NUTRITIONAL STATUS IN PARKINSON'S DISEASE PATIENTS UNDERGOING DEEP BRAIN STIMULATION SURGERY: A PILOT STUDY

被引:15
作者
Sheard, J. M. [1 ,3 ]
Ash, S. [2 ,3 ]
Silburn, P. A. [1 ,4 ,5 ]
Kerr, G. K. [1 ,3 ]
机构
[1] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Movement Neurosci Program, Brisbane, Qld 4001, Australia
[2] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Brisbane, Qld 4001, Australia
[3] Queensland Univ Technol, Sch Exercise & Nutr Sci, Brisbane, Qld 4001, Australia
[4] Univ Queensland, Royal Brisbane Hosp, Clin Res Ctr, Brisbane, Qld, Australia
[5] Univ Queensland, Womens Hosp, Clin Res Ctr, Brisbane, Qld, Australia
关键词
Nutritional status; Parkinson's disease; deep brain stimulation; malnutrition; prevalence; QUALITY-OF-LIFE; BODY-WEIGHT; MALNUTRITION; TOOL; INTERVENTION; PREVALENCE; OUTCOMES; HOME;
D O I
10.1007/s12603-012-0386-4
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
030301 [社会学]; 100201 [内科学];
摘要
Objectives: People with Parkinson's disease (PD) are at higher risk of malnutrition due to PD symptoms and pharmacotherapy side effects. When pharmacotherapy is no longer effective for symptom control, deep-brain stimulation (DBS) surgery may be considered. The aim of this study was to assess the nutritional status of people with PD who may be at higher risk of malnutrition related to unsatisfactory symptom management with optimised medical therapy. Design: This was an observational study using a convenience sample. Setting: Participants were seen during their hospital admission for their deep brain stimulation surgery. Participants: People with PD scheduled for DBS surgery were recruited from a Brisbane neurological clinic (n=15). Measurements: The Patient-Generated Subjective Global Assessment (PG-SGA), weight, height and body composition were assessed to determine nutritional status. Results: Six participants (40%) were classified as moderately malnourished (SGA-B). Eight participants (53%) reported previous unintentional weight loss (average loss of 13%). On average, participants classified as well-nourished (SGA-A) were younger, had shorter disease durations, lower PG-SGA scores, higher body mass (BMI) and fat free mass indices (FFMI) when compared to malnourished participants (SGA-B). Five participants had previously received dietetic advice but only one in relation to unintentional weight loss. Conclusion: Malnutrition remains unrecognised and untreated in this group despite unintentional weight loss and presence of nutrition impact symptoms. Improving nutritional status prior to surgery may improve surgical outcomes.
引用
收藏
页码:148 / 151
页数:4
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