Routes of nutrition and types of diet among dependent community-dwelling older care recipients and the relevance to mortality and hospitalization

DOI Web Site PubMed 3 Citations 7 References Open Access
  • Kuzuya Masafumi
    Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine Institution for Future Society, NAGOYA COI STREAM, Nagoya University
  • Hasegawa Jun
    Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine
  • Enoki Hiromi
    Department of Sports and Health Sciences, Faculty of Health and Medical Sciences, Aichi Shukutoku University
  • Izawa Sachiko
    Department of Health and Nutrition, Faculty of Psychological and Physical Science, Aichi Gakuin University

Bibliographic Information

Other Title
  • 在宅療養中の要介護高齢者における栄養摂取方法ならびに食形態と生命予後・入院リスクとの関連
  • ザイタク リョウヨウ チュウ ノ ヨウカイゴコウレイシャ ニ オケル エイヨウ セッシュ ホウホウ ナラビニ ショク ケイタイ ト セイメイ ヨゴ ・ ニュウイン リスク ト ノ カンレン
  • Routes of nutrition and types of diet among dependent community-dwelling older care recipients and the relevance to mortality and hospitalization [in Japanese]

Search this article

Abstract

Aim: To clarify the routes of nutrition and types of diet and their relevance to the risk of mortality and hospitalization among community-dwelling dependent elderly provided various home care services under the long-term care insurance program. Methods: The present study consisted of the collection of baseline data of participants in the Nagoya Longitudinal Study of the Frail Elderly (NLS-FE) and data regarding mortality and hospitalization during a three-year follow-up period. The study population consisted of 1,872 subjects, and the baseline data included demographic characteristics, basic activities of daily living (ADLs), comorbidities, nutritional routes and types of diet, which were evaluated by trained visiting nurses. Results: Among the participants, 1,786 were on oral nutrition (solid regular-texture diet: 1,487 (79.5%); modified-texture diet (minced/pureed texture): 299 (16.0%), 82 (4.4%) were on enteral nutrition and four (0.2%) were on parenteral nutrition. During the three-year follow-up period, 453 participants died and 798 participants experienced admission to the hospital (pneumonia-related death and hospitalization: n=103 and 155, respectively). Cox regression models revealed that a modified-texture diet and tube feeding are associated with all-cause mortality and hospitalization. In particular, feeding tube use showed a high risk of pneumonia-related mortality and hospitalization, even after adjusting for potential confounders, including comorbidities and the ADL status.

Journal

Citations (3)*help

See more

References(7)*help

See more

Related Projects

See more

Keywords

Details 詳細情報について

Report a problem

Back to top