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

Takeda, Maaya; Okada, Kazutaka; Kondo, Miyako et al.

Dysphagia, 2022, 37(6), 1757-1768

Permalink : https://hdl.handle.net/2115/89000

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アクセス権
open access
URI
https://hdl.handle.net/2115/89000
タイトル
Factors Associated with Food Form in Long-Term Care Insurance Facilities
著者
Takeda, Maaya ; Okada, Kazutaka ; Kondo, Miyako ; Taira, Kenshu ; Watanabe, Yutaka ; Ito, Kayoko ; Nakajima, Junko ; Ozaki, Yoshie ; Sasaki, Rikimaru ; Nishi, Yasuhiro ; Furuya, Junichi ; Akino, Kenichi ; Ohta, Hiromi ; Ohno, Tomohisa ; Kodama, Tsuyoshi ; Sakaguchi, Hideo ; Hanagata, Tetsuo ; Sato, Yuji ; Yoshida, Mitsuyoshi ; Yamazaki, Yutaka
著者名
Takeda, Maaya
e-Rad_Researcher
80399857
著者名
Okada, Kazutaka
著者名
Kondo, Miyako
著者名
Taira, Kenshu
e-Rad_Researcher
30297361
著者名
Watanabe, Yutaka
e-Rad_Researcher
80401735
著者名
Ito, Kayoko
e-Rad_Researcher
20534853
著者名
Nakajima, Junko
著者名
Ozaki, Yoshie
e-Rad_Researcher
90533307
著者名
Sasaki, Rikimaru
e-Rad_Researcher
10189251
著者名
Nishi, Yasuhiro
e-Rad_Researcher
10419715
著者名
Furuya, Junichi
著者名
Akino, Kenichi
著者名
Ohta, Hiromi
著者名
Ohno, Tomohisa
著者名
Kodama, Tsuyoshi
著者名
Sakaguchi, Hideo
著者名
Hanagata, Tetsuo
e-Rad_Researcher
70187251
著者名
Sato, Yuji
e-Rad_Researcher
50284211
著者名
Yoshida, Mitsuyoshi
e-Rad_Researcher
90250464
著者名
Yamazaki, Yutaka
言語
英語
キーワード
Coughing
Dysphagic diets
Food form
Long-term care facility
Rinsing
Deglutition disorders
発行日
2022-04-12
出版者
Springer
収録物名
Dysphagia
巻(号)
37(6)
ページ
1757-1768
抄録
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.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
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
PISSN
0179-051X
NCID
AA10674017
関連情報
PMID
35415813
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s00455-022-10440-6