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Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon

인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교

  • Bae, Mi Ae (Department of Food and Nutrition, College of Natural Sciences, Inha University) ;
  • Lee, Young Whee (Department of Nursing, College of Medical, Inha University) ;
  • Kim, Hwa Soon (Department of Nursing, College of Medical, Inha University) ;
  • You, Jeong Soon (Incheon Dong-gu Center for Children's Foodservice Management) ;
  • Chang, Kyung Ja (Department of Food and Nutrition, College of Natural Sciences, Inha University)
  • 배미애 (인하대학교 자연과학대학 식품영양학과) ;
  • 이영휘 (인하대학교 의과대학 간호학과) ;
  • 김화순 (인하대학교 의과대학 간호학과) ;
  • 유정순 (인천동구 어린이급식관리지원센터) ;
  • 장경자 (인하대학교 자연과학대학 식품영양학과)
  • Received : 2019.06.04
  • Accepted : 2019.08.04
  • Published : 2019.08.31

Abstract

In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

Keywords

Elderly;dementia;cognitive function;nutrient intake;care facility

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