Vital nutrition: enhancing health in advanced Parkinson’s disease
with device-aided therapies
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Onanong Phokaewvarangkul1 · Ioanna Markaki2 · Harmen R. Moes3 · Igor Petrovic4,5 · Anette Schrag6 · Roongroj Bhidayasiri1,7
1 Chulalongkorn Centre of Excellence for Parkinson’s Disease & Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand 2 Department of Clinical Neuroscience, Karolinska Institutet, Karolinska University, Stockholm, Sweden 3 Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands 4 Neurology Clinic, University Clinical Center of Serbia, Belgrade, Serbia 5 Faculty of Medicine, University of Belgrade, Belgrade, Serbia 6 Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK 7 The Academy of Science, The Royal Society of Thailand, Bangkok, Thailand
Abstract Patients with advanced Parkinson’s disease (PD) face a variety of nutritional challenges, including dysphagia, malnutrition, impaired absorption, gastrointestinal issues, and adverse drug interactions, in addition to body weight fluctuations. These challenges are especially significant for those utilising device-aided therapies (DATs), requiring personalised management strategies. Integrating dietitians into the multidisciplinary team (MDT) is vital for optimising nutrition, enhancing medication efficacy, and managing symptoms. This paper outlines strategies for supporting advanced PD patients using DATs, highlighting the critical role of dietitian assessments. Although there is no one-size-fits-all solution, dietary interventions are essential for improving motor function, preventing complications, and promoting overall health.
Keywords Parkinson’s disease · Device-aided therapy · Nutrition · Dietitian · Multidisciplinary team
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