Korean J Nutr.  2012 Jun;45(3):240-251. 10.4163/kjn.2012.45.3.240.

Study on the qualities of diet and life in Parkinson's disease patients according to their nutritional status

• Yun JH
• Lim HJ
• Woo MH
• Ahn TB
• Choue R

• KMID: 2268688
• DOI: http://doi.org/10.4163/kjn.2012.45.3.240

Abstract

Assessment regarding the nutritional status of Parkinson's disease (PD) patients is important because their nutritional status influences the outcome of disease. The purpose of this study investigated the dietary habits, dietary quality, and quality of life for Korean PD patients according to their nutritional status. Seventy PD patients were recruited from K University Hospital (KMC IRB#0918-07) from February 2010 to October 2011. To diagnose PD, the United Kingdom Parkinson's Society Brain Bank standards were used by a neurology physician. The participants were interviewed and assessed using various tools, including a general questionnaire, anthropometrics, questionnaires for dietary habits, dietary diversity score (DVS), dietary variety score (DVS), diet quality index-international (DQI-I), beck depression inventory (BDI), the Korean version of mini mental state examination (K-MMSE), and 36-item short-form health survey (SF-36). The results of the study were as follows: 1) Most of the PD patients (69.0%) were at risk of malnutrition, and 8.5% and 22.5% of the subjects were malnourished and well-nourished, respectively. 2) Clinical symptoms (swallowing and chewing difficulties) were obvious, and the quality of diet (DDS, DVS, DQI-I) was low in the malnourished group (p < 0.01). 3) The malnourished group had significantly lower scores regarding SF-36 (quality of life) as well as that of cognitive function (p < 0.05). 4) The nutritional status of PD patients was significantly correlated with their depression (p < 0.05) and quality of life (p < 0.01). These results indicate that appropriate nutritional management will improve the nutritional status and quality of life as well as the cognitive function in Parkinson's disease patients.

Keyword

Parkinson's disease; nutritional status; dietary quality; quality of life; cognitive status

MeSH Terms

Brain
Depression
Diet
Food Habits
Great Britain
Health Surveys
Humans
Malnutrition
Mastication
Neurology
Nutritional Status
Parkinson Disease
Quality of Life
Surveys and Questionnaires

Figure

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  Fig. 1 Comparison of nutrient intakes with KDRIs according to the nutritional status. 1) KDRIs: Dietary Reference Intake for Koreans, 2010 2) Value are Mean ± SD 3) *: significantly different at p <0.05 by Duncan's multiple range test.

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  Fig. 2 Correlations of A) MNA and BDI, B) MNA and SF-36, and C) SF-36 and BDI. 1) MNA: Mini nutrition assessment. BDI: Beck depression inventory, provides a continuous score of depressive symptoms ranging from 0 to 63 (worst to best condition). SF-36: 36-item short-form health survey, scores ranging from 0 to 100 (worst to best health) 2) The correlations of these data were analysed by partial correlation coefficient after adjusting duration of Parkinson disease.

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