Nutritional status in Parkinson’s disease patients undergoing deep brain stimulation surgery : a pilot study


Autoria(s): Sheard, Jamie M.; Ash, Susan; Silburn, Peter; Kerr, Graham K.
Data(s)

01/09/2012

Resumo

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 13.3%). 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.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/55465/

Publicador

Springer

Relação

http://eprints.qut.edu.au/55465/2/55465.pdf

DOI:10.1007/s12603-012-0386-4

Sheard, Jamie M., Ash, Susan, Silburn, Peter, & Kerr, Graham K. (2012) Nutritional status in Parkinson’s disease patients undergoing deep brain stimulation surgery : a pilot study. Journal of Nutrition Health and Ageing, 17(2), pp. 148-151.

Direitos

Copyright 2012 Springer

The original publication is available at SpringerLink http://www.springerlink.com

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Exercise & Nutrition Sciences

Palavras-Chave #110603 Motor Control #111100 NUTRITION AND DIETETICS #Nutritional status, #Parkinson’s disease, #deep brain stimulation, #malnutrition, #prevalence
Tipo

Journal Article