Diploma project solves renovation of campus SOU Rousínov. Campus is situated in wide city centre of Rousínov. Campus is composed of five connected buildings. Project brings new functions such as primary school, library, old people´s home and coffee-house. One aim of project is urban revitalization and creation of area for leisure time activities. Architectural aim is to create campus with uniform character. Buildings are specific in shape simplicity. Connecting element is also colour unity of main volumes with coloured emphasizing of details and structures.

Past research has shown that there are many factors that affect the elderly when moving from their own home to an elderly home. The main aim of this study was therefore to (i) describe the reasons and feelings of the elders associated before transiting into the elderly home (ii) experience and support during the transition and adapting to the life in the elderly home for the first few months after the transition and (iii) whether there lies any difference in sex amongst the elderly men and women in adjusting to the elderly home. Due to ethical issues, the study was conducted through interviewing the professionals who worked with elderly around the clock. Therefore, questions have been answered by the professionals in regard to their view on the subject. A total of six (6) semi structured interviews were conducted by two social work students who interviewed 9 professionals i.e. five (5) individual interviews and one group interview with four (4) professional participants. Of these nine (9) interview participants, eight (8) professionals were either working as domestic workers (hemtjänst) or as professional caregivers at the elderly home or as both and one (1) participant was the chief of department in the elderly home. The results showed that functional impairment or disability was the first and foremost reason as to why elderly must move from their own home to elderly home. However, for many elders this decision feels like a “force” upon them and their experience following is vastly differed. While other elders may feel a loss of identity in the elderly home, lonely and disappointed, many feel a sense of security to be around people who can look after them 24/7 and be able to create a meaningful relationship with both, other residents and the professional staff. It was as well noted that factors like activities and personality played a major role in the adjustment of the elderly in the elderly home. Lastly, the study did not show any differences between the sexes i.e. there was no difference between elderly men and elderly women when adjusting in the elderly home. However elderly women were shown as a sex who were more lenient to adapt to the changes.

No description available.

Syftet med denna studie är att undersöka om det finns en stereotyp av den äldre som får bifall på sin överklagan till särskilt boende. Detta kommer undersökas med hjälp av en riktad kvalitativ innehållsanalys där de texter som kommer analyseras är domar ifrån förvaltningsrätten där äldre personer överklagat sitt biståndsbeslut. Genom att använda teorier om att göra ålder och perspektiv på makt, analyserades och tolkades utvalt empiriskt material. Analysen utfördes genom att söka efter meningsbärande delar av texten, meningar som innehåller relevant information för att kunna svara på studiens syfte. Den relevanta informationen kodades för att sedan kategoriseras, och separerades i olika teman som slutligen analyserats med teori och tidigare forskning. Studien visar att det är svårt att urskilja en stereotyp av den äldre som får bifall på sin överklagan. Denna slutsats tas då det inom kategorierna verkar skilja sig åt både mellan de olika bifallen och de olika avslagen, men även mellan avslag och bifall. Utifrån det resultatet så verkade det inte vara några vissa egenskaper som den äldre ska, eller inte ska ha för att beviljas insatsen. Slutsatsen innebär inte att en stereotyp nödvändigtvis inte existerar, men den har inte kunnat urskiljas i det empiriska materialet. Utifrån de teoretiska begrepp och den forskning som använts i studien är en trolig slutsats i stället att biståndshandläggarna tar godtyckliga beslut utifrån de givna ramar som organisationen utformat i form av kommunala riktlinjer och rådande lagstiftning. Den utredning som biståndshandläggarna skriver om den äldre, utgör sedan en del av underlaget i förvaltningsrättens dom, och det är denna del som är av intresse för denna studie. / The purpose of this study is to investigate whether there is a stereotype of the elderly being granted their appeal to retirement homes. This will be conducted with the help of a targeted qualitative content analysis where the texts that will be analyzed are verdicts from the Administrative Court where older people have appealed their denied request for assistance. Based on theories on “making age” and perspectives on power, empirical material was analyzed. The analysis was conducted by searching for meaning-bearing parts of the text, sentences that contain relevant information to be able to answer the purpose of the study. These codes were then divided into categories, to be further divided into different themes that were finally analyzed through theory and with previous research. The study reveals that it is in fact difficult to discern a stereotype of the elderly who gets approval of their appeal. This conclusion is drawn due to categories that seems to differ both between different approvals and different refusals, but also between rejection and approval. Based on this, it did not seem to be any certain characteristics that the elder should, or should not have in order to be granted approval of special housing. This does not necessarily mean that this stereotype does not exist, it simply means that it has not been discernible in the empirical material used in this essay. Based on the theoretical concepts and the research used in the study, a plausible conclusion is instead that the development assistance administrators make arbitrary decisions based on the framework that is set by the organization in the form of municipal guidelines and current legislation. The investigation that the social workers write about the elderly then forms part of the basis in the Administrative Courts judgement, and it is this part that is of interest for this study.

Introdução: O envelhecimento populacional, decorrente do aumento da expectativa de vida, foi, sem dúvida, uma importante conquista em nível global. Contudo, discute-se atualmente a necessidade premente de agregar qualidade aos anos de vida ganhos. Objetivo: Identificar fatores associados à Qualidade de Vida Relacionada à Saúde (QVRS) de idosos não institucionalizados do Município de São Paulo, em 2006. Método: Este estudo faz parte do Estudo Longitudinal SABE Saúde, Bem-Estar e Envelhecimento. Os dados foram coletados em 2006, de uma amostra representativa composta por 1.160 idosos (idade 60 anos) que responderam ao Short-Form 12 (SF-12), questionário genérico que avalia QVRS. As variáveis dependentes foram os Componentes Físico (PCS) e Mental (MCS) do SF-12 e as análises foram conduzidas separadamente segundo sexo. Buscou-se a associação com variáveis demográficas, socioeconômicas, estado de saúde, incapacidade funcional, estilo de vida e relacionamento social, utilizando o método de regressão logística múltipla. Resultados: Entre as idosas, estiveram associados a baixos escores no PCS: idade 80 anos, multimorbidade, internação, ter incontinência urinária, ter depressão, ter dificuldades para executar atividades instrumentais e básicas da vida diária (AIVD e ABVD) e não praticar atividades físicas. Baixos escores no PCS dos homens associaram-se a idade 80 anos, renda insuficiente, multimorbidade, tomar dois ou mais medicamentos, ter dificuldades para ABVD e não praticar atividades físicas. Baixos escores no MCS das mulheres estiveram associados a ser fumante, auto-percepção negativa de saúde geral e saúde bucal, ocorrência de queda no último ano e ter depressão. Baixos escores no MCS entre os homens idosos associaram-se à auto-percepção negativa de saúde, ter incontinência urinária e ter depressão. Homens mais velhos (idade 70 anos) apresentaram melhores escores no MCS em relação aos mais jovens (60-69 anos). Discussão: No PCS, as únicas variáveis coincidentes entre homens e mulheres foram idade, prática de atividades físicas, multimorbidade e dificuldade para ABVD; enquanto no MCS foram auto-percepção de saúde e depressão. A análise separada por sexo possibilitou a identificação de modelos distintos de determinantes da QVRS de idosos. Conclusão: Os fatores que se associaram significativamente ao PCS-SF12 de idosos de ambos os sexos foram: auto-percepção de saúde, multimorbidade, dificuldades para desempenhar ABVD e prática de atividades físicas. Enquanto suficiência de renda e número de medicamentos associaram-se apenas para o sexo masculino e internação, incontinência urinária, depressão e dificuldades para desempenhar AIVD, apenas para o sexo feminino. Ao MCS-SF12 de ambos os sexos associaram-se apenas auto-percepção de saúde e depressão; enquanto para o sexo masculino associaram-se também faixa etária e incontinência urinária. Já para as mulheres também apresentaram associação significativa o tabagismo, a auto-percepção de saúde bucal e quedas / Background: The world had experienced a high increased in life expectancy during the last decades, which has been undoubtedly considered as a major achievement. Because the increase of elderly population, that presents highest prevalence of chronic conditions, besides other single characteristics, several researches have been developed due to determine ways to add quality to the gained years of life. The aim of this study was to identify factors associated with elderly health-related Quality of Life (HRQoL), in São Paulo. Methods: This study is part of the Longitudinal Study SABE - Health, Welfare and Ageing (from Portuguese: Saúde, Bem-Estar e Envelhecimento). Data were collected in 2006. The sample consisted of 1,160 elderly (age 60 years) who answered the Short-Form 12 (SF-12), a generic HRQoL questionnaire. Dependent variables were Physical (PCS) and Mental Components (MCS) of SF-12. All analysis were separated by sex and the independent variables approached demographic, socioeconomic, health status, functional disability, lifestyle and social networking conditions, using the multiple logistic regression. Results: Among old women, lower PCS scores were associated with age 80 years, multimorbidity, hospitalization, urinary incontinence, depression, difficulty to perform basic and instrumental activities of daily living (BADL and IADL) and lack of physical activities. Among old men, lower PCS scores were associated with age 80 years, insufficient income, multimorbidity, taking two or more medications, difficulty to perform BADL and the lack of physical activities. Among the women, lower MCS scores were associated with being a smoker, negative self-perception of general health and oral health, occurrence of falls in the last year and depression. Among the men, lower MCS scores were associated with negative self-perception of health, urinary incontinence and depression. Older men ( 70 years) had better MCS scores than younger (60-69 years). Conclusion: Significantly associated factors with the PCS-SF12 for both male and female elderly were: self-perceived health status, multimorbidity, incapacity for BADL and physical activity; while income and number of drugs were associated only for males. Hospitalization, urinary incontinence, depression and incapacity for IADL were associated only for females. To the MCS-SF12 of both sexes were associated only self-perceived health and depression, while age and urinary incontinence were associated for males. Females MCS-SF12 also had significant association with tobacco, self-perception of oral health and falls

Introdução: O envelhecimento populacional, decorrente do aumento da expectativa de vida, foi, sem dúvida, uma importante conquista em nível global. Contudo, discute-se atualmente a necessidade premente de agregar qualidade aos anos de vida ganhos. Objetivo: Identificar fatores associados à Qualidade de Vida Relacionada à Saúde (QVRS) de idosos não institucionalizados do Município de São Paulo, em 2006. Método: Este estudo faz parte do Estudo Longitudinal SABE Saúde, Bem-Estar e Envelhecimento. Os dados foram coletados em 2006, de uma amostra representativa composta por 1.160 idosos (idade 60 anos) que responderam ao Short-Form 12 (SF-12), questionário genérico que avalia QVRS. As variáveis dependentes foram os Componentes Físico (PCS) e Mental (MCS) do SF-12 e as análises foram conduzidas separadamente segundo sexo. Buscou-se a associação com variáveis demográficas, socioeconômicas, estado de saúde, incapacidade funcional, estilo de vida e relacionamento social, utilizando o método de regressão logística múltipla. Resultados: Entre as idosas, estiveram associados a baixos escores no PCS: idade 80 anos, multimorbidade, internação, ter incontinência urinária, ter depressão, ter dificuldades para executar atividades instrumentais e básicas da vida diária (AIVD e ABVD) e não praticar atividades físicas. Baixos escores no PCS dos homens associaram-se a idade 80 anos, renda insuficiente, multimorbidade, tomar dois ou mais medicamentos, ter dificuldades para ABVD e não praticar atividades físicas. Baixos escores no MCS das mulheres estiveram associados a ser fumante, auto-percepção negativa de saúde geral e saúde bucal, ocorrência de queda no último ano e ter depressão. Baixos escores no MCS entre os homens idosos associaram-se à auto-percepção negativa de saúde, ter incontinência urinária e ter depressão. Homens mais velhos (idade 70 anos) apresentaram melhores escores no MCS em relação aos mais jovens (60-69 anos). Discussão: No PCS, as únicas variáveis coincidentes entre homens e mulheres foram idade, prática de atividades físicas, multimorbidade e dificuldade para ABVD; enquanto no MCS foram auto-percepção de saúde e depressão. A análise separada por sexo possibilitou a identificação de modelos distintos de determinantes da QVRS de idosos. Conclusão: Os fatores que se associaram significativamente ao PCS-SF12 de idosos de ambos os sexos foram: auto-percepção de saúde, multimorbidade, dificuldades para desempenhar ABVD e prática de atividades físicas. Enquanto suficiência de renda e número de medicamentos associaram-se apenas para o sexo masculino e internação, incontinência urinária, depressão e dificuldades para desempenhar AIVD, apenas para o sexo feminino. Ao MCS-SF12 de ambos os sexos associaram-se apenas auto-percepção de saúde e depressão; enquanto para o sexo masculino associaram-se também faixa etária e incontinência urinária. Já para as mulheres também apresentaram associação significativa o tabagismo, a auto-percepção de saúde bucal e quedas / Background: The world had experienced a high increased in life expectancy during the last decades, which has been undoubtedly considered as a major achievement. Because the increase of elderly population, that presents highest prevalence of chronic conditions, besides other single characteristics, several researches have been developed due to determine ways to add quality to the gained years of life. The aim of this study was to identify factors associated with elderly health-related Quality of Life (HRQoL), in São Paulo. Methods: This study is part of the Longitudinal Study SABE - Health, Welfare and Ageing (from Portuguese: Saúde, Bem-Estar e Envelhecimento). Data were collected in 2006. The sample consisted of 1,160 elderly (age 60 years) who answered the Short-Form 12 (SF-12), a generic HRQoL questionnaire. Dependent variables were Physical (PCS) and Mental Components (MCS) of SF-12. All analysis were separated by sex and the independent variables approached demographic, socioeconomic, health status, functional disability, lifestyle and social networking conditions, using the multiple logistic regression. Results: Among old women, lower PCS scores were associated with age 80 years, multimorbidity, hospitalization, urinary incontinence, depression, difficulty to perform basic and instrumental activities of daily living (BADL and IADL) and lack of physical activities. Among old men, lower PCS scores were associated with age 80 years, insufficient income, multimorbidity, taking two or more medications, difficulty to perform BADL and the lack of physical activities. Among the women, lower MCS scores were associated with being a smoker, negative self-perception of general health and oral health, occurrence of falls in the last year and depression. Among the men, lower MCS scores were associated with negative self-perception of health, urinary incontinence and depression. Older men ( 70 years) had better MCS scores than younger (60-69 years). Conclusion: Significantly associated factors with the PCS-SF12 for both male and female elderly were: self-perceived health status, multimorbidity, incapacity for BADL and physical activity; while income and number of drugs were associated only for males. Hospitalization, urinary incontinence, depression and incapacity for IADL were associated only for females. To the MCS-SF12 of both sexes were associated only self-perceived health and depression, while age and urinary incontinence were associated for males. Females MCS-SF12 also had significant association with tobacco, self-perception of oral health and falls

In this paper we have examined why seniors do not use e-business to the same extent as other age groups. Seniors belong to the age group that, according to statistics from Statistics Sweden (SCB) in 2011, utilizes e-business the least in relation to the number who use the internet. To understand how seniors reason and perceive the possibility to shop on the internet, we have conducted four interviews with people from 65 years and older. We have let the respondents answer questions regarding utility aspects, e-business interfaces, general shopping habits, risks, and whether or not they usually shop online. We also found out how seniors reason when they sell products and services. The results of our study show that seniors must see a benefit in using an e-business, that lack of knowledge can make them opposed to it and that they are characterized by a certain reluctance and aversion towards learning how e-business works. In this study we have used Technology Acceptance and Adoption Model (STAM) by Renaud and van Biljon (2008), to see what constitutes the seniors accepting or rejecting a technology. The model is focused on seniors and technology but not on e-business so we developed our own model, Senior E-Business Adoption & Acceptance Model (SEAM), focusing on seniors and e-business. / I den här uppsatsen har vi valt att ta reda på varör seniorer inte nyttjar möjligheten att handla via e-handel i samma utsträckning som övriga åldersgrupper. Seniorer tillhör den ålderskategori som, enligt statistik från Statistiska Centralbyrån (SCB) år 2011, handlar via e-handel minst i förhållande till antalet som använder internet. För att förstå hur seniorerna resonerar och upplever möjligheten att handla via internet har vi genomfört fyra kvalitativa intervjuer med personer från 65 år och uppåt. Vi har låtit intervjupersonerna besvara ett antal frågor gällande nyttoaspekt, e-handelsgränssnitt, generella shoppingvanor, risker och huruvida de själva brukar handla via internet. Vi har också tagit reda på hur seniorerna resonerar gällande att sälja produkter och tjänster. Resultatet av vår undersökning visar att seniorer måste se en nytta i att använda en e-handel, att okunskap kan göra dem negativt inställda och att de präglas av en viss ovilja och olust att lära sig hur e-handel fungerar. I studien har vi utgått från Technology Acceptance and Adoption Model (STAM) av Renaud och van Biljon (2008), för att se vad som leder fram till att seniorerna accepterar eller förkastar teknik. Modellen fokuserar på seniorer och teknik men inte på e-handel så vi valde att vidareutveckla den och skapade Senior E-business Adoption & Acceptance Model (SEAM) med inriktning på både seniorer och e-handel.

L’objectif général de la thèse était d’une part d’étudier le rôle de l’impact des politiques menées en matière de respect du droit aux choix et aux risques dans les EHPAD/EHPA sur l’émergence des libertés des résidents et d’autre part sur le choix de leur mode de vie.La première partie de la thèse visait à étudier l’état du vieillissement, le statut des personnes âgées en France et l’influence de nos représentations sociales sur leurs comportements. L’hypothèse d’une association entre les préjugés que porte la société sur les personnes âgées et la réduction de leur autonomie a été induite.La deuxième partie de la thèse visait à mieux comprendre les possibilités d’expression des résidents en EHPAD/EHPA et quels étaient les facteurs qui permettaient leur émergence dans des lieux normalisés. Nous avons fait l’hypothèse que, quel que soit le niveau de dépendance d’une personne (physique et/ou psychique), celle-ci possédera toujours des marges de liberté dont l’expression est déterminée par des facteurs externes et internes à elle.La troisième partie de la thèse s’est intéressée aux politiques de respect du droit aux choix et aux risques des personnes âgées et aux enjeux éthiques, médicaux et sociaux que cette notion soulève. L’hypothèse d’une association entre l’application de ces politiques et un contexte organisationnel a été soulevée.Enfin, dans la dernière partie de la thèse, nous avons étudié l’impact des politiques de respect du droit aux choix et aux risques des résidents sur la perception de leur qualité de vie. Pour cela, nous avons coproduit une grille d’indicateurs nous permettant de distinguer les institutions respectueuses des droits et des risques des personnes âgées avec des résidents. Les résultats que nous avons obtenus montrent l’importance de prendre en compte le respect et la dignité des personnes âgées tant au niveau individuel que contextuel dans l’étude des facteurs protecteurs de la qualité de vie. / The aim of this thesis was first to study how the liberty of the residents in nursing homes for elderly has been impacted by the policies led regarding the respect of the right to choose and to take risks. Secondly, we studied the impact they had on the way of living chosen by the elderly.The first part of the thesis aims at studying the state of the aging process and the status of the elderly in France and the influence of our own social representations, on their behavior. The hypothesis of a link between our Society’s prejudices on the elderly and the decrease in their autonomy is implicit.The second part of the thesis aims at better understanding the nursing homes residents’ expression possibilities. We also focused on the factors which would allow their emergence in standard places at all levels of social life.Our main hypothesis is that the dependency level of a person (physical and/or psychological) is no impediment to his or her capacity to bear in mind their liberty margin, which expression is determined by external and internal personal factors.The third part of the thesis tackles the policies put in place to respect the elderly rights to choose and take risks within their caring homes, as well as the ethical, medical and social stakes raised by this notion.The hypothesis of the link between the setting up of these policies and a certain organizational context has been emphasized.Finally, in the last part, we studied the impact the policies applied on the respect to choose and take risks had on the residents’ perception of their quality of life.An indicator grid has been co-produced to distinguish the institutions respect of their residents’ rights and risks.The results we obtained highlights the significance of taking into account the respect and the dignity of the elderly in the study of the protective factors of the quality of life, both at the individual and contextual level.

Contexte : La détérioration de l’état nutritionnel liée à la perte d’autonomie qui accompagne l’évolution de la démence du type Alzheimer (DTA) peut être limitée par un proche aidant efficace. À long terme, le rôle soignant du proche aidant peut affecter sa propre santé physique et psychologique. Objectifs : (1) décrire les caractéristiques sociodémographiques des patients et de leurs proches aidants; (2) examiner l’évolution de la maladie et des variables à l’étude au cours de la période de suivi; (3) explorer la relation possible entre le fardeau perçu du proche aidant, l’état nutritionnel des patients et la stabilité du poids corporel du proche aidant. Hypothèses : L’absence du fardeau chez l’aidant est associée à un meilleur état nutritionnel chez le patient; la détérioration de la fonction cognitive chez le patient s’accompagne d’une augmentation du fardeau perçu par l’aidant; la dégradation du fardeau chez l’aidant conduit à sa perte de poids. Méthode : Les données analysées proviennent de l’étude « Nutrition-mémoire » menée entre 2003 et 2006 dans les trois cliniques de cognition situées dans des hôpitaux universitaires à Montréal. Quarante-deux patients avec une DTA probable vivant dans la communauté et leurs aidants ont été suivis en dyades pendant une période de dix-huit mois. Les analyses ont porté sur les données colligées du recrutement à douze mois plus tard en raison du nombre restreint des patients interviewés à la dernière mesure. La relation entre le fardeau de l’aidant et les variables caractérisant l’état nutritionnel chez les patients a été évaluée à l’aide des analyses de corrélations, du test khi-carré ou du test de Fisher. L’état cognitif des patients était évalué à l’aide du score au Mini-Mental State Examination, le fardeau de l’aidant était estimé par le score au « Zarit Burden Interview », l’état nutritionnel des patients était défini par la suffisance en énergie et en protéines, le score à l’outil de dépistage nutritionnel des aînés, le poids et l’indice de masse corporelle des patients. Résultats : Le fardeau perçu des aidants était associé à la suffisance en énergie chez les patients. Le nombre de patients ayant des apports insuffisants en énergie était plus important chez les dyades où les aidants percevaient un fardeau plus élevé. Toutefois, aucune association n’a été observée entre le fardeau des aidants et le risque nutritionnel ou la suffisance en protéines chez les patients. La détérioration de la fonction cognitive des patients ne semble pas avoir provoqué une augmentation du fardeau chez leurs aidants. De plus, l’augmentation du fardeau de l’aidant n’était pas accompagnée d’une perte de son poids corporel. Par ailleurs, un fardeau plus important a été observé chez les aidants des patients obèses ou présentant un embonpoint. Conclusion : La réduction du fardeau perçu des aidants permettrait d’améliorer les apports alimentaires des patients et ainsi de limiter ou minimiser le risque de détérioration de leur état nutritionnel et de perte de poids. / Background: The progressive decline in nutritional status related to the loss of autonomy commonly observed in Alzheimer’s disease (AD) may be limited by an effective caregiver. In the long term, the caregiver’s role may affect his own physical and psychological health. Objectives: (1) to describe the demographic characteristics of patients and their caregivers; (2) to examine the evolution of the disease and study variables during the follow-up period; (3) to explore the possible relationship between the caregiver’s perceived burden, the nutritional status of patients and the stability of caregiver’s body weight. Hypotheses: The absence of caregiver burden is associated with better nutritional status in patients; the decline of cognitive function in patients is accompanied by an increase in the caregiver’s perceived burden; and an increased caregiver burden leads to a loss of body weight. Methods: We analysed data from the “Nutrition-memory” study carried out between 2003 and 2006 in the three university hospital memory clinics in Montréal. Forty-two community dwelling patients with probable AD and their informal caregivers were followed as dyads for a period of eighteen months. Analyses focused on data collected from recruitment to twelve months later because of the limited number of patients interviewed at the last measurement. The relation between caregiver burden and the variables characterizing the nutritional status in patients was assessed using correlation analysis, chi-square test or Fisher’s exact test. The patient’s cognitive function was assessed using the Mini-Mental State Examination, caregiver burden was estimated by the Zarit Burden Interview, and the nutritional status of patients was defined by their adequacy in energy and proteins intake, the elderly nutrition screening score, weight and body mass index of patients. Results: The caregiver’s perceived burden was associated with the energy adequacy in patients. The number of patients with inadequate intake of energy was higher among dyads caregivers who perceived a higher burden. No association was found between the caregiver’s burden and the nutritional risk or protein adequacy in patients. The deterioration of patient’s cognitive function does not seem to have led to an increased caregiver burden. In addition, increased caregiver burden was not accompanied by weight loss. Moreover, a greater burden was observed among caregivers of patients who were overweight or obese. Conclusion: Reducing perceived caregiver burden could improve dietary intake of patients and thereby limit or minimize the risk of deterioration of their nutritional status and weight loss.

Contexte : La détérioration de l’état nutritionnel liée à la perte d’autonomie qui accompagne l’évolution de la démence du type Alzheimer (DTA) peut être limitée par un proche aidant efficace. À long terme, le rôle soignant du proche aidant peut affecter sa propre santé physique et psychologique. Objectifs : (1) décrire les caractéristiques sociodémographiques des patients et de leurs proches aidants; (2) examiner l’évolution de la maladie et des variables à l’étude au cours de la période de suivi; (3) explorer la relation possible entre le fardeau perçu du proche aidant, l’état nutritionnel des patients et la stabilité du poids corporel du proche aidant. Hypothèses : L’absence du fardeau chez l’aidant est associée à un meilleur état nutritionnel chez le patient; la détérioration de la fonction cognitive chez le patient s’accompagne d’une augmentation du fardeau perçu par l’aidant; la dégradation du fardeau chez l’aidant conduit à sa perte de poids. Méthode : Les données analysées proviennent de l’étude « Nutrition-mémoire » menée entre 2003 et 2006 dans les trois cliniques de cognition situées dans des hôpitaux universitaires à Montréal. Quarante-deux patients avec une DTA probable vivant dans la communauté et leurs aidants ont été suivis en dyades pendant une période de dix-huit mois. Les analyses ont porté sur les données colligées du recrutement à douze mois plus tard en raison du nombre restreint des patients interviewés à la dernière mesure. La relation entre le fardeau de l’aidant et les variables caractérisant l’état nutritionnel chez les patients a été évaluée à l’aide des analyses de corrélations, du test khi-carré ou du test de Fisher. L’état cognitif des patients était évalué à l’aide du score au Mini-Mental State Examination, le fardeau de l’aidant était estimé par le score au « Zarit Burden Interview », l’état nutritionnel des patients était défini par la suffisance en énergie et en protéines, le score à l’outil de dépistage nutritionnel des aînés, le poids et l’indice de masse corporelle des patients. Résultats : Le fardeau perçu des aidants était associé à la suffisance en énergie chez les patients. Le nombre de patients ayant des apports insuffisants en énergie était plus important chez les dyades où les aidants percevaient un fardeau plus élevé. Toutefois, aucune association n’a été observée entre le fardeau des aidants et le risque nutritionnel ou la suffisance en protéines chez les patients. La détérioration de la fonction cognitive des patients ne semble pas avoir provoqué une augmentation du fardeau chez leurs aidants. De plus, l’augmentation du fardeau de l’aidant n’était pas accompagnée d’une perte de son poids corporel. Par ailleurs, un fardeau plus important a été observé chez les aidants des patients obèses ou présentant un embonpoint. Conclusion : La réduction du fardeau perçu des aidants permettrait d’améliorer les apports alimentaires des patients et ainsi de limiter ou minimiser le risque de détérioration de leur état nutritionnel et de perte de poids. / Background: The progressive decline in nutritional status related to the loss of autonomy commonly observed in Alzheimer’s disease (AD) may be limited by an effective caregiver. In the long term, the caregiver’s role may affect his own physical and psychological health. Objectives: (1) to describe the demographic characteristics of patients and their caregivers; (2) to examine the evolution of the disease and study variables during the follow-up period; (3) to explore the possible relationship between the caregiver’s perceived burden, the nutritional status of patients and the stability of caregiver’s body weight. Hypotheses: The absence of caregiver burden is associated with better nutritional status in patients; the decline of cognitive function in patients is accompanied by an increase in the caregiver’s perceived burden; and an increased caregiver burden leads to a loss of body weight. Methods: We analysed data from the “Nutrition-memory” study carried out between 2003 and 2006 in the three university hospital memory clinics in Montréal. Forty-two community dwelling patients with probable AD and their informal caregivers were followed as dyads for a period of eighteen months. Analyses focused on data collected from recruitment to twelve months later because of the limited number of patients interviewed at the last measurement. The relation between caregiver burden and the variables characterizing the nutritional status in patients was assessed using correlation analysis, chi-square test or Fisher’s exact test. The patient’s cognitive function was assessed using the Mini-Mental State Examination, caregiver burden was estimated by the Zarit Burden Interview, and the nutritional status of patients was defined by their adequacy in energy and proteins intake, the elderly nutrition screening score, weight and body mass index of patients. Results: The caregiver’s perceived burden was associated with the energy adequacy in patients. The number of patients with inadequate intake of energy was higher among dyads caregivers who perceived a higher burden. No association was found between the caregiver’s burden and the nutritional risk or protein adequacy in patients. The deterioration of patient’s cognitive function does not seem to have led to an increased caregiver burden. In addition, increased caregiver burden was not accompanied by weight loss. Moreover, a greater burden was observed among caregivers of patients who were overweight or obese. Conclusion: Reducing perceived caregiver burden could improve dietary intake of patients and thereby limit or minimize the risk of deterioration of their nutritional status and weight loss.