Clinical and Quality-of-Life Outcomes in Dementia Patients Following Texture-Modified Diets and Thickened Liquids: A Systematic Review
Notice bibliographique
Résumé
Background: Dysphagia, impaired swallowing, is one of the most common and life-threatening complications in patients with dementia. It plays a vital role on Aspiration-related lung infection, dehydration, malfunction of nutrition and quality of life. TMDs and thickened liquids are routinely recommended for improving swallowing safety, but evidence supporting their long-term efficacy is inconclusive.Objectives: This study aims to summarize the evidence regarding texture-modified foods and thickened liquids on reducing aspiration or pneumonia among older people with dementia. Secondary effects on hydration, nutrition and psychosocial well-being as well as the application of care are also assessed.Methods: Systematic findings were performed in PubMed, Scopus, Embase, CINAHL Web of Science and Cochrane Library (2000–2025). Both randomized controlled, quasi-experimental, and cohort studies as well as qualitative designs were included if applied TMDs or thickened liquids in older adults (60+) with dementia-related dysphagia. Results were swallowing, aspiration rate pneumonia occurrence hydration nutritional status and qualice of life. The Cochrane Risk-of-Bias 2.0 tool and the Newcastle-Ottawa Scale were used to evaluate methodological quality.Results: Twenty-seven studies were included (8 RCTs, 11 observational, 8 qualitative/mixed-method). Short-term evidence suggests that as the viscosity is increased, fewer aspiration events may be detected on instrumental assessments, in particular with honey-thick (≈3,000 cPs) and nectar-thick (≈300 cPs) fluids. However, the long term outcomes demonstrate bigger pneumonia numbers, increased dehydration and lower compliance with thickened fluids when compared to personal tailored swallowing strategies. There were a small number of occasions where you made texture-modified solid foods, these improved swallow safety; however, for some people they decreased appetite and enjoyment. Safety, compliance, and feeding outcomes were found to improve with the use of person-centred interventions and staff education.Conclusions: Texture-modified foods and liquids can prevent immediate aspiration but not reliably the occurrence of pneumonia. They may also lead to detriments in hydration, nutrition and quality of life if not personalized. Interdisciplinary, evidence-based person-centered care unified with IDDSI standards is critical for quality dementia care.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».