Increased masticatory activity and quality of life in elderly persons with dementia-a longitudinal matched cluster randomized single-blind multicenter intervention study
Identifieur interne : 002432 ( Main/Exploration ); précédent : 002431; suivant : 002433Increased masticatory activity and quality of life in elderly persons with dementia-a longitudinal matched cluster randomized single-blind multicenter intervention study
Auteurs : Roxane Anthea Francesca Weijenberg [Pays-Bas] ; Frank Lobbezoo [Pays-Bas] ; Dirk Lucas Knol [Pays-Bas] ; Jori Tomassen [Pays-Bas] ; Erik Johan Anton Scherder [Pays-Bas]Source :
- BMC Neurology [ 1471-2377 ] ; 2013.
Abstract
Worldwide, millions of people are suffering from dementia and this number is rising. An index of quality of life (QoL) can describe the impact a disease or treatment has on a person’s wellbeing. QoL comprises many variables, including physical health and function, and mental health and function. QoL is related to masticatory ability and physical activity. Animal studies show that disruption of mastication due to loss of teeth or a soft diet leads to memory loss and learning problems. Since these are common complaints in dementia, it is hypothesized that improvement of masticatory function and normalization of diet consistency can increase QoL in elderly persons suffering from dementia. Therefore, the goal of the present study is to examine whether an increase in masticatory activity, achieved by increased food consistency and enhancement of masticatory function through improved oral health care has a positive effect on QoL, including cognition, mood, activities of daily living (ADL), and circadian rhythm in elderly persons with dementia.
The described study is a prospective longitudinal matched cluster randomized single-blind multicenter study. Participants are elderly persons living in the Netherlands, suffering from dementia and receiving psychogeriatric care. An intervention group will receive improved oral health care and a diet of increased consistency. A control group receives care as usual. Participants will be assessed four times; outcome variables besides QoL are cognition, mood, independence, rest-activity rhythm, blood pressure, and masticatory function.
This research protocol investigates the effect of an intervention executed by daily caregivers. The intervention will increase masticatory activity, which is achieved by three different actions, (providing oral health care, increasing food consistency, or a combination of both). There is a certain amount of variety in the nature of the interventions due to local differences in nursing homes. This might be a scientific weakness in the study design; however, a practical implementation of any findings will be subject to the same factors, making this study design clinically relevant.
Url:
DOI: 10.1186/1471-2377-13-26
PubMed: 23496988
PubMed Central: 3615955
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Increased masticatory activity and quality of life in elderly persons with dementia-a longitudinal matched cluster randomized single-blind multicenter intervention study</title><author><name sortKey="Weijenberg, Roxane Anthea Francesca" sort="Weijenberg, Roxane Anthea Francesca" uniqKey="Weijenberg R" first="Roxane Anthea Francesca" last="Weijenberg">Roxane Anthea Francesca Weijenberg</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author><author><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, Amsterdam, 1081 LA, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, Amsterdam, 1081 LA</wicri:regionArea><wicri:noRegion>1081 LA</wicri:noRegion></affiliation></author><author><name sortKey="Knol, Dirk Lucas" sort="Knol, Dirk Lucas" uniqKey="Knol D" first="Dirk Lucas" last="Knol">Dirk Lucas Knol</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Tomassen, Jori" sort="Tomassen, Jori" uniqKey="Tomassen J" first="Jori" last="Tomassen">Jori Tomassen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author><author><name sortKey="Scherder, Erik Johan Anton" sort="Scherder, Erik Johan Anton" uniqKey="Scherder E" first="Erik Johan Anton" last="Scherder">Erik Johan Anton Scherder</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23496988</idno><idno type="pmc">3615955</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615955</idno><idno type="RBID">PMC:3615955</idno><idno type="doi">10.1186/1471-2377-13-26</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002171</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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Francesca" uniqKey="Weijenberg R" first="Roxane Anthea Francesca" last="Weijenberg">Roxane Anthea Francesca Weijenberg</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author><author><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, Amsterdam, 1081 LA, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, Amsterdam, 1081 LA</wicri:regionArea><wicri:noRegion>1081 LA</wicri:noRegion></affiliation></author><author><name sortKey="Knol, Dirk Lucas" sort="Knol, Dirk Lucas" uniqKey="Knol D" first="Dirk Lucas" last="Knol">Dirk Lucas Knol</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Tomassen, Jori" sort="Tomassen, Jori" uniqKey="Tomassen J" first="Jori" last="Tomassen">Jori Tomassen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author><author><name sortKey="Scherder, Erik Johan Anton" sort="Scherder, Erik Johan Anton" uniqKey="Scherder E" first="Erik Johan Anton" last="Scherder">Erik Johan Anton Scherder</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical Neuropsychology, VU University Amsterdam, Van der Boechorststraat 1, Amsterdam, 1081 BT</wicri:regionArea><wicri:noRegion>1081 BT</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Neurology</title><idno type="eISSN">1471-2377</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Worldwide, millions of people are suffering from dementia and this number is rising. An index of quality of life (QoL) can describe the impact a disease or treatment has on a person’s wellbeing. QoL comprises many variables, including physical health and function, and mental health and function. QoL is related to masticatory ability and physical activity. Animal studies show that disruption of mastication due to loss of teeth or a soft diet leads to memory loss and learning problems. Since these are common complaints in dementia, it is hypothesized that improvement of masticatory function and normalization of diet consistency can increase QoL in elderly persons suffering from dementia. Therefore, the goal of the present study is to examine whether an increase in masticatory activity, achieved by increased food consistency and enhancement of masticatory function through improved oral health care has a positive effect on QoL, including cognition, mood, activities of daily living (ADL), and circadian rhythm in elderly persons with dementia.</p></sec><sec><title>Methods and design</title><p>The described study is a prospective longitudinal matched cluster randomized single-blind multicenter study. Participants are elderly persons living in the Netherlands, suffering from dementia and receiving psychogeriatric care. An intervention group will receive improved oral health care and a diet of increased consistency. A control group receives care as usual. Participants will be assessed four times; outcome variables besides QoL are cognition, mood, independence, rest-activity rhythm, blood pressure, and masticatory function.</p></sec><sec><title>Discussion</title><p>This research protocol investigates the effect of an intervention executed by daily caregivers. The intervention will increase masticatory activity, which is achieved by three different actions, (providing oral health care, increasing food consistency, or a combination of both). There is a certain amount of variety in the nature of the interventions due to local differences in nursing homes. This might be a scientific weakness in the study design; however, a practical implementation of any findings will be subject to the same factors, making this study design clinically relevant.</p></sec><sec><title>Trial registration</title><p><ext-link ext-link-type="uri" xlink:href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1561">NTR1561</ext-link></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rockwood, K" uniqKey="Rockwood K">K Rockwood</name></author><author><name sortKey="Bouchard, Rw" uniqKey="Bouchard R">RW Bouchard</name></author><author><name sortKey="Camicioli, R" uniqKey="Camicioli R">R Camicioli</name></author><author><name sortKey="Leger, G" uniqKey="Leger G">G Leger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouwens, Sf" uniqKey="Bouwens S">SF Bouwens</name></author><author><name sortKey="Van Heugten, Cm" uniqKey="Van Heugten C">CM van 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Pedersen P">P Holm-Pedersen</name></author><author><name sortKey="Schroll, M" uniqKey="Schroll M">M Schroll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hanada, N" uniqKey="Hanada N">N Hanada</name></author><author><name sortKey="Tada, A" uniqKey="Tada A">A Tada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Willumsen, T" uniqKey="Willumsen T">T Willumsen</name></author><author><name sortKey="Karlsen, L" uniqKey="Karlsen L">L Karlsen</name></author><author><name sortKey="Naess, R" uniqKey="Naess R">R Naess</name></author><author><name sortKey="Bjorntvedt, S" uniqKey="Bjorntvedt S">S Bjorntvedt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stromberg, E" uniqKey="Stromberg E">E Stromberg</name></author><author><name sortKey="Hagman Gustafsson, Ml" uniqKey="Hagman Gustafsson M">ML Hagman-Gustafsson</name></author><author><name sortKey="Holmen, A" uniqKey="Holmen A">A Holmen</name></author><author><name sortKey="Wardh, I" uniqKey="Wardh I">I Wardh</name></author><author><name sortKey="Gabre, P" uniqKey="Gabre P">P Gabre</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Weijenberg, Roxane Anthea Francesca" sort="Weijenberg, Roxane Anthea Francesca" uniqKey="Weijenberg R" first="Roxane Anthea Francesca" last="Weijenberg">Roxane Anthea Francesca Weijenberg</name></noRegion><name sortKey="Knol, Dirk Lucas" sort="Knol, Dirk Lucas" uniqKey="Knol D" first="Dirk Lucas" last="Knol">Dirk Lucas Knol</name><name sortKey="Lobbezoo, Frank" sort="Lobbezoo, Frank" uniqKey="Lobbezoo F" first="Frank" last="Lobbezoo">Frank Lobbezoo</name><name sortKey="Scherder, Erik Johan Anton" sort="Scherder, Erik Johan Anton" uniqKey="Scherder E" first="Erik Johan Anton" last="Scherder">Erik Johan Anton Scherder</name><name sortKey="Tomassen, Jori" sort="Tomassen, Jori" uniqKey="Tomassen J" first="Jori" last="Tomassen">Jori Tomassen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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