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Alzheimer's Disease and Nutrition

This article originally appeared in NebFacts, a publication of Cooperative Extension, Institute of Agriculture and Natural Resources, University of Nebraska - Lincoln. Reprinted with permission.

Written by:
Carol Ray, Graduate Assistant
Wanda M. Koszewski, Extension Nutrition Specialist

Alzheimer's disease is characterized by declines in brain functions that are irreversible (from the Alzheimer's Association). It is a form of senility which causes memory, thinking and behavioral problems. Senility is a term used to characterize behaviors and symptoms associated with diseased brain tissue.

Alzheimer's disease is a gradual disease, usually characterized by confusion and memory loss. Examples of behavior of people with Alzheimer's (AD):

  • Your wife often misplaces her keys. But last Tuesday she could not remember what they were for.
  • Your grandfather likes to take daily strolls around the neighborhood. However, four times in the past month he's gotten lost and couldn't find his way home without help from a neighbor.
  • Your favorite uncle can't remember your name or the names of your husband or children.


Watch for Warning Signs

Here are 10 warning signs of the disease:

  1. Recent memory loss that affects job skills. Unable to remember supervisor's name after working with him or her for 10 years.
  2. Difficulty performing familiar tasks. When cooking a meal, the person will forget to serve it and may even forget he or she made it.
  3. Problems with language. May forget simple words or substitute wrong words.
  4. Confused about time and place. Becomes lost on their own street, not knowing where they are, how they got there or how to get back home.
  5. Poor or decreased judgment. May dress improperly, wearing several shirts or blouses.
  6. Problems with abstract thinking. Balancing a checkbook may be a big challenge, when the task is harder than usual. Someone with Alzheimer's could forget completely what the numbers are and what needs to be done with them.
  7. Misplacing things. A person may put things in improper places, such as an iron in the freezer.
  8. Changes in mood or behavior. Everyone becomes sad or moody from time to time but someone with Alzheimer's can exhibit rapid mood swings - from calm to tears to anger, for no apparent reason.
  9. Changes in personality. People's personalities change somewhat with age, but a person with Alzheimer's can change suddenly, becoming extremely confused, suspicious or fearful.
  10. Loss of day-to-day activities. It's normal to tire of housework, business activities, or social obligations, but most people regain their energy. A person with Alzheimer's may become very passive and require cues and prompting to become involved.


Who Is At Risk
Alzheimer's Disease strikes men and women, all races and all socioeconomic groups equally (from the Alzheimer's Association). It is reported that 10 percent of those over 65 and almost half of those over age 85 have the disease. Many doctors report they are seeing an increase in Alzheimer's patients in their 40s and 50s.

Nutrition and the Alzheimer's Patient
Many Alzheimer's patients have problems eating. This problem can come from many different factors, such as poor-fitting dentures, problems swallowing and loss of appetite.

The nutritional problem seen in most patients is weight loss, according to the Alzheimer's Association. Weight loss may be due to distractions (noises, odors, conversations) while eating. When distracted, the person may eat less or not at all.

The person caring for an Alzheimer's patient should find ways to encourage food intake and reduce mealtime confusion. The Alzheimer's Association suggests the following:

  • Provide calm surroundings at mealtime. Minimize interruptions, loud noises and abrupt movements.
  • Put only one item of food on the plate at a time.
  • Avoid patterned plates, tablecloths and place mats which might confuse and distract the person. In most cases, use plain white plates or bowls and a contrasting place mat.
  • Make positive use of distractions. If the person resists eating, take a break, involve him or her in another activity and return to eating later.
  • Use memory aids to remind the person about meal times. Try a clock with large numbers and an easy to read appointment calendar with large letters and numbers or a chalk or bulletin board for recording the daily schedule.

There are nutritional factors which should be taken into account when caring for an Alzheimer's patient. The following are suggestions by the Alzheimer's Association which help a patient stay healthy:

  • Serve several small meals rather than three large ones.
  • Serve finger foods or serve the meal in the form of a sandwich.
  • Don't serve steaming or extremely hot foods or liquids.
  • Limit highly salted foods or sweets if the person has a chronic health problem, such as diabetes or hypertension.
  • Fill in gaps between regular meals with healthy snacks.

If the individuals have trouble swallowing, food intake will be affected. The Alzheimer's association recommends the following:

  • Blending the food or alternating small bites of food with a drink.
  • Substitute fruit juice, gelatin, foods cooked with water, sherbet, fruit or soup.
  • Serve mashed potatoes rather than fried potatoes.
  • Offer bite-size pieces of cooked meat, turkey or chicken salads instead of sliced meat.

Set aside plenty of time for meals and give the person enough time to swallow before presenting the next bite or drink. It also is suggested the individual sit at a 90-degree angle to avoid backup of food into the throat.

Treatment
Although there is no cure for Alzheimer's disease, much research is being done to find one. There are prescription drugs available to provide temporary improvement of memory and thinking abilities. Scientists are researching drugs that will slow the progression of the disease. For more information contact the Alzheimer's Association, 1-800-272-3900 or write 919 North Michigan Avenue, Chicago, Illinois, 60611-1676.

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