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Nutritional status in Parkinson's disease patients undergoing deep brain stimulation surgery: a pilot study.
J Nutr Health Aging. 2013 Feb; 17(2):148-51.JN

Abstract

OBJECTIVES

People with Parkinson's disease (PD) are at higher risk of malnutrition due to PD symptoms and pharmacotherapy side effects. When pharmacotherapy is no longer effective for symptom control, deep-brain stimulation (DBS) surgery may be considered. The aim of this study was to assess the nutritional status of people with PD who may be at higher risk of malnutrition related to unsatisfactory symptom management with optimised medical therapy.

DESIGN

This was an observational study using a convenience sample.

SETTING

Participants were seen during their hospital admission for their deep brain stimulation surgery.

PARTICIPANTS

People with PD scheduled for DBS surgery were recruited from a Brisbane neurological clinic (n=15).

MEASUREMENTS

The Patient-Generated Subjective Global Assessment (PG-SGA), weight, height and body composition were assessed to determine nutritional status.

RESULTS

Six participants (40%) were classified as moderately malnourished (SGA-B). Eight participants (53%) reported previous unintentional weight loss (average loss of 13%). On average, participants classified as well-nourished (SGA-A) were younger, had shorter disease durations, lower PG-SGA scores, higher body mass (BMI) and fat free mass indices (FFMI) when compared to malnourished participants (SGA-B). Five participants had previously received dietetic advice but only one in relation to unintentional weight loss.

CONCLUSION

Malnutrition remains unrecognised and untreated in this group despite unintentional weight loss and presence of nutrition impact symptoms. Improving nutritional status prior to surgery may improve surgical outcomes.

Authors+Show Affiliations

Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD 4059, Australia. jamie.sheard@qut.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23364493

Citation

Sheard, J M., et al. "Nutritional Status in Parkinson's Disease Patients Undergoing Deep Brain Stimulation Surgery: a Pilot Study." The Journal of Nutrition, Health & Aging, vol. 17, no. 2, 2013, pp. 148-51.
Sheard JM, Ash S, Silburn PA, et al. Nutritional status in Parkinson's disease patients undergoing deep brain stimulation surgery: a pilot study. J Nutr Health Aging. 2013;17(2):148-51.
Sheard, J. M., Ash, S., Silburn, P. A., & Kerr, G. K. (2013). Nutritional status in Parkinson's disease patients undergoing deep brain stimulation surgery: a pilot study. The Journal of Nutrition, Health & Aging, 17(2), 148-51. https://doi.org/10.1007/s12603-012-0386-4
Sheard JM, et al. Nutritional Status in Parkinson's Disease Patients Undergoing Deep Brain Stimulation Surgery: a Pilot Study. J Nutr Health Aging. 2013;17(2):148-51. PubMed PMID: 23364493.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status in Parkinson's disease patients undergoing deep brain stimulation surgery: a pilot study. AU - Sheard,J M, AU - Ash,S, AU - Silburn,P A, AU - Kerr,G K, PY - 2013/2/1/entrez PY - 2013/2/1/pubmed PY - 2013/7/16/medline SP - 148 EP - 51 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 17 IS - 2 N2 - OBJECTIVES: People with Parkinson's disease (PD) are at higher risk of malnutrition due to PD symptoms and pharmacotherapy side effects. When pharmacotherapy is no longer effective for symptom control, deep-brain stimulation (DBS) surgery may be considered. The aim of this study was to assess the nutritional status of people with PD who may be at higher risk of malnutrition related to unsatisfactory symptom management with optimised medical therapy. DESIGN: This was an observational study using a convenience sample. SETTING: Participants were seen during their hospital admission for their deep brain stimulation surgery. PARTICIPANTS: People with PD scheduled for DBS surgery were recruited from a Brisbane neurological clinic (n=15). MEASUREMENTS: The Patient-Generated Subjective Global Assessment (PG-SGA), weight, height and body composition were assessed to determine nutritional status. RESULTS: Six participants (40%) were classified as moderately malnourished (SGA-B). Eight participants (53%) reported previous unintentional weight loss (average loss of 13%). On average, participants classified as well-nourished (SGA-A) were younger, had shorter disease durations, lower PG-SGA scores, higher body mass (BMI) and fat free mass indices (FFMI) when compared to malnourished participants (SGA-B). Five participants had previously received dietetic advice but only one in relation to unintentional weight loss. CONCLUSION: Malnutrition remains unrecognised and untreated in this group despite unintentional weight loss and presence of nutrition impact symptoms. Improving nutritional status prior to surgery may improve surgical outcomes. SN - 1760-4788 UR - https://www.unboundmedicine.com/medline/citation/23364493/Nutritional_status_in_Parkinson's_disease_patients_undergoing_deep_brain_stimulation_surgery:_a_pilot_study_ L2 - https://doi.org/10.1007/s12603-012-0386-4 DB - PRIME DP - Unbound Medicine ER -