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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Dental Medicine / Faculty of Dental Medicine >
Peer-reviewed Journal Articles, etc >
Factors Associated with Food Form in Long-Term Care Insurance Facilities
| 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 | | Rinsing | | 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: http://dx.doi.org/10.1007/s00455-022-10440-6 |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/89000 |
| 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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Submitter: 渡邊 裕
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