Longitudinal assessment of the eating pattern of people with dementia and its association with problems for feeding and malnutrition: a prospective follow-up study protocol

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Abstract

Introduction

Dementia conditions the patient’s nutrition from the beginning and vice versa. Generating difficulties for feeding (FEDIF) will influence its evolution. There are currently few nutritional longitudinal studies in people with dementia. Most focus on problems already established. The Edinburgh Feeding Evaluation in Dementia (EdFED) Scale identifies FEDIF of patients with dementia by studying their behaviours while eating or being fed. It also indicates areas of potential clinical interventions.

Methods and analysis

Prospective multicentre observational study carried out in nursing homes, Alzheimer’s day care centres and primary healthcare centres. The study population will be dyads composed by the patient (diagnosed of dementia, over 65 years of age and who have feeding difficulties) and their family caregiver. Sociodemographic variables and nutritional status (body mass index, Mini Nutritional Assessment, blood test and calf and arm circumference) will be assessed. The Spanish version of the EdFED Scale will be completed and the presence of nursing diagnoses related to feeding behaviours will be collected. Follow-up will take place for 18 months.

Ethics and dissemination

All data will be carried out respecting European legislation 2016/679 in data protection, and the Spanish ‘Organic Law 3/2018 of December 2005’. The clinical data will be kept segregated and encrypted. The informed consent has been obtained. The research has been authorised by the Costa del Sol Health Care District on 27 February 2020 and the Ethics Committee on 2 March 2021. It has obtained funding from the Junta de Andalucía on 15 February 2021. Findings of the study will be presented at provincial, national and international conferences and published in peer-reviewed journals.

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Most cited references 64

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A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation

Mary Charlson, Peter Pompei, Kathy Ales … (1987)

The objective of this study was to develop a prospectively applicable method for classifying comorbid conditions which might alter the risk of mortality for use in longitudinal studies. A weighted index that takes into account the number and the seriousness of comorbid disease was developed in a cohort of 559 medical patients. The 1-yr mortality rates for the different scores were: "0", 12% (181); "1-2", 26% (225); "3-4", 52% (71); and "greater than or equal to 5", 85% (82). The index was tested for its ability to predict risk of death from comorbid disease in the second cohort of 685 patients during a 10-yr follow-up. The percent of patients who died of comorbid disease for the different scores were: "0", 8% (588); "1", 25% (54); "2", 48% (25); "greater than or equal to 3", 59% (18). With each increased level of the comorbidity index, there were stepwise increases in the cumulative mortality attributable to comorbid disease (log rank chi 2 = 165; p less than 0.0001). In this longer follow-up, age was also a predictor of mortality (p less than 0.001). The new index performed similarly to a previous system devised by Kaplan and Feinstein. The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death from comorbid disease for use in longitudinal studies. Further work in larger populations is still required to refine the approach because the number of patients with any given condition in this study was relatively small.

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Guidance for conducting systematic scoping reviews.

Micah D.J. Peters, Christina M Godfrey, Hanan Khalil … (2015)

Reviews of primary research are becoming more common as evidence-based practice gains recognition as the benchmark for care, and the number of, and access to, primary research sources has grown. One of the newer review types is the 'scoping review'. In general, scoping reviews are commonly used for 'reconnaissance' - to clarify working definitions and conceptual boundaries of a topic or field. Scoping reviews are therefore particularly useful when a body of literature has not yet been comprehensively reviewed, or exhibits a complex or heterogeneous nature not amenable to a more precise systematic review of the evidence. While scoping reviews may be conducted to determine the value and probable scope of a full systematic review, they may also be undertaken as exercises in and of themselves to summarize and disseminate research findings, to identify research gaps, and to make recommendations for the future research. This article briefly introduces the reader to scoping reviews, how they are different to systematic reviews, and why they might be conducted. The methodology and guidance for the conduct of systematic scoping reviews outlined below was developed by members of the Joanna Briggs Institute and members of five Joanna Briggs Collaborating Centres.

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GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community

A Coats, L Gramlich, V. Fuchs-Tarlovsky … (2018)

This initiative is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings.

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Author and article information

Journal

Journal ID (nlm-ta): BMJ Open

Journal ID (iso-abbrev): BMJ Open

Journal ID (hwp): bmjopen

Journal ID (publisher-id): bmjopen

Title: BMJ Open

Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )

ISSN (Electronic): 2044-6055

Publication date Collection: 2023

Publication date (Electronic): 25 May 2023

Volume: 13

Issue: 5

Electronic Location Identifier: e068790

Affiliations

[1 ]departmentPrimary Health Care Costa del Sol District, Los Boliches Health Care Centre , Andalucia Health Service (SAS) , Fuengirola, Andalucia, Spain

[2 ]departmentIR Group C-13 “Chronicity, Dependency, Care and Health Services” , Biomedical Research Institute of Malaga (IBIMA) , Malaga, Andalucia, Spain

[3 ]departmentResidences Unit, Malaga and Valle del Guadalhorce Primary Health Care District , Andalucia Health Service (SAS) , Malaga, Andalucia, Spain

[4 ]departmentNursing Department , University of Malaga, Health Science Faculty , Malaga, Andalucia, Spain

[5 ]departmentAndalusian Public Foundation for Research in Biomedicine and Health of Malaga , Ringgold_512162FIMABIS , Malaga, Andalucia, Spain

[6 ]departmentPrimary Health Care Costa del Sol District, La Lobilla Health Care Center , Andalucia Health Service (SAS) , Estepona (Málaga), Andalucia, Spain

[7 ]departmentPrimary Health Care Costa del Sol District, Las Albarizas Health Care Center , Andalucia Health Service (SAS) , Marbella, Andalucia, Spain

[8 ]departmentPrimary Health Care Costa del Sol District, Las Lagunas Health Care Center , Servicio Andaluz de Salud , Mijas Costa, Andalucia, Spain

[9 ]departmentCommunity Mental Health Unit, Virgen de la Victoria University Hospital , Servicio Andaluz de Salud , Estepona, Andalucia, Spain

[10 ]departmentPrimary Health Care Costa del Sol District, Fuengirola Oeste Health Care Center , Servicio Andaluz de Salud , Marbella, Andalucia, Spain

[11 ]departmentPrimary Health Care Costa del Sol District, La Carihuela Health Care Center , Servicio Andaluz de Salud , Benalmadena, Andalucia, Spain

[12 ]departmentNursing Department , University of Malaga , Málaga, Andalucia, Spain

Author notes

[Correspondence to ] Dr María Carmen Saucedo Figueredo; mc.saucedo.sspa@ 123456juntadeandalucia.es

The research has been authorized by the Costa del Sol Health Care District on 27.02.2020 and the Ethics Committee on 02/03/2021. It has obtained funding from the Junta de Andalucía on 02/15/2021.

Author information

María Carmen Saucedo Figueredo http://orcid.org/0000-0001-8815-4079

Article

Publisher ID: bmjopen-2022-068790

DOI: 10.1136/bmjopen-2022-068790

PMC ID: 10230931

PubMed ID: 37230516

SO-VID: fc4d7a99-7885-4238-9ec2-a758b7c39cf4

License:

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

History

Date received : 05 October 2022

Date accepted : 03 May 2023

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100010566, Consejería de Salud y Familias, Junta de Andalucía;

Award ID: 15/02/2021

Award ID: AP-0065-2020-C1-F2

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ScienceOpen disciplines: Medicine

Keywords: dementia,primary care,nutrition & dietetics

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ScienceOpen disciplines: Medicine

Keywords: dementia, primary care, nutrition & dietetics

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Longitudinal assessment of the eating pattern of people with dementia and its association with problems for feeding and malnutrition: a prospective follow-up study protocol

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Abstract

Introduction

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Karger: Neurology and Neuroscience

Most cited references 64

A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation

Guidance for conducting systematic scoping reviews.

GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community

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