Alzheimer's: Making mealtimes easier
Alzheimer's and eating can be a challenge. Understand what causes eating problems and take simple steps to ensure good nutrition.By Mayo Clinic Staff
Alzheimer's disease and eating challenges often go hand in hand. As Alzheimer's progresses, poor nutrition can aggravate confusion and lead to physical weakness, as well as increase the risk of infection and other health concerns.
If you're caring for a loved one who has Alzheimer's, understand what causes eating problems and how you can encourage good nutrition.
Consider underlying conditions
If your loved one is having trouble eating, check for underlying problems, such as:
- Oral problems. Make sure dentures fit properly and are being used. Check for mouth sores or other oral or dental issues.
- Medication effects. Many medications decrease appetite, including some drugs used to treat Alzheimer's. If you think medications are contributing to eating problems, ask your loved one's doctor about substitutions.
- Chronic conditions. Diabetes, heart disease, digestive problems and depression can dampen interest in eating. Constipation can have the same effect. Treating these or other underlying conditions might improve your loved one's appetite. Also, consider talking to your loved one's doctor about removing dietary restrictions.
Acknowledge declining skills and senses
In the early stages of Alzheimer's, your loved one might forget to eat or lose the skills needed to prepare proper meals. Call to remind him or her to eat or help with food preparation. If you make meals in advance, be sure to review how to unwrap and reheat them. You might also consider using a meal delivery service.
In addition, your loved one's sense of smell and taste might begin to diminish, which can affect interest in eating.
As Alzheimer's progresses, your loved one might forget table manners and eat from others' plates or out of serving bowls. Changes in the brain might cause him or her to lose impulse control and judgment and, in turn, eat anything in sight — including nonfood items. During the later stages of the disease, difficulty swallowing is common.
Expect agitation and distraction
Agitation and other signs and symptoms of Alzheimer's can make it difficult to sit still long enough to eat a meal. Distractions at mealtime might make this even worse. To reduce distractions, turn off the TV, radio and telephone ringer. Put your cellphone on vibrate. You might also clear the table of any unnecessary items.
If your loved one needs to pace, try cutting a sandwich into quarters and giving him or her a section while he or she walks.
Discourage your loved one from drinking alcoholic beverages. Although alcohol might stimulate the appetite, it can lead to confusion and agitation as well as contribute to falls.
Use white dishes to help your loved one distinguish the food from the plate. Similarly, use placemats of a contrasting color to help distinguish the plate from the table. Stick with solid colors, though. Patterned plates, bowls and linens might be confusing.
Feb. 04, 2015
See more In-depth
- Stages of Alzheimer's disease. Alzheimer's Association. http://www.alz.org/national/documents/topicsheet_stages.pdf. Accessed Dec. 26, 2014.
- Eating. Alzheimer's Association. http://www.alz.org/national/documents/topicsheet_eating.pdf. Accessed Dec. 26, 2014.
- Shatenstein B, et al. Dietary intervention in older adults with early-stage Alzheimer dementia: Early lessons learned. The Journal of Nutrition, Health & Aging. 2008;12:461.
- Smith KL, et al. Weight loss and nutritional considerations in Alzheimer disease. 2008;27:381.
- Weight loss and Alzheimer's disease: Temporal and aetiologic connections. The Proceedings of the Nutrition Society. 2013;72:160.
- Mace NL, et al. The 36-Hour Day. 5th ed. Baltimore, Md.: The Johns Hopkins University Press; 2011:68.