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Cognitive status and cardio-metabolic risk of patients with acquired brain injury and Parkinson's disease.
Disabil Health J. 2016 Jan; 9(1):134-9.DH

Abstract

BACKGROUND

Parkinson's disease (PD) and acquired brain injury (ABI) share common symptoms. People with PD and ABI risk nutritional decline at diagnosis, but little is known about their long-term health a year or more after diagnosis.

OBJECTIVE

This cross-sectional study describes cognitive and dietary characteristics of people living with PD or ABI 12 months or more post diagnosis to identify cardio-metabolic risk factors.

METHODS

Twelve community-dwelling participants (8 PD, 4 ABI) received interdisciplinary evaluations. Cognitive-linguistic status was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Nutritional and cardio-metabolic statuses were measured using the dietary screening tool (DST), anthropometrics, biochemical, and clinical measures. Descriptive statistics, independent t-tests and correlations were used to analyze the data.

RESULTS

Mean BMI (n = 12) was 26.8 ± 3.0 kg/m(2) and the majority of participants were overweight. Participants with PD had significantly higher total RBANS scores than participants with ABI (87.1 ± 14.6 vs. 66.0 ± 12.6, p = 0.034, d = 2.455). DST scores indicated 58% (N = 7) at possible nutrition risk and 25% (N = 3) were at nutrition risk. A positive correlation was found between general activity level and DST scores (r = 0.697, p = 0.012). Multiple risk factors for development of cardiovascular disease (CVD) were present in all participants.

CONCLUSION

These findings confirmed the presence of cognitive and dietary deficits in our participant group and support the need for an interdisciplinary team approach to improve health and prevent the development of symptoms for these populations a year or more after diagnosis.

Authors+Show Affiliations

Department of Nutrition and Food Sciences, University of Rhode Island, Ranger Hall, Kingston, RI 02881, USA.Department of Nutrition and Food Sciences, University of Rhode Island, Ranger Hall, Kingston, RI 02881, USA.Department of Nutrition and Food Sciences, University of Rhode Island, Ranger Hall, Kingston, RI 02881, USA.Department of Kinesiology, University of Rhode Island, Independence Square II, Kingston, RI 02881, USA.Department of Kinesiology, University of Rhode Island, Independence Square II, Kingston, RI 02881, USA.Department of Communicative Disorders, University of Rhode Island, Independence Square I, Kingston, RI 02281, USA. Electronic address: lmahler@uri.edu.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26162808

Citation

LoBuono, Dara L., et al. "Cognitive Status and Cardio-metabolic Risk of Patients With Acquired Brain Injury and Parkinson's Disease." Disability and Health Journal, vol. 9, no. 1, 2016, pp. 134-9.
LoBuono DL, Taetzsch AG, Lofgren IE, et al. Cognitive status and cardio-metabolic risk of patients with acquired brain injury and Parkinson's disease. Disabil Health J. 2016;9(1):134-9.
LoBuono, D. L., Taetzsch, A. G., Lofgren, I. E., Xu, F., Delmonico, M. J., & Mahler, L. (2016). Cognitive status and cardio-metabolic risk of patients with acquired brain injury and Parkinson's disease. Disability and Health Journal, 9(1), 134-9. https://doi.org/10.1016/j.dhjo.2015.06.001
LoBuono DL, et al. Cognitive Status and Cardio-metabolic Risk of Patients With Acquired Brain Injury and Parkinson's Disease. Disabil Health J. 2016;9(1):134-9. PubMed PMID: 26162808.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cognitive status and cardio-metabolic risk of patients with acquired brain injury and Parkinson's disease. AU - LoBuono,Dara L, AU - Taetzsch,Amy G, AU - Lofgren,Ingrid E, AU - Xu,Furong, AU - Delmonico,Matthew J, AU - Mahler,Leslie, Y1 - 2015/06/19/ PY - 2015/03/11/received PY - 2015/05/27/revised PY - 2015/06/01/accepted PY - 2015/7/12/entrez PY - 2015/7/15/pubmed PY - 2016/10/7/medline KW - Parkinson's disease KW - Stroke KW - Traumatic brain injury SP - 134 EP - 9 JF - Disability and health journal JO - Disabil Health J VL - 9 IS - 1 N2 - BACKGROUND: Parkinson's disease (PD) and acquired brain injury (ABI) share common symptoms. People with PD and ABI risk nutritional decline at diagnosis, but little is known about their long-term health a year or more after diagnosis. OBJECTIVE: This cross-sectional study describes cognitive and dietary characteristics of people living with PD or ABI 12 months or more post diagnosis to identify cardio-metabolic risk factors. METHODS: Twelve community-dwelling participants (8 PD, 4 ABI) received interdisciplinary evaluations. Cognitive-linguistic status was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Nutritional and cardio-metabolic statuses were measured using the dietary screening tool (DST), anthropometrics, biochemical, and clinical measures. Descriptive statistics, independent t-tests and correlations were used to analyze the data. RESULTS: Mean BMI (n = 12) was 26.8 ± 3.0 kg/m(2) and the majority of participants were overweight. Participants with PD had significantly higher total RBANS scores than participants with ABI (87.1 ± 14.6 vs. 66.0 ± 12.6, p = 0.034, d = 2.455). DST scores indicated 58% (N = 7) at possible nutrition risk and 25% (N = 3) were at nutrition risk. A positive correlation was found between general activity level and DST scores (r = 0.697, p = 0.012). Multiple risk factors for development of cardiovascular disease (CVD) were present in all participants. CONCLUSION: These findings confirmed the presence of cognitive and dietary deficits in our participant group and support the need for an interdisciplinary team approach to improve health and prevent the development of symptoms for these populations a year or more after diagnosis. SN - 1876-7583 UR - https://www.unboundmedicine.com/medline/citation/26162808/Cognitive_status_and_cardio_metabolic_risk_of_patients_with_acquired_brain_injury_and_Parkinson's_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1936-6574(15)00088-6 DB - PRIME DP - Unbound Medicine ER -