caa a22 4500 60619164X CHVBK 20210128100901.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00391-015-0891-2 doi (NATIONALLICENCE)springer-10.1007/s00391-015-0891-2 Weight loss and undernutrition in community-dwelling patients with Alzheimer's dementia [Elektronische Daten] From population based studies to clinical management [E. Droogsma, D. van Asselt, P. P. De Deyn] Gewichtsverlust und Unterernährung bei selbstständig lebenden Patienten mit Alzheimer-Demenz Von populationsbasierten Studien zum klinischen Management Weight loss and undernutrition are commonly described in patients with Alzheimer's disease (AD) and have been associated with various adverse outcomes. Therefore, it is important to know what the best approach is to community-dwelling AD patients with a risk of developing a poor nutritional status; however, there is currently no evidence on which to base nutritional recommendations. Expert based recommendations are that the nutritional status should be part of the work-up of all AD patients. If weight loss of 5 % or more has occurred in 3-6 months or if the mini-nutritional assessment (MNA) classifies a patient as undernourished, a nutritional intervention should be started. The intervention should be multifactorial and encompass treatment of the underlying proposed causes and risk factors of weight loss and undernutrition as well as improvement of the nutritional status by increasing energy and protein intake combined with daily physical activity. Springer-Verlag Berlin Heidelberg, 2015 Alzheimer's disease nationallicence Review nationallicence Nutrition assessment nationallicence Nutritional status nationallicence Management nationallicence Morbus Alzheimer nationallicence Ernährungs-Assessment nationallicence Ernährungszustand nationallicence Droogsma E. Department of Geriatric Medicine, Medical Center Leeuwarden, PO Box 888, 8901 BR, Leeuwarden, The Netherlands aut van Asselt D. Department of Geriatric Medicine, Medical Center Leeuwarden, PO Box 888, 8901 BR, Leeuwarden, The Netherlands aut De Deyn P. P. Department of Neurology and Alzheimer Research Center, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 318-324 0948-6704 48:4<318 2015 48 391 https://doi.org/10.1007/s00391-015-0891-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-015-0891-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Droogsma E. Department of Geriatric Medicine, Medical Center Leeuwarden, PO Box 888, 8901 BR, Leeuwarden, The Netherlands aut NATIONALLICENCE 700 1- van Asselt D. Department of Geriatric Medicine, Medical Center Leeuwarden, PO Box 888, 8901 BR, Leeuwarden, The Netherlands aut NATIONALLICENCE 700 1- De Deyn P. P. Department of Neurology and Alzheimer Research Center, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 318-324 0948-6704 48:4<318 2015 48 391