.2017.03.004.CrossRefPubMedPubMedCentral

12.

Lee K, Song J. Characteristics of eating behavior in elders with dementia residing in long-term care facilities. J Korean Acad Nurs. 2012;42(4):466–76. https://doi.org/10.4040/jkan.2012.42.4.466.CrossRefPubMed

13.

Liu W, Galik E, Nahm ES, Boltz M, Resnick B. Optimizing eating performance for long-term care residents with dementia: testing the impact of function-focused care for cognitively impaired. J Am Med Dir Assoc. 2015;16(12):1062–8. https://doi.org/10.1016/j.jamda.2015.06.023.CrossRefPubMed

14.

Lee J, Ryu SA. Factors associated with feeding difficulty in long-term care facility older adults with dementia. J Korean Gerontol Nurs. 2017;19(1):1–12. https://doi.org/10.17079/jkgn.2017.19.1.1.CrossRef

15.

Slaughter SE, Eliasziw M, Morgan D, Drummond N. Incidence and predictors of eating disability among nursing home residents with middle-stage dementia. Clin Nutr. 2011;30(2):172–7. https://doi.org/10.1016/j.clnu.2010.09.001.CrossRefPubMed

16.

Chang CC, Roberts BL. Feeding difficulty in older adults with dementia. J Clin Nurs. 2008;17(17):2266–74. https://doi.org/10.1111/j.1365-2702.2007.02275.x.CrossRefPubMed

17.

Ga H. Long-term care system in Korea. Ann Geriatr Med Res. 2020;24(3):181–6. https://doi.org/10.4235/agmr.20.0036.CrossRefPubMedPubMedCentral

18.

Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. J Korean Geriatrics Soc. 2002;6(2):107–20.

19.

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. Jama. 1963;185(12):914–9. https://doi.org/10.1001/jama.1963.03060120024016.CrossRefPubMed

20.

Kang Y, Na DL, Hahn S. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 1997;15(2):300–8.

21.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–98. https://doi.org/10.1016/0022-3956(75)90026-6.CrossRefPubMed

22.

Jung D, Lee H, Lee M. Function-focused care programme for older people in Korean long-term care facilities. Int J Older People Nurs. 2019:e12277.

23.

Resnick B, Boltz M, Galik E, Wells C. Physical capability scale: psychometric testing. Clin Nurs Res. 2013;22(1):7–29. https://doi.org/10.1177/1054773812447943.CrossRefPubMed

24.

Kaufer DI, Cummings JL, Ketchel P, Smith V, MacMillan A, Shelley T, et al. Validation of the NPI-Q, a brief clinical form of the neuropsychiatric inventory. J Neuropsychiatry Clin Neurosci. 2000;12(2):233–9. https://doi.org/10.1176/jnp.12.2.233.CrossRefPubMed

25.

Korean Association for Geriatric Psychiatry. Korean assessment scales for demented patients. Seoul: Hakjisa; 2003.

26.

Wong A, Cheng S-T, Lo ES, et al. Validity and reliability of the neuropsychiatric inventory questionnaire version in patients with stroke or transient ischemic attack having cognitive impairment. J Geriatr Psychiatry Neurol. 2014;27(4):247–52. https://doi.org/10.1177/0891988714532017.CrossRefPubMed

27.

Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Cornell scale for depression in dementia. Biol Psychiatry. 1988;23(3):271–84. https://doi.org/10.1016/0006-3223(88)90038-8.CrossRefPubMed

28.

Kim KW. Dementia care assessment packet. Seoul The Korean Association for Dementia; 2005.

29.

Cooper R, Kuh D, Cooper C, Gale CR, Lawlor DA, Matthews F, et al. Objective measures of physical capability and subsequent health: a systematic review. Age Ageing. 2011;40(1):14–23. https://doi.org/10.1093/ageing/afq117.CrossRefPubMed

30.

Palese A, Grassetti L, Zuttion R, Ferrario B, Ponta S, Achil I, et al. Self-feeding dependence incidence and predictors among nursing home residents: findings from a 5-year retrospective regional study. Nurs Health Sci. 2019;21(3):297–306. https://doi.org/10.1111/nhs.12596.CrossRefPubMed

31.

Lee MI, Martin LY, Akram A, Lee J, Nicosia F, Barnes D. Preventing loss of independence through exercise (PLIÉ): a novel program to improve care of older veterans in long-term care. J Am Med Dir Assoc. 2020;21(3):B24–5. https://doi.org/10.1016/j.jamda.2020.01.070.CrossRef

32.

Cancela JM, Ayán C, Varela S, Seijo M. Effects of a long-term aerobic exercise intervention on institutionalized patients with dementia. J Sci Med Sport. 2016;19(4):293–8. https://doi.org/10.1016/j.jsams.2015.05.007.CrossRefPubMed

33.

Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373e83.

34.

Barrea L, Muscogiuri G, Di Somma C, Tramontano G, De Luca V, Illario M, et al. Association between Mediterranean diet and hand grip strength in older adult women. Clin Nutr. 2019;38(2):721–9. https://doi.org/10.1016/j.clnu.2018.03.012.CrossRefPubMed

35.

Mishra S, Goldman JD, Sahyoun NR, Moshfegh AJ. Association between dietary protein intake and grip strength among adults aged 51 years and over: what we eat in America, National Health and nutrition examination survey 2011-2014. PLoS One. 2018;13(1):e0191368. https://doi.org/10.1371/journal.pone.0191368.CrossRefPubMedPubMedCentral

36.

de Souza GP, Martini LA. Effect of protein intake on bone and muscle mass in the elderly. Nutr Rev. 2010;68(10):616–23.CrossRef

37.

Ekstrand E, Lexell J, Brogårdh C. Isometric and isokinetic muscle strength in the upper extremity can be reliably measured in persons with chronic stroke. J Rehabil Med. 2015;47(8):706–13. https://doi.org/10.2340/16501977-1990.CrossRefPubMed

38.

Murphy JL, Holmes J, Brooks C. Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes. BMC Geriatr. 2017;17(1):55. https://doi.org/10.1186/s12877-017-0443-2.CrossRefPubMedPubMedCentral

39.

Li J, Porock D. Resident outcomes of person-centered care in long-term care: a narrative review of interventional research. Int J Nurs Stud. 2014;51(10):1395–415. https://doi.org/10.1016/j.ijnurstu.2014.04.003.CrossRefPubMed

Title: Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study
Authors: Dukyoo Jung
Jennie C. De Gagne
Hyesoon Lee
Minkyung Lee
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Affective Disorder
Care
Dementia
Affective Disorder
Dementia
Published in: BMC Geriatrics / Issue 1/2021
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-021-02315-6

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Factors associated with eating performance in older adults with dementia in long-term care facilities: a cross-sectional study

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2021

Effects of physician visit frequency for Parkinson’s disease treatment on mortality, hospitalization, and costs: a retrospective cohort study

Does time-to-surgery affect mortality in patients with acute osteoporotic vertebral compression fractures?

Implementation of an integrative movement program for residents with dementia in a VA nursing home

Medication adherence support of an in-home electronic medication dispensing system for individuals living with chronic conditions: a pilot randomized controlled trial

Contribution of IQ in young adulthood to the associations of education and occupation with cognitive ability in older age

Habitual tea consumption and 5-year incident metabolic syndrome among older adults: a community-based cohort study

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page