title: Outcomes of enteral nutrition for patients with advanced dementia: a systematic review.
abstract: The present article aims to evaluate the outcomes of enteral nutrition for people with advanced dementia. A systematic review was conducted by searching The Cochrane Library, MEDLINE, EMBASE, PROQUEST and LILACS for articles that were published from 2008 to 2013. Prospective and retrospective studies involving a control group were searched. Data were independently extracted and assessed by one reviewer and checked by a second. Searched outcomes included survival, clinical and nutritional parameters and complications. In total, nine controlled studies were identified from several parts of the world: Israel, Italy, Japan, the United States and Brazil. Most of the studies did not report any outcome of harm with enteral nutrition use in dementia patients compared with patients without dementia. A study with a higher follow-up period demonstrated improvements in albumin, weight and chronic inflammation parameters. It is not possible to affirm that tube feeding is harmful for dementia patients. Thus, an adequate follow-up by a multidisciplinary team may lower complications associated with this therapy and thus improve survival.
authors: Ana Lucia Ribeiro Salomon, SQS 102 - bloco "G" - apt 201, CEP: 70.330-070, Brasília - DF - BRAZIL, Telephone: 55-4161-8424-8864, E-mail: ana.salomon@gmail.com, anasalomon@ig.com.br.
authors: A L
authors: AL
authors: Ribeiro Salomon
authors: M R
authors: MR
authors: Carvalho Garbi Novaes
mesh_terms: D003704:Dementia / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D004750:Enteral Nutrition / Q000009:adverse effects*; D006801:Humans; D011446:Prospective Studies; D012189:Retrospective Studies
references: J Clin Neurosci. 2013 Feb;20(2):220-3
references: 23228657
references: Dysphagia. 1997 Fall;12(4):212-21
references: 9294942
references: Age Ageing. 2010 May;39(3):282-4
references: 20178994
references: J Am Med Dir Assoc. 2008 Nov;9(9):657-62
references: 18992698
references: JPEN J Parenter Enteral Nutr. 2009 May-Jun;33(3):277-316
references: 19398613
references: J Nutr Health Aging. 2013 Feb;17(2):162-5
references: 23364496
references: Rev Assoc Med Bras (1992). 2012 Nov-Dec;58(6):691-7
references: 23250098
references: J Psychosoc Nurs Ment Health Serv. 2010 May;48(5):15-8
references: 20415291
references: JPEN J Parenter Enteral Nutr. 2009 Jan-Feb;33(1):62-6
references: 18827070
references: JAMA. 2010 Feb 10;303(6):544-50
references: 20145231
references: J Am Med Dir Assoc. 2007 May;8(4):205-8
references: 17498602
references: Psychiatry Clin Neurosci. 2012 Aug;66(5):418-22
references: 22834660
references: Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007209
references: 19370678
references: Isr Med Assoc J. 2006 Dec;8(12):870-4
references: 17214109
references: Arch Intern Med. 2012 May 14;172(9):697-701
references: 22782196
references: J Am Geriatr Soc. 2010 Mar;58(3):580-4
references: 20398123
references: Am J Gastroenterol. 2008 Apr;103(4):1011-6; quiz 1017
references: 18177448