認知症高齢者グループホームにおける摂取栄養素の実態について

概要

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In this research, staying at 6 group-homes for elderly people with dementia, I made a survey of the actual conditions of the nutritional intake quantity and the energy consumption during a day for 47 patients. In the case of patients whose physical activity level (PAL) were "1.13〜1.18", the percentage of energy intake against energy consumption were 170〜200%, over excess of energy intake, but their Body Mass Index (BMI) were "18.85〜21.33", "normal". PAL was "1.23〜1.34", the percentage of energy intake against energy consumption was 154〜170%, this was also excessive, but their BMI were "17.85〜19.17", "normal" or "thin". According to some reports, patients with Alzheimer's disease have a tendency to be lean but those with senile dementia or vascular dementia do not. This time, in spite of the excessive intake of energy their BMI indicated that they were "normal" or "thin". This data would lead you to believe, it was supposed that they were afflicted with Alzheimer. However their diseases were diagnosed senile dementia or vascular dementia. Comparing their actual amounts of nutrition intake with the necessary it was found that nutrition, energy, protein, fat and salt were taken excessively, but calcium, iron, vitamin C and food fiber were lacking. It was no surprise then that among these 6 group-homes, some said that important points for making menus were ease of intake and taste rather than nutrition.
女子栄養大学の論文