Dietary Intake of Patients with Parkinson's Disease in Lithuania.

Background

Risk of malnutrition among patients with Parkinson's disease (PD) can reach up to 60%, with prevalence rates as high as 24%. Dietary management for PD patients is a promising adjuvant therapy that may improve some motor and non-motor symptoms. However, there is limited information regarding nutrient intake and adherence to recommended dietary requirements in this population in Lithuania.

Methods

In this case-control study conducted at Vilnius University Hospital Santaros Klinikos (2023-2025), usual dietary intake was assessed using two non-consecutive 24 h recalls. Intake was compared with Lithuanian Recommended Daily Intake (RDI) values. Associations between nutrient intake and selected non-motor symptoms were analyzed.

Results

Fifty-nine patients with PD and 54 controls were included and compared with RDI; patients with PD had lower intakes of dietary fiber (20.63 g/day), vitamin A (627.15 μgRE/day), and vitamin D (3.18 μg/day), alongside a higher energy contribution from total sugars (11.31 E%). Less than half met RDI for protein, fat, polyunsaturated fatty acids (PUFA), and monounsaturated fatty acids (MUFA) energy contribution, vitamins E and C, calcium, and zinc. Compared with controls, PD patients consumed more dietary fiber, plant protein, and total carbohydrate and had a higher carbohydrate-derived energy contribution. PD patients with depressive mood consumed fewer carbohydrate, dietary fiber, plant protein, and some vitamins and minerals compared to those without.

Conclusions

Patients with PD had higher total sugar-derived energy consumption and lower dietary fiber and vitamin D intake than the RDI. There were differences in dietary intake among PD patients with and without specific non-motor functions.