Major nutritional issues in the management of Parkinson's disease

@article{Barichella2009MajorNI,
  title={Major nutritional issues in the management of Parkinson's disease},
  author={Michela Barichella and Emanuele Cereda and Gianni Pezzoli},
  journal={Movement Disorders},
  year={2009},
  volume={24}
}
As with other neurodegenerative diseases, neurologic and nutritional elements may interact affecting each other in Parkinson's disease (PD). However, the long‐term effects of such interactions on prognosis and outcome have not been given much attention and are poorly addressed by current research. Factors contributing to the clinical conditions of patients with PD are not only the basic features of PD, progression of disease, and the therapeutic approach but also fiber and nutrient intakes (in… 
Nutritional assessment in patients with Parkinson’s disease: The nutri-park study
TLDR
Nutritional status of PD patients is not so different from elderly controls and PRD is recommended for patients with PD, which showed a slower progression index following a PRD.
Motor, Psychiatric and Fatigue Features Associated with Nutritional Status and Its Effects on Quality of Life in Parkinson’s Disease Patients
TLDR
It is demonstrated that disease duration, severity of motor and psychiatric symptoms (depression, anxiety, and fatigue) and fatigue are associated with nutritional status in PD.
Factors contributing to malnutrition in patients with Parkinson's disease.
TLDR
Malnutrition was related to activity of daily living score, Hoehn and Yahr stage, duration of levodopa therapy, Beck Depression Inventory and Spielberger's Anxiety Inventory scores, body weight,Body weight at onset of Parkinson's disease, and body mass index.
Protein-Restricted Diets for Ameliorating Motor Fluctuations in Parkinson's Disease
TLDR
Together, protein-restricted diets are an effective approach to improve motor fluctuations in PD patients, while long-term adherence to these diets requires monitoring for side effects.
Food consumption in patients with Parkinson's disease and its impact on disease prognosis and drug therapy
TLDR
All parameters analyzed: total energy, macronutrient, minerals and vitamins intake as well as protein intake throughout the day, were in disconformity with what is recommended by the RDA and discord with the own needs with this group of patients.
Nutritional status and dietary habits in Parkinson's disease patients in Ghana.
Nutritional Status and Changes in Body Weight in Patients with Multiple System Atrophy
TLDR
It is demonstrated that patients with advanced stage MSA may develop malnutrition in the absence of a decrease in BMI, and serum albumin level may be useful for evaluating nutritional changes in MSA patients.
What increases the risk of malnutrition in Parkinson's disease?
...
...

References

SHOWING 1-10 OF 114 REFERENCES
Impact of nutritional status on the evolution of Alzheimer's disease and on response to acetylcholinesterase inhibitor treatment.
TLDR
It is indicated that AD patients living at home with a caregiver are frequently at risk of undernutrition, and undernourished patients appear to be those who best respond to AChEI treatment.
Life style risks of Parkinson’s disease: Association between decreased water intake and constipation
TLDR
It is found that intake of water was significantly decreased in PD patients from early life and associated with their constipation and the depletion of water intake preceded constipation in most cases, the first report to point out latent water depletion inPD patients.
Weight loss in Parkinson’s disease
TLDR
Attention must be paid as well to motor symptoms to prevent or reverse weight loss in PD patients, and to enhance glucose metabolism resulting in enhanced energy expenditure.
Diet, body size and micronutrient status in Parkinson's disease.
Nutritional status was assessed in a group of patients with Parkinson's disease. Weight loss since the onset of disease occurred in 52% of the patients and 22% had lost more than 12.8 kg. Although
A study of the nutritional status of elderly patients with Parkinson's disease.
TLDR
Dietary analysis showed a higher daily intake of calories in the patients which was derived from an increased carbohydrate intake, and Parkinson's disease patients lose weight in spite of an increased calorie intake.
Nutrition and the risk for Parkinson’s disease: review of the literature
TLDR
An overview on epidemiological studies addressing a possible relation of dietary compounds and the risk for Parkinson’s disease is given.
Body weight in patients with Parkinson's disease
TLDR
It is recommended that the body weight of Parkinson's disease patients be monitored monthly as the disease progresses, and that a patient's nutrition should be supplemented with sufficient amounts of vitamin D and calcium to reduce the risk of hip fractures and strengthen bone density.
Avoidance of solid food in weight losing older patients with Parkinson's disease.
TLDR
Parkinson's disease patients with weight loss seemed to avoid solid food, partly because of eating difficulties, but weight loss was associated with female gender, eating difficulties related to activities of daily living and preference towards soft food, but negatively correlated with age.
Effect of daytime protein restriction on nutrient intakes of free-living Parkinson's disease patients.
TLDR
It is concluded that healthy and highly motivated patients can maintain adequate intakes of most nutrients while restricting daytime protein intake, however, nutrient intakes might be compromised in patients whose regular diets are marginally adequate.
Increased prevalence of undernutrition in Parkinson's disease and its relationship to clinical disease parameters
TLDR
The reduction in anthropometric indices was most marked for skin fold thickness and least for arm muscle circumference (related to lean body mass); therefore the weight loss seen in Parkinson's disease is primarily due to fat loss rather than muscle loss.
...
...