| Title: | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
| Authors: | Endo, Akemi Browse this author |
| Watanabe, Yutaka Browse this author →KAKEN DB |
| Matsushita, Takae Browse this author |
| Okada, Kazutaka Browse this author →KAKEN DB |
| Ohara, Yuki Browse this author |
| Iwasaki, Masanori Browse this author |
| Ito, Kayoko Browse this author |
| Nakajima, Junko Browse this author |
| Iwasa, Yasuyuki Browse this author |
| Itoda, Masataka Browse this author |
| Sasaki, Rikimaru Browse this author |
| Nishi, Yasuhiro Browse this author |
| Furuya, Junichi Browse this author |
| Watanabe, Yoshihiko Browse this author |
| Umemoto, George Browse this author |
| Kishima, Masako Browse this author |
| Hirano, Hirohiko Browse this author |
| Sato, Yuji Browse this author |
| Yoshida, Mitsuyoshi Browse this author |
| Yamazaki, Yutaka Browse this author →KAKEN DB |
| Keywords: | food form |
| long-term care facility |
| nursing care |
| oral function |
| swallowing function |
| weight loss |
| Issue Date: | 14-Oct-2021 |
| Publisher: | MDPI |
| Journal Title: | International journal of environmental research and public health |
| Volume: | 18 |
| Issue: | 20 |
| Start Page: | 10776 |
| Publisher DOI: | 10.3390/ijerph182010776 |
| PMID: | 34682525 |
| Abstract: | Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in Japan (n = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, n = 284; dysphagia diet, n = 171). The regular diet group was further divided into the weight loss (n = 80; weight loss & GE;5% over 1 year) and weight maintenance (n = 204; weight loss < 5%) groups. After 1 year, the Barthel Index significantly decreased, and the proportion of participants who switched from a regular diet to a dysphagia diet significantly increased in the weight loss group than in the weight maintenance group. Multivariate logistic regression analysis found that Barthel index variation (odds ratio (OR): 0.97, 95% confidence interval (CI): 0.94-0.99), change from a regular diet to a dysphagia diet (OR: 4.41, 95% CI: 1.87-10.41), and body weight at baseline (OR = 1.06, 95% CI: 1.01-1.11) were significantly associated with weight loss. Our results suggest that maintaining the food form inhibits weight loss and improves health outcomes in older adults.</p> |
| Type: | article |
| URI: | http://hdl.handle.net/2115/83694 |
| Appears in Collections: | 歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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