Maintaining optimal nutrition may be difficult for the person with Huntington disease, particularly as the disease progresses. The disease involves chorea (jerky, involuntary movements), difficulty swallowing, and psychological problems, all of which can make eating a challenge. In addition, because of their constant muscle activity, people with Huntington disease require more calories to maintain their body weight. They are also at an increased risk for aspiration (inhaling food into lungs) and suffocation due to difficulties with swallowing.
The individual with Huntington disease will most likely want to maintain their independence in eating. However, as the disease progresses, they will become more dependent on others. If you are responsible for the nutritional care of a person with Huntington disease, the following tips can help. Registered dietitians, speech-language pathologists, and occupational therapists can provide additional help.
Problem: There may be a decrease in eating or changes in eating habits.
Depression may contribute to eating problems:
Problem: Food cravings, particularly for high carbohydrate foods.
Frequent, smaller meals may be easier to tolerate. Talk to a dietitian with experience in Huntington disease nutrition.
In this stage, you may find more involuntary movements, less dexterity, and slow reaction times. Keep in mind that it may be common for the person to be unaware of hunger until it is time to eat. However, their body still needs regular meals. Skipping or missing meals can lead to exhaustion and uncontrolled emotions because of unrecognized hunger. Scheduling meals over set periods of time can help avoid these problems. Here are some other tips that may make meal time easier:
Problem: Difficulty swallowing; choking
Problem: Jerky movements and poor coordination make eating slow and messy.
Problem: Increased caloric needs
Have more high-fat, high calorie foods such as:
Problem: The individual becomes distracted or upset during mealtimes.
As the disease progresses, nutrition will need to be delivered by a family member or other caregivers. Caregivers with patience, sensitivity, and a sense of humor tend to find the experience enjoyable and loving rather than stressful.
When eating becomes extremely difficult, tube feeding is an option. Family members and other caregivers may be trained to provide tube feeding at home.
There is a lot of information here, so take a minute to remember some key points:
The best way to manage Huntington disease is to be informed and take advantage of professional help when you need it.
Hereditary Disease Foundation
The Huntington Disease Society of America
Huntington Society if Canada
The College of Family Physicians of Canada
Huntington disease. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 25, 2016. Accessed August 4, 2016.
Huntington disease and diet issues. Better Health Channel website. Available at: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Huntingtons_disease_diet_issues?open. Updated August 2014. Accessed August 4, 2016.
Major depressive disorder. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 13, 2016. Accessed August 4, 2016.
Nutrition. Huntington Disease Society of America website. Available at: http://hdsa.org/living-with-hd/nutrition/. Accessed August 4, 2016.
Last reviewed August 2016 by Michael Woods MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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