title: Health and nutritional promotion program for patients with dementia (NutriAlz Study): design and baseline data.
abstract: BACKGROUND
  There is a lack of data on global weight loss prevention programs for patients with dementia or clear evidence about their impact on a functional level, caregiver burden or the use of healthcare and social resources. NutriAlz is a socio-educative and nutritional intervention program to prevent weight loss and loss of function in dementia patients.
  
  
  METHODS
  A cluster randomized multi-centre study, which will allow the comparison of a group benefiting from the intervention with a control group after a year of monitoring. Patients were recruited from 11 hospitals in the ambulatory diagnostic units and day care centres. The baseline interview include: sociodemographic and socioeconomic variables (age, gender, educational level, marital status); diagnostic, treatments, MMS, a list of comorbid conditions; activities of daily living (ADL, IADL), Zarit Scale, brief-NPI, Cornell scale and nutritional status as measured by the Mini Nutritional Assessment. All participants or their family signed the inform consent form.
  Total of 946 patients were included, with a mean (+/- SD) of 79 +/- 7.3 year of age; 68,1 % were women; 44,9% lives with their partner, only 3% lives alone; 79.8% had Alzheimer's dementia, 5.25 +/- 3.0 years since symptoms of dementia and 2.8 +/- 2.11 years since diagnosis. Mean MMSE score was 15.4 +/- 6.2; mean weight was 64.4 +/- 12.5 kg; mean BMI was 27.0 +/- 4.5 (with 3% below 19, 5% between 19-21, 10% between 21-23, and 82% above 23). Mean ADL without difficulties was 3.2 +/- 2.1; mean IADL without difficulties was 0.7 +/- 1.6; mean number of symptoms in the NPI was 4.4 +/- 2.59, with severity score of 7.9 +/- 5.9 and distress score of 11.3 +/- 9.0; mean Zarit scale was 27.4 +/- 15.5; mean MNA was 23.2 +/- 3.5 with 5 % as malnourished, 32 % at risk of malnutrition, and 63 % with adequate nutritional status.
authors.affiliation: A. Salva, Institut de l'Envelliment, Universitat Autonoma de Barcelona, St. Antoni M. Claret 171, 08041 Barcelona, Spain. antoni.salva@uab.es
authors.forename: A
authors.initials: A
authors.lastname: Salva
authors.forename: S
authors.initials: S
authors.lastname: Andrieu
authors.forename: E
authors.initials: E
authors.lastname: Fernandez
authors.forename: E J
authors.initials: EJ
authors.lastname: Schiffrin
authors.forename: J
authors.initials: J
authors.lastname: Moulin
authors.forename: B
authors.initials: B
authors.lastname: Decarli
authors.forename: Y
authors.initials: Y
authors.lastname: Guigoz
authors.forename: B
authors.initials: B
authors.lastname: Vellas
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003704:Dementia / Q000150:complications* / Q000178:diet therapy; D005260:Female; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications / Q000178:diet therapy* / Q000453:epidemiology; D044623:Nutrition Therapy / Q000379:methods*; D010353:Patient Education as Topic; D015995:Prevalence; D012107:Research Design; D012306:Risk; D015431:Weight Loss