Dietetic practice by Australian and Canadian dietitians with people with Parkinson's disease

Sheard, Jamie & Ash, Susan (2013) Dietetic practice by Australian and Canadian dietitians with people with Parkinson's disease. In Tapsell, Linda (Ed.) Dietitians Association of Australia 30th National Conference, 23-25 May 2013, National Convention Centre, Canberra, Australia.

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Abstract

Although Parkinson’s disease (PD) is a complex disease for which appropriate nutrition management is important, limited evidence is currently available to support dietetic practice. Existing PD-specific guidelines do not span all phases of the Nutrition Care Process (NCP). This study aimed to document PD-specific nutrition management practice by Australian and Canadian dietitians. DAA members and PEN subscribers were invited to participate in an online survey (late 2011). Eighty-four dietitians responded (79.8% Australian). The majority (70.2%) worked in the clinical setting. Existing non-PD guidelines were used by 52.4% while 53.6% relied on self-initiated literature reviews. Weight loss/malnutrition, protein intake, dysphagia and constipation were common issues in all NCP phases. Respondents also requested more information/evidence for these topics. Malnutrition screening (82.1%) and assessment (85.7%) were routinely performed. One-third did not receive referrals for weight loss for overweight/obesity. Protein intake meeting gender/age recommendations (69.0%), and high energy/high protein diets to manage malnutrition (82.1%) were most commonly used. Constipation management was through high fibre diets (86.9%). Recommendations for spacing of meals and PD medications varied with 34.5% not making recommendations. Nutritional diagnosis (70.2%) and stage of disease (61.9%) guided monitoring frequency. Common outcome measures included appropriate weight change (97.6%) and regular bowel movements (88.1%). With limited PD-specific guidance, dietitians applied best available evidence for other groups with similar issues. Dietitians requested evidence-based guidelines specifically for the nutritional management of PD. Guideline development should focus on those areas reported as commonly encountered. This process can identify the gaps in evidence to guide future research.

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ID Code: 66681
Item Type: Conference Item (Poster)
Refereed: Yes
Additional Information: Nutrition & Dietetics
Special Issue: Abstracts of the Dietitians Association of Australia 30th National Conference, 23–25 May 2013, National Convention Centre, Canberra, Australia
Additional URLs:
Keywords: Dietetics, Parkinsons Disease, evidence based practice
DOI: 10.1111/1747-0080.12035
ISSN: 1446-6368
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2013 Dietitians Association of Australia
Copyright Statement: The definitive version is available at www3.interscience.wiley.com
Deposited On: 28 Jan 2014 00:40
Last Modified: 29 Jan 2014 11:33

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