Eating difficulties among older adults with dementia in long-term care facilities: A scoping review

Dukyoo Jung, Kyuri Lee, Jennie C. De Gagne, Minkyung Lee, Hyesoon Lee, Leeho Yoo, Sarah Won, Eunju Choi

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


This paper reports a scoping review of the literature on eating difficulties among older adults with dementia in long-term care facilities to identify key concepts, methods of measuring outcomes, interventions, and related factors. A scoping review was performed using the bibliographic databases PubMed, CINAHL, PsycINFO, and Cochrane Library. A combination of keywords and subject headings related to eating or feeding difficulties was used. Inclusion criteria were limited to materials published in English. A total of 1070 references were retrieved, of which 39 articles were selected after applying the inclusion and exclusion criteria. Articles that met the criteria were published between 1987 and 2020. “Eating disabilities” have been defined as problems related to choosing food and/or the ability to get food to one’s mouth, chew, and swallow. Interventions for eating difficulties described in the literature include spaced retrieval training, Montessori training, and feeding skill training. Intrapersonal, interpersonal, and environmental factors related to eating difficulties were identified. This scoping review will provide direct care workers, nursing educators, and administrators with an overview of eating performance and a broad understanding of eating difficulties for older adults with dementia in long-term care facilities.

Original languageEnglish
Article number10109
JournalInternational Journal of Environmental Research and Public Health
Issue number19
StatePublished - 1 Oct 2021

Bibliographical note

Funding Information:
Funding: This research was supported by the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (NRF-2020R1A2C1013713).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article.


  • Aged
  • Dementia
  • Eating behavior
  • Nursing homes
  • Review


Dive into the research topics of 'Eating difficulties among older adults with dementia in long-term care facilities: A scoping review'. Together they form a unique fingerprint.

Cite this