An open-ended question: Alzheimer's disease and involuntary weight loss: which comes first?
Abstract
BACKGROUND AND AIMS
After the onset of Alzheimer's disease (AD), a substantial percentage of patients experience involuntary weight loss (IWL),
but there is some debate as to whether IWL is a cause or a consequence of AD. It may play a causal role, because nutritional
deficiencies have been found to be associated with worsened cognitive performance, even in subjects without dementia. Conversely,
it may be an effect of the disease, considering the hypothesis that the neurodegenerative process associated with AD may itself
lead to IWL. The aim of the present review was to help to shed some light on the relationship between IWL and AD.
METHODS
We focus on the problem of the relationship between AD and IWL, and on which comes first.
RESULTS
Even when external factors are well controlled, the association between IWL and the progression of AD seems, for the time
being, to be unavoidable.
CONCLUSION
In the light of the literature on the topic, we conclude that IWL is more a consequence than a cause of AD, although chronic
diseases and disabilities are factors that may facilitate cognitive decline and accelerate the onset of AD if they are not
adequately treated from the nutritional standpoint.
Links
Authors
Inelmen EM, Sergi G, Coin A, Girardi A, Manzato E
Institution
Department of Medical and Surgical Sciences, University of Padova, 35128 Padova, Italy. eminemeral.inelmen@unipd.it
Source
Aging clinical and experimental research 22:3 2010 Jun pg 192-7MeSH
AgedAlzheimer Disease
Feeding Behavior
Humans
Nutrition Assessment
Weight Loss
Pub Type(s)
Journal ArticleReview
Language
eng
PubMed ID
19940557
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