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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