PhD Scholar, Delhi Unversity
Aakriti Gupta is a PhD scholar from Delhi University, India. She is expertise and passion in the area of micronutrient deficiencies. She has worked extensively in the area of nutritional status of vascular dementia amongst geriatric subjects. She has previously worked in various national level research projects with All India Institute of Medical Sciences, New Delhi in the area of Vitamin D deficiency, Pediatric Metabolic Syndrome and Geriatric Nutrition. She has several publications in indexed journals in diverse topics. She has written a chapter on Nutrition and Health in an esteemed textbook of community medicine for postgraduate students.
Introduction: Vascular dementia (VaD) has been shown to have a detrimental effect on the nutritional status of the geriatric population. Whereas, malnutrition has been suggested as an important risk factor for onset and progression of VaD. There is little published data regarding nutritional status of geriatric population suffering with VaD. Hence, the present study was conducted.
Method: A hospital based cross-sectional observational study was conducted in the year 2014- 2015 in New Delhi. A total of 48 subjects suffering with VaD confirmed as per NINDS AIREN criteria, aged 55 years and above were enrolled. Data was collected on socio-demographic profile, clinical profile of vascular disease risk factors, mini nutritional assessment, dietary intake (24hr food record and food frequency questionnaire), anthropometric profile from all the subjects.
Results: We found that 69% (n=33) of the subjects were at risk of malnutrition. Subjects with moderate VaD had significantly worse nutritional status (p<0.01) as compared to the subjects with mild VaD. With increasing severity of VaD, the nutritional status of the subjects declined significantly (p<0.01). Subjects with moderate VaD had lower nutrient intake and adequacy for all nutrients than subjects with mild VaD.
Conclusion: The nutritional status of subjects with VaD is poor due to several factors. There is a need for initiating timely dietary interventions to improve the overall nutritional status and prevent further nutrition related complications in subjects with VaD. This may aid in alleviation and reversal of symptoms of dementia amongst the subjects.