Trial reportJournal of the American Geriatrics Society2013
Outcomes of feeding problems in advanced dementia in a nursing home population.
Trial report in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Optimizing mealtime care and outcomes for people with dementia and their caregivers: A systematic review and meta-analysis of intervention studies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Pooled it
- Prevalence of Malnutrition in People with Dementia in Long-Term Care: A Systematic Review and Meta-Analysis.Nutrients · 2023Pooled it
- Dyadic interactions and physical and social environment in dementia mealtime care: a systematic review of instruments.Annals of the New York Academy of Sciences · 2021Pooled it
- How do we provide good mealtime care for people with dementia living in care homes? A systematic review of carer-resident interactions.Dementia (London, England) · 2021Pooled it
- Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review.BMC geriatrics · 2016Pooled it
- Triggered Palliative Care for Late-Stage Dementia: A Pilot Randomized Trial.Journal of pain and symptom management · 2019Trial
- A comprehensive intervention following the clinical pathway of eating and swallowing disorder in the elderly with dementia: historically controlled study.BMC geriatrics · 2017Trial
- Article
- Promoting Mealtime Independence and Mealtime Experience for Individuals With Dementia: A Study Protocol.Nursing open · 2025Article
- Associations between nutritional status and cognitive impairment in older adults: results from the NHANES 2011-2014 cycles.Frontiers in nutrition · 2025Article
- Feeding Difficulties and Survival Outcomes in Advanced Dementia:Sultan Qaboos University medical journal · 2025Article
- An ethnography of mealtime care for people living with dementia in care homes.Dementia (London, England) · 2024Article
- An Assessment of Physical Activity and Risk Factors in People Living with Dementia: Findings from a Cross-Sectional Study in a Long-Term Care Facility in Vietnam.Geriatrics (Basel, Switzerland) · 2024Article
- Article
- Molecular Aspects of a Diet as a New Pathway in the Prevention and Treatment of Alzheimer's Disease.International journal of molecular sciences · 2023Review
- Article
- Person-centred and task-centred care: Impact on mealtime behaviours in nursing home residents with dementia.International journal of older people nursing · 2023Article
- Temporal Relationships Between Nursing Home Staff Care Approaches and Behaviors of Residents With Dementia During Mealtimes: A Sequential Analysis.Innovation in aging · 2023Article
- Management in severe dementia: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology.Dementia & neuropsychologia · 2022Article
- Long-term body weight change assessed by non-contact load cells under the bed in older people with and without eating assistance: a preliminary study.Scientific reports · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo describe quality of care for feeding problems in advanced dementia and probability and predictors of weight loss and mortality.
designProspective cohort.
settingTwenty-four nursing homes (NHs).
participantsNursing home residents with advanced dementia and feeding problems and family surrogates (N = 256). MEASUREMENTS: Family reported on quality of feeding care at enrollment and 3 months. Chart reviews at enrollment and 3, 6, and 9 months provided data on feeding problems, treatments, weight loss of more than 5% in 30 days or more than 10% in 6 months, and mortality. Organizational variables were obtained from administrator surveys and publically reported data.
resultsResidents with advanced dementia and feeding problems had an average age of 85; 80% had chewing and swallowing problems, 11% weight loss, and 48% poor intake. Family reported feeding assistance of moderate quality; 23% felt the resident received less assistance than needed. Mortality risk was significant; 8% died within 3 months, 17% within 6 months, and 27% within 9 months. Residents with advanced dementia who had stable weight over 3 months had a 5.4% rate of significant weight loss and a 2.1% risk of death over the next 3 months. Residents with advanced dementia and weight loss over 3 months had a 38.9% chance of stabilizing weight over the next 3 months but also had a 19.2% chance of dying. Weight loss was the only independent predictor of death.
conclusionWeight loss is a predictor of death in advanced dementia. Treatments can often stabilize weight, but weight loss should be used to trigger discussion of goals of care and treatment options.
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Registered trials
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