Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database

DOI Web Site 参考文献40件 オープンアクセス
  • Sayaka Abe
    Department of Nutrition, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan
  • Yoji Kokura
    Department of Nutritional Management, Keiju Hatogaoka Integrated Facility for Medical and Long-Term Care, Hosu 927-0023, Japan
  • Keisuke Maeda
    Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
  • Shinta Nishioka
    Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki 850-0854, Japan
  • Ryo Momosaki
    Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu 514-0001, Japan
  • Hiroki Matsuoka
    Department of Rehabilitation, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan
  • Yasuomi Tomii
    Department of Rehabilitation, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan
  • Shinnosuke Sugita
    Social Welfare Corporation, Tobetsu Town Council of Social Welfare, Ishikari 064-0234, Japan
  • Kenta Shimizu
    Department of Rehabilitation, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan
  • Nanami Esashi
    Department of Rehabilitation, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan
  • Hidetaka Wakabayashi
    Department of Rehabilitation Medicine, Tokyo Women’s Medical University Hospital, Tokyo 162-8666, Japan

抄録

<jats:p>This retrospective cohort study examined the effects of undernutrition on swallowing function and activities of daily living in hospitalized patients. Data from the Japanese Sarcopenic Dysphagia Database were used, and hospitalized patients aged ≥20 years with dysphagia were included in the analysis. Participants were assigned to the undernutrition or normal nutritional status group based on the Global Leadership Initiative on Malnutrition criteria. The primary outcome was the Food Intake Level Scale change, and the secondary outcome was the Barthel Index change. Among 440 residents, 281 (64%) were classified under the undernutrition group. The undernutrition group had a significantly higher Food Intake Level Scale score at baseline and Food Intake Level Scale change (p = 0.001) than the normal nutritional status group. Undernutrition was independently associated with the Food Intake Level Scale change (B = −0.633, 95% confidence interval = −1.099 to −0.167) and the Barthel Index change (B = −8.414, 95% confidence interval = −13.089 to −3.739). This was defined as the period from the date of admission to the hospital until discharge or 3 months later. Overall, our findings indicate that undernutrition is associated with reduced improvement in swallowing function and the ability to perform activities of daily living.</jats:p>

収録刊行物

  • Nutrients

    Nutrients 15 (5), 1291-, 2023-03-06

    MDPI AG

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