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
Jose Miguel Morales-Asencio,
María Antonia Nava del Val,
María Carmen Saucedo Figueredo,
Juan Carlos Morilla-Herrera,
Shakira Kaknani Uttumchandani,
Elena Durá Pérez,
Mercedes San Alberto Giraldos,
María Jesús Hierrezuelo Martín,
Ana Belén Gómez Borrego,
Manuela García Irazusta,
María Gálvez González
Affiliations
Jose Miguel Morales-Asencio
IR Group C-13 “Chronicity, Dependency, Care and Health Services”, Biomedical Research Institute of Malaga (IBIMA), Malaga, Andalucia, Spain
María Antonia Nava del Val
Primary Health Care Costa del Sol District, Las Albarizas Health Care Center, Andalucia Health Service (SAS), Marbella, Andalucia, Spain
María Carmen Saucedo Figueredo
Primary Health Care Costa del Sol District, Los Boliches Health Care Centre, Andalucia Health Service (SAS), Fuengirola, Andalucia, Spain
Juan Carlos Morilla-Herrera
IR Group C-13 “Chronicity, Dependency, Care and Health Services”, Biomedical Research Institute of Malaga (IBIMA), Malaga, Andalucia, Spain
Shakira Kaknani Uttumchandani
IR Group C-13 “Chronicity, Dependency, Care and Health Services”, Biomedical Research Institute of Malaga (IBIMA), Malaga, Andalucia, Spain
Elena Durá Pérez
Andalusian Public Foundation for Research in Biomedicine and Health of Malaga, FIMABIS, Malaga, Andalucia, Spain
Mercedes San Alberto Giraldos
Primary Health Care Costa del Sol District, La Lobilla Health Care Center, Andalucia Health Service (SAS), Estepona (Málaga), Andalucia, Spain
María Jesús Hierrezuelo Martín
Primary Health Care Costa del Sol District, Las Lagunas Health Care Center, Servicio Andaluz de Salud, Mijas Costa, Andalucia, Spain
Ana Belén Gómez Borrego
Community Mental Health Unit, Virgen de la Victoria University Hospital, Servicio Andaluz de Salud, Estepona, Andalucia, Spain
Manuela García Irazusta
Primary Health Care Costa del Sol District, Fuengirola Oeste Health Care Center, Servicio Andaluz de Salud, Marbella, Andalucia, Spain
María Gálvez González
Primary Health Care Costa del Sol District, La Carihuela Health Care Center, Servicio Andaluz de Salud, Benalmadena, Andalucia, Spain
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.
