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Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database

This retrospective cohort study examined the effects of undernutrition on swallowing function and activities of daily living in hospitalized patients. Data from the Japanese Sarcopenic Dysphagia Database were used, and hospitalized patients aged ≥20 years with dysphagia were included in the analysis...

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Autores principales: Abe, Sayaka, Kokura, Yoji, Maeda, Keisuke, Nishioka, Shinta, Momosaki, Ryo, Matsuoka, Hiroki, Tomii, Yasuomi, Sugita, Shinnosuke, Shimizu, Kenta, Esashi, Nanami, Wakabayashi, Hidetaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005210/
https://www.ncbi.nlm.nih.gov/pubmed/36904290
http://dx.doi.org/10.3390/nu15051291
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author Abe, Sayaka
Kokura, Yoji
Maeda, Keisuke
Nishioka, Shinta
Momosaki, Ryo
Matsuoka, Hiroki
Tomii, Yasuomi
Sugita, Shinnosuke
Shimizu, Kenta
Esashi, Nanami
Wakabayashi, Hidetaka
author_facet Abe, Sayaka
Kokura, Yoji
Maeda, Keisuke
Nishioka, Shinta
Momosaki, Ryo
Matsuoka, Hiroki
Tomii, Yasuomi
Sugita, Shinnosuke
Shimizu, Kenta
Esashi, Nanami
Wakabayashi, Hidetaka
author_sort Abe, Sayaka
collection PubMed
description This retrospective cohort study examined the effects of undernutrition on swallowing function and activities of daily living in hospitalized patients. Data from the Japanese Sarcopenic Dysphagia Database were used, and hospitalized patients aged ≥20 years with dysphagia were included in the analysis. Participants were assigned to the undernutrition or normal nutritional status group based on the Global Leadership Initiative on Malnutrition criteria. The primary outcome was the Food Intake Level Scale change, and the secondary outcome was the Barthel Index change. Among 440 residents, 281 (64%) were classified under the undernutrition group. The undernutrition group had a significantly higher Food Intake Level Scale score at baseline and Food Intake Level Scale change (p = 0.001) than the normal nutritional status group. Undernutrition was independently associated with the Food Intake Level Scale change (B = −0.633, 95% confidence interval = −1.099 to −0.167) and the Barthel Index change (B = −8.414, 95% confidence interval = −13.089 to −3.739). This was defined as the period from the date of admission to the hospital until discharge or 3 months later. Overall, our findings indicate that undernutrition is associated with reduced improvement in swallowing function and the ability to perform activities of daily living.
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spelling pubmed-100052102023-03-11 Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database Abe, Sayaka Kokura, Yoji Maeda, Keisuke Nishioka, Shinta Momosaki, Ryo Matsuoka, Hiroki Tomii, Yasuomi Sugita, Shinnosuke Shimizu, Kenta Esashi, Nanami Wakabayashi, Hidetaka Nutrients Article This retrospective cohort study examined the effects of undernutrition on swallowing function and activities of daily living in hospitalized patients. Data from the Japanese Sarcopenic Dysphagia Database were used, and hospitalized patients aged ≥20 years with dysphagia were included in the analysis. Participants were assigned to the undernutrition or normal nutritional status group based on the Global Leadership Initiative on Malnutrition criteria. The primary outcome was the Food Intake Level Scale change, and the secondary outcome was the Barthel Index change. Among 440 residents, 281 (64%) were classified under the undernutrition group. The undernutrition group had a significantly higher Food Intake Level Scale score at baseline and Food Intake Level Scale change (p = 0.001) than the normal nutritional status group. Undernutrition was independently associated with the Food Intake Level Scale change (B = −0.633, 95% confidence interval = −1.099 to −0.167) and the Barthel Index change (B = −8.414, 95% confidence interval = −13.089 to −3.739). This was defined as the period from the date of admission to the hospital until discharge or 3 months later. Overall, our findings indicate that undernutrition is associated with reduced improvement in swallowing function and the ability to perform activities of daily living. MDPI 2023-03-06 /pmc/articles/PMC10005210/ /pubmed/36904290 http://dx.doi.org/10.3390/nu15051291 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Abe, Sayaka
Kokura, Yoji
Maeda, Keisuke
Nishioka, Shinta
Momosaki, Ryo
Matsuoka, Hiroki
Tomii, Yasuomi
Sugita, Shinnosuke
Shimizu, Kenta
Esashi, Nanami
Wakabayashi, Hidetaka
Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title_full Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title_fullStr Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title_full_unstemmed Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title_short Effects of Undernutrition on Swallowing Function and Activities of Daily Living in Hospitalized Patients: Data from the Japanese Sarcopenic Dysphagia Database
title_sort effects of undernutrition on swallowing function and activities of daily living in hospitalized patients: data from the japanese sarcopenic dysphagia database
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005210/
https://www.ncbi.nlm.nih.gov/pubmed/36904290
http://dx.doi.org/10.3390/nu15051291
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