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Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia

This study assessed whether a high provided energy of ≥30 kcal/ideal body weight (IBW)/day (kg) for patients with sarcopenic dysphagia effectively improved swallowing ability and the activities of daily living (ADLs). Among 110 patients with sarcopenic dysphagia (mean age, 84.9 ± 7.4 years) who were...

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Autores principales: Shimizu, Akio, Fujishima, Ichiro, Maeda, Keisuke, Wakabayashi, Hidetaka, Nishioka, Shinta, Ohno, Tomohisa, Nomoto, Akiko, Kayashita, Jun, Mori, Naoharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917588/
https://www.ncbi.nlm.nih.gov/pubmed/33670314
http://dx.doi.org/10.3390/nu13020596
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author Shimizu, Akio
Fujishima, Ichiro
Maeda, Keisuke
Wakabayashi, Hidetaka
Nishioka, Shinta
Ohno, Tomohisa
Nomoto, Akiko
Kayashita, Jun
Mori, Naoharu
author_facet Shimizu, Akio
Fujishima, Ichiro
Maeda, Keisuke
Wakabayashi, Hidetaka
Nishioka, Shinta
Ohno, Tomohisa
Nomoto, Akiko
Kayashita, Jun
Mori, Naoharu
author_sort Shimizu, Akio
collection PubMed
description This study assessed whether a high provided energy of ≥30 kcal/ideal body weight (IBW)/day (kg) for patients with sarcopenic dysphagia effectively improved swallowing ability and the activities of daily living (ADLs). Among 110 patients with sarcopenic dysphagia (mean age, 84.9 ± 7.4 years) who were admitted to a post-acute hospital, swallowing ability and the ADLs were assessed using the Food Intake LEVEL Scale (FILS) and the Functional Independence Measure (FIM), respectively. The primary outcome was the FILS at discharge, while the secondary outcome was the achievement of the FIM with a minimal clinically important difference (MCID) at discharge. We created a homogeneous probability model without statistically significant differences using the inverse probability of treatment weighting (IPTW) method with and without a mean provided energy of ≥30 kcal/IBW/day (kg) for a period of 1 week of hospitalization and compared the outcomes between groups. A mean provided energy of ≥30 kcal/IBW/day (kg) was achieved in 62.7% of patients. In the IPTW model, the FILS and the rates of achieved MCID of the FIM at discharge were significantly higher in the mean provided energy of ≥30 kcal/IBW/day (kg) group (p = 0.004 and p < 0.001, respectively). A high provided energy for patients with sarcopenic dysphagia may improve swallowing ability and produce clinically meaningful functional outcomes.
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spelling pubmed-79175882021-03-02 Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia Shimizu, Akio Fujishima, Ichiro Maeda, Keisuke Wakabayashi, Hidetaka Nishioka, Shinta Ohno, Tomohisa Nomoto, Akiko Kayashita, Jun Mori, Naoharu Nutrients Article This study assessed whether a high provided energy of ≥30 kcal/ideal body weight (IBW)/day (kg) for patients with sarcopenic dysphagia effectively improved swallowing ability and the activities of daily living (ADLs). Among 110 patients with sarcopenic dysphagia (mean age, 84.9 ± 7.4 years) who were admitted to a post-acute hospital, swallowing ability and the ADLs were assessed using the Food Intake LEVEL Scale (FILS) and the Functional Independence Measure (FIM), respectively. The primary outcome was the FILS at discharge, while the secondary outcome was the achievement of the FIM with a minimal clinically important difference (MCID) at discharge. We created a homogeneous probability model without statistically significant differences using the inverse probability of treatment weighting (IPTW) method with and without a mean provided energy of ≥30 kcal/IBW/day (kg) for a period of 1 week of hospitalization and compared the outcomes between groups. A mean provided energy of ≥30 kcal/IBW/day (kg) was achieved in 62.7% of patients. In the IPTW model, the FILS and the rates of achieved MCID of the FIM at discharge were significantly higher in the mean provided energy of ≥30 kcal/IBW/day (kg) group (p = 0.004 and p < 0.001, respectively). A high provided energy for patients with sarcopenic dysphagia may improve swallowing ability and produce clinically meaningful functional outcomes. MDPI 2021-02-11 /pmc/articles/PMC7917588/ /pubmed/33670314 http://dx.doi.org/10.3390/nu13020596 Text en © 2021 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shimizu, Akio
Fujishima, Ichiro
Maeda, Keisuke
Wakabayashi, Hidetaka
Nishioka, Shinta
Ohno, Tomohisa
Nomoto, Akiko
Kayashita, Jun
Mori, Naoharu
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title_full Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title_fullStr Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title_full_unstemmed Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title_short Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
title_sort nutritional management enhances the recovery of swallowing ability in older patients with sarcopenic dysphagia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917588/
https://www.ncbi.nlm.nih.gov/pubmed/33670314
http://dx.doi.org/10.3390/nu13020596
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