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Observational Variables for Considering a Switch from a Normal to a Dysphagia Diet among Older Adults Requiring Long-Term Care : A One-Year Multicenter Longitudinal Study

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Title: Observational Variables for Considering a Switch from a Normal to a Dysphagia Diet among Older Adults Requiring Long-Term Care : A One-Year Multicenter Longitudinal Study
Authors: Takeda, Maaya Browse this author
Watanabe, Yutaka Browse this author →KAKEN DB
Matsushita, Takae Browse this author
Taira, Kenshu Browse this author
Miura, Kazuhito Browse this author
Ohara, Yuki Browse this author →KAKEN DB
Iwasaki, Masanori Browse this author →KAKEN DB
Ito, Kayoko Browse this author →KAKEN DB
Nakajima, Junko Browse this author →KAKEN DB
Iwasa, Yasuyuki Browse this author →KAKEN DB
Itoda, Masataka Browse this author →KAKEN DB
Nishi, Yasuhiro Browse this author →KAKEN DB
Furuya, Junichi Browse this author →KAKEN DB
Watanabe, Yoshihiko Browse this author →KAKEN DB
Umemoto, George Browse this author →KAKEN DB
Kishima, Masako Browse this author
Hirano, Hirohiko Browse this author →KAKEN DB
Sato, Yuji Browse this author →KAKEN DB
Yoshida, Mitsuyoshi Browse this author →KAKEN DB
Yamazaki, Yutaka Browse this author →KAKEN DB
Keywords: food form
eating
swallowing functions
dysphagia diet
long-term care facility
tongue movement
perioral muscle function
rinsing
Issue Date: 28-May-2022
Publisher: MDPI
Journal Title: International journal of environmental research and public health
Volume: 19
Issue: 11
Start Page: 6586
Publisher DOI: 10.3390/ijerph19116586
PMID: 35682168
Abstract: This one-year multicenter longitudinal study aimed to assess whether older adult residents of long-term care facilities should switch from a normal to a dysphagia diet. Using the results of our previous cross-sectional study as baseline, older adults were subdivided into those who maintained a normal diet and those who switched to a dysphagia diet. The explanatory variables were age, sex, body mass index (BMI), Barthel Index, clinical dementia rating (CDR), and 13 simple and 5 objective oral assessments (remaining teeth, functional teeth, oral diadochokinesis, modified water swallowing test, and repetitive saliva swallowing test), which were used in binomial logistic regression analysis. Between-group comparison showed a significantly different BMI, Barthel Index, and CDR. Significant differences were also observed in simple assessments for language, drooling, tongue movement, perioral muscle function, and rinsing and in objective assessments. In multi-level analysis, switching from a normal to a dysphagia diet was significantly associated with simple assessments of tongue movement, perioral muscle function, and rinsing and with the objective assessment of the number of functional teeth. The results suggest that simple assessments can be performed regularly to screen for early signs of discrepancies between food form and eating/swallowing functions, which could lead to the provision of more appropriate food forms.
Type: article
URI: http://hdl.handle.net/2115/86512
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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