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Factors Associated with Food Form in Long-Term Care Insurance Facilities

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Title: Factors Associated with Food Form in Long-Term Care Insurance Facilities
Authors: Takeda, Maaya Browse this author
Okada, Kazutaka Browse this author →KAKEN DB
Kondo, Miyako Browse this author
Taira, Kenshu Browse this author
Watanabe, Yutaka Browse this author →KAKEN DB
Ito, Kayoko Browse this author →KAKEN DB
Nakajima, Junko Browse this author →KAKEN DB
Ozaki, Yoshie Browse this author
Sasaki, Rikimaru Browse this author →KAKEN DB
Nishi, Yasuhiro Browse this author →KAKEN DB
Furuya, Junichi Browse this author →KAKEN DB
Akino, Kenichi Browse this author
Ohta, Hiromi Browse this author
Ohno, Tomohisa Browse this author
Kodama, Tsuyoshi Browse this author
Sakaguchi, Hideo Browse this author
Hanagata, Tetsuo Browse this author
Sato, Yuji Browse this author →KAKEN DB
Yoshida, Mitsuyoshi Browse this author →KAKEN DB
Yamazaki, Yutaka Browse this author →KAKEN DB
Keywords: Coughing
Dysphagic diets
Food form
Long-term care facility
Deglutition disorders
Issue Date: 12-Apr-2022
Publisher: Springer
Journal Title: Dysphagia
Volume: 37
Issue: 6
Start Page: 1757
End Page: 1768
Publisher DOI: 10.1007/s00455-022-10440-6
PMID: 35415813
Abstract: We examined factors related to dietary intake status (food form) of long-term care facility (LTCF) residents to identify factors related to proper food form choice for older individuals requiring nursing care. We surveyed 888 residents from 37 LTCFs in Japan. We evaluated basic information (age, sex, body mass index [BMI]), food form (swallowing-adjusted diet class), Barthel Index (BI), Clinical Dementia Rating (CDR), simply evaluated eating and swallowing functions, the number of present/functional teeth, oral diadochokinesis, repetitive saliva swallowing test (RSST), and modified water swallowing test. To clarify factors associated with food form, participants who had good nutrition by oral intake were categorized into the dysphagic diet (DD) and normal diet (ND) groups. Multi-level analyses were used to detect oral functions associated with food form status. Among objective assessments, BMI (odds ratio [OR] 0.979, 95% confidence interval [CI] - 0.022- to 0.006, p = 0.001), BI (OR 0.993, 95% CI - 0.007 to - 0.004, p < 0.001), CDR 3.0 (OR 1.002, 95% CI 0.002-0.236, p = 0.046), present teeth (OR 0.993, 95% CI - 0.007 to - 0.001, p = 0.011), functional teeth (OR 0.989, 95% CI - 0.011 to - 0.005, p < 0.001), and RSST (OR 0.960, 95% CI - 0.041 to - 0.007, p = 0.006) were significantly associated with DD vs ND discrimination. Simple evaluations of coughing (OR 1.056, 0.054-0.198, p = 0.001) and rinsing (OR 1.010, 0.010-0.174, p = 0.029) could also discriminate food form status. These simple evaluations provide insight into the discrepancies between food form status and eating abilities of LTCF residents. Periodic evaluations by the nursing caregiver may help to prevent aspiration by older individuals with dysphagia.
Rights: This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at:
Type: article (author version)
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)

Submitter: 渡邊 裕

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