Cochrane · systematic review · CD011542
Environmental and behavioural modifications for improving food and fluid intake in people with dementia
Herke, M, Fink, A, Langer, G, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
31
current version
GRADE rated
24
No studies
7
Included studies
NR
No studies 7 · 22.6%Ungraded 0 · 0%Very low 15 · 48.4%Low 6 · 19.4%Moderate 3 · 9.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings for additional food items between meals compared to usual care for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured by calories consumed in total per day (kcal, Summary of findings for additional food items between meals vs usual care | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status, measured by body weight (kg, Summary of findings for additional food items between meals vs usual care | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias, imprecision |
Mealtime behaviour not measured Summary of findings for additional food items between meals vs usual care | no estimate extracted | NR | No studies |
Summary of findings for education and nutrition promotion programme compared to no intervention for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured by total protein intake (g/kg of body weight, Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 78 participants | Low Downgraded: risk of bias, imprecision |
Nutritional status, measured by MNA (range 0‐30, higher = better, Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 656 participants | Low Downgraded: risk of bias |
Nutritional status, measured by BMI (kg/m², Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 52 participants | Low Downgraded: risk of bias |
Nutritional status, measured by BMI (kg/m², Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 2 studies · 734 participants | Moderate Downgraded: risk of bias |
Nutritional status, measured by body weight (kg, Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 52 participants | Low Downgraded: risk of bias |
Nutritional status, measured by body weight (kg, Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 656 participants | Moderate Downgraded: risk of bias |
Mealtime behaviour, measured by the EBS (range 0‐30, higher=better, Summary of findings for education and nutrition promotion programme vs no intervention | no estimate extracted | 1 study · 656 participants | Moderate Downgraded: risk of bias |
Summary of findings for spaced retrieval combined with errorless learning training programme for people with dementia compared to spaced retrieval only training programme for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, Summary of findings for spaced retrieval combined with errorless learning training programme for people with dementia vs spaced retrieval only training programme | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Nutritional status not measured Summary of findings for spaced retrieval combined with errorless learning training programme for people with dementia vs spaced retrieval only training programme | no estimate extracted | NR | No studies |
Mealtime behaviour not measured Summary of findings for spaced retrieval combined with errorless learning training programme for people with dementia vs spaced retrieval only training programme | no estimate extracted | NR | No studies |
CI: confidence interval Summary of findings for spaced retrieval combined with errorless learning training programme for people with dementia vs spaced retrieval only training programme | no estimate extracted | NR | No studies |
Summary of findings for spaced retrieval training programme for people with dementia compared to no intervention for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured by amount of served food eaten (percentage, Summary of findings for spaced retrieval training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status, measured by MNA (range 0‐30, higher = better, Summary of findings for spaced retrieval training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status, measured by BMI (kg/m², Summary of findings for spaced retrieval training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 33 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status, measured by body weight (kg, Summary of findings for spaced retrieval training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 33 participants | Very low Downgraded: risk of bias, imprecision |
Mealtime behaviour, measured by EdFED scale (range 0‐20, lower = better, 8 weeks) Summary of findings for spaced retrieval training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings for Montessori‐based activities training programme for people with dementia compared to no intervention for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured by amount of served food eaten (percentage, 3 months) Summary of findings for Montessori‐based activities training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status Summary of findings for Montessori‐based activities training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status Summary of findings for Montessori‐based activities training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 33 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status Summary of findings for Montessori‐based activities training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 33 participants | Very low Downgraded: risk of bias, imprecision |
Mealtime behaviour Summary of findings for Montessori‐based activities training programme for people with dementia vs no intervention | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings for feeding skills training programme for nurses compared with no intervention for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured as amount of served food eaten (percentage, Summary of findings for feeding skills training programme for nurses vs no intervention | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision |
Nutritional status not measured Summary of findings for feeding skills training programme for nurses vs no intervention | no estimate extracted | NR | No studies |
Mealtime behaviour, Summary of findings for feeding skills training programme for nurses vs no intervention | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings for verbal and physical encouragement by touch compared with only verbal encouragement during meals for people with dementia
Population: people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Food and fluid intake, measured by calories consumed per meal (kcal, Summary of findings for verbal and physical encouragement by touch vs only verbal encouragement during meals | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias, imprecision |
Food and fluid intake, measured by protein consumed per meal (grams, Summary of findings for verbal and physical encouragement by touch vs only verbal encouragement during meals | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias, imprecision |
Nutritional status not measured Summary of findings for verbal and physical encouragement by touch vs only verbal encouragement during meals | no estimate extracted | NR | No studies |
Mealtime behaviour not measured Summary of findings for verbal and physical encouragement by touch vs only verbal encouragement during meals | no estimate extracted | NR | No studies |