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Eating Habits in Dementia

A Descriptive Study

Published online by Cambridge University Press:  02 January 2018

Charles H. Morris ,
R. A. Hope  and
Christopher G. Fairburn
Charles H. Morris*
Affiliation:
Oxford University Department of Psychiatry
R. A. Hope
Affiliation:
Oxford University Department of Psychiatry
Christopher G. Fairburn
Affiliation:
Oxford University Department of Psychiatry; Warneford Hospital
*
∗Warneford Hospital, Oxford OX3 76X
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Abstract

The eating habits of 33 patients with dementia were studied. They were assessed by semistructured interview with a relative who was able to act as an informant for the whole period of the dementia. Changes in eating were found to be common and included both increased and decreased food intake, altered food choice, the consumption of inedible substances and disturbances in the process of eating. The clinical significance of these changes and some likely underlying mechanisms are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 6 , June 1989 , pp. 801 - 806
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

AbAlan, F. (1984) Alzheimer's disease and malnutrition: a new aetiological hypothesis. Medical Hypotheses, 15, 385–393.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn revised) (DSM-III-R). Washington DC: APA.Google Scholar
Blundell, J. E. (1984) Serotonin and appetite. Neuropharmacology, 23, 1537–1551.CrossRefGoogle ScholarPubMed
Cooper, Z. & Fairburn, C. G. (1987) The Eating Disorder Examination: a semistructured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders, 61, 1–8.Google Scholar
Crow, T., Cross, A., Cooper, S., et al (1984) New transmitter receptors and monoamine metabolites in the brains of patients with Alzheimer's type dementia and depression. Neuropharmacology, 23, 1561–1569.CrossRefGoogle Scholar
Cumminos, J. L. & Duchen, L. W. (1981) Kluver-Bucy syndrome in Pick's disease: clinical and pathologic correlations. Neurology (Ny), 31. 1415–1422.Google Scholar
Davies, P., Katz, D. A. & Crystal, H. A. (1982) Choline acetyltransferase, somatostatin and substance P in selected cases of Alzheimer's disease. In Alzheimer's Disease (ed. Corkin, S.). New York: Raven Press.Google Scholar
de Ajuiriaguerra, J., Richard, J., Tissot, R., et al (1976) Les conduites alimentaires dans le démences dégénératives ou mixtes à prédominance dégénérative du grand age. Annales Medico-Psychologiques, 2, 213–241.Google Scholar
Fairburn, C. G. & Hope, R. A. (1988a) Changes in behaviour in dementia: a neglected research area. British Journal of Psychiatry, 152, 406–407.CrossRefGoogle ScholarPubMed
Fairburn, C. G. & Hope, R. A. (1988b) Changes in eating in dementia. Neurobiology of Aging, 9, 28–29.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Ghaziuddin, N. & McDonald, C. (1985) A clinical study of adult coprophagics. British Journal of Psychiatry, 147, 312–313.Google ScholarPubMed
Gold, R. M. (1973) Hypothalamic obesity: the myth of the ventromedial nucleus. Science, 182, 488–490.Google Scholar
Goodwin, J. S., Goodwin, J. M. Garry, P. J. (1983) Association between nutritional status and cognitive functioning in a healthy elderly population. Journal of the American Medical Association, 249, 2917–2921.Google Scholar
Hachinski, V. C., Iliff, L. D., Zilhka, E., et al (1975) Cerebral blood flow in dementia. Archives of Neurology, 32, 632–637.Google Scholar
Hancock, M. R., Hullin, R. P., Aylard, P. R., et al (1985) Nutritional status of elderly women on admission to mental hospital. British Journal of Psychiatry, 147, 404–407.Google Scholar
Herzog, A. G. & Kemper, T. L. (1980) Amygdaloid changes in aging and dementia. Archives of Neurology, 37, 625–629.Google Scholar
Hope, R. A., Fairburn, C. G. & Goodwin, G. M. (1989) Increased eating in dementia. International Journal of Eating Disorders, 8, 111–115.Google Scholar
Ishii, T. (1966) Distribution of Alzheimer's neurofibrillary changes in the brain stem and hypothalamus of senile dementia. Acta Neuropathology, 5, 181–187.Google Scholar
Leibowitz, S. F. (1985) Brain neurotransmitters and appetite regulation. Psychopharmacology Bulletin, 21, 412–418.Google Scholar
Lo, B. & Dornbrand, L. (1984) Guiding the hand that feeds: caring for the demented elderly. New England Journal of Medicine, 311, 402–404.Google Scholar
Mann, D. M. A., Yates, P. O. & Marcyniuk, B. (1985) Changes in Alzheimer's disease in the magnocellular neurones of the supraoptic and paraventricular nuclei of the hypothalamus and their relationship to the noradrenergic deficit. Clinical Neuropathology, 4, 127–134.Google Scholar
Morley, J. E. & Silver, A. J. (1988) Anorexia in the elderly. Neurobiology of Aging, 9, 9–16.Google Scholar
Munro, H. N. (1982) Overview: nutritional status of the aged. Aging, 19, 287–294.Google Scholar
Pilleri, G. (1966) The Kluver-Bucy Syndrome in man. Psychiatrica Neurologica (Basel), 152, 65–103.Google Scholar
Rabin, B. M. (1972) Ventromedial hypothalamic control of food intake and satiety: a reappraisal. Brain Research, 43, 317–342.CrossRefGoogle ScholarPubMed
Rezek, D. L. (1987) Olfactory deficits as a neurologic sign in dementia of the Alzheimer type. Archives of Neurology, 44, 1030–1032.Google Scholar
Rolls, E. T., Sanghera, M. K. & Roper-Hall, A. (1979) The latency of activation of neurons in the lateral hypothalamus and substantia innominata during feeding in the monkey. Brain Research, 164, 121–135.CrossRefGoogle ScholarPubMed
Rossor, M. N., IVersen, L. L., Johnson, A. J., et al (1981) Cholinergic deficit in frontal cerebral cortex in Alzheimer's disease is age dependent. Lancet, ii 1422.Google Scholar
Rossor, M. N., Iversen, L. L., Reynolds, G. P., et al (1984) Neurochemical characteristics of early and late onset types of Alzheimer's disease. British Medical Journal, 288, 961–964.Google Scholar
Rozin, P. & Fallon, A. E. (1987) A perspective on disgust. Psychological Review, 94, 23–41.Google Scholar
Sandman, P., Adolfsson, R., Nygren, C., et al (1987) Nutritional status and dietary intake in institutionalized patients with Alzheimer's disease and multiinfarct dementia. Journal of the American Geriatrics Society, 35, 31–38.Google Scholar
Sourander, P. & Sjogren, H. (1970) The concept of Alzheimer's disease and its clinical implications. In Alzheimer's Disease and Related Conditions (eds Wolstenholme, G. E. W. & O'Connor, M.). London: Churchill.Google Scholar
Terzian, H. & Dalle Ore, G. (1955) Syndrome of Kluver and Bucy. Neurology, 5, 373–380.Google Scholar
Thomas, D. E., Chung-a-on, K. O., Dickerson, J. W. T., et al (1986) Tryptophan and nutritional status of patients with senile dementia. Psychological Medicine, 16, 297–305.Google Scholar
Tomlinson, B. E. (1982) Plaques, tangles and Alzheimer's disease. Psychological Medicine, 12, 449–459.Google Scholar
Whitford, G. M. (1986) Alzheimer's disease and serotonin: a review. Neuropsychobiology, 15, 133–142.Google Scholar
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