Intended for healthcare professionals

Rapid response to:

Education And Debate

Folic acid, ageing, depression, and dementia

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7352.1512 (Published 22 June 2002) Cite this as: BMJ 2002;324:1512

Rapid Response:

HOMOCYSTEIN AND LTC PATIENTS WITH OROPHARYNGEAL DYSPHAGIA

More and more evidence is accumulating on the numerous and various
deleterious effects of Hyperhomocystinemia. Elderly LTC patients with
Oropharyngeal Dysphagia (up to 70% of the institutionalized patients ) are
in high risk of Hyperhomocystinemia as we recently published in the
Journal of Parenteral and Enteral Nutrition. Affected could be their
cognition,their extrapiramidal system , their ability to swallow ,the
affect as well as an increased risk for Cardio-vascular complications.
This growing segment of feeding dependent patients deserve special
attention as to the food suplimentation they receive.

Competing interests: No competing interests

04 July 2002
Arthur Leibovitz
Chief of Research and Geriatric Education
Beer Yakov Israel
Shmuel Harofe Hospital POB 2