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Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study
Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in J...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535238/ https://www.ncbi.nlm.nih.gov/pubmed/34682525 http://dx.doi.org/10.3390/ijerph182010776 |
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author | Endo, Akemi Watanabe, Yutaka Matsushita, Takae Okada, Kazutaka Ohara, Yuki Iwasaki, Masanori Ito, Kayoko Nakajima, Junko Iwasa, Yasuyuki Itoda, Masataka Sasaki, Rikimaru Nishi, Yasuhiro Furuya, Junichi Watanabe, Yoshihiko Umemoto, George Kishima, Masako Hirano, Hirohiko Sato, Yuji Yoshida, Mitsuyoshi Yamazaki, Yutaka |
author_facet | Endo, Akemi Watanabe, Yutaka Matsushita, Takae Okada, Kazutaka Ohara, Yuki Iwasaki, Masanori Ito, Kayoko Nakajima, Junko Iwasa, Yasuyuki Itoda, Masataka Sasaki, Rikimaru Nishi, Yasuhiro Furuya, Junichi Watanabe, Yoshihiko Umemoto, George Kishima, Masako Hirano, Hirohiko Sato, Yuji Yoshida, Mitsuyoshi Yamazaki, Yutaka |
author_sort | Endo, Akemi |
collection | PubMed |
description | Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in Japan (n = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, n = 284; dysphagia diet, n = 171). The regular diet group was further divided into the weight loss (n = 80; weight loss ≥5% over 1 year) and weight maintenance (n = 204; weight loss <5%) groups. After 1 year, the Barthel Index significantly decreased, and the proportion of participants who switched from a regular diet to a dysphagia diet significantly increased in the weight loss group than in the weight maintenance group. Multivariate logistic regression analysis found that Barthel index variation (odds ratio (OR): 0.97, 95% confidence interval (CI): 0.94‒0.99), change from a regular diet to a dysphagia diet (OR: 4.41, 95% CI: 1.87‒10.41), and body weight at baseline (OR = 1.06, 95% CI: 1.01‒1.11) were significantly associated with weight loss. Our results suggest that maintaining the food form inhibits weight loss and improves health outcomes in older adults. |
format | Online Article Text |
id | pubmed-8535238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85352382021-10-23 Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study Endo, Akemi Watanabe, Yutaka Matsushita, Takae Okada, Kazutaka Ohara, Yuki Iwasaki, Masanori Ito, Kayoko Nakajima, Junko Iwasa, Yasuyuki Itoda, Masataka Sasaki, Rikimaru Nishi, Yasuhiro Furuya, Junichi Watanabe, Yoshihiko Umemoto, George Kishima, Masako Hirano, Hirohiko Sato, Yuji Yoshida, Mitsuyoshi Yamazaki, Yutaka Int J Environ Res Public Health Article Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in Japan (n = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, n = 284; dysphagia diet, n = 171). The regular diet group was further divided into the weight loss (n = 80; weight loss ≥5% over 1 year) and weight maintenance (n = 204; weight loss <5%) groups. After 1 year, the Barthel Index significantly decreased, and the proportion of participants who switched from a regular diet to a dysphagia diet significantly increased in the weight loss group than in the weight maintenance group. Multivariate logistic regression analysis found that Barthel index variation (odds ratio (OR): 0.97, 95% confidence interval (CI): 0.94‒0.99), change from a regular diet to a dysphagia diet (OR: 4.41, 95% CI: 1.87‒10.41), and body weight at baseline (OR = 1.06, 95% CI: 1.01‒1.11) were significantly associated with weight loss. Our results suggest that maintaining the food form inhibits weight loss and improves health outcomes in older adults. MDPI 2021-10-14 /pmc/articles/PMC8535238/ /pubmed/34682525 http://dx.doi.org/10.3390/ijerph182010776 Text en © 2021 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 Endo, Akemi Watanabe, Yutaka Matsushita, Takae Okada, Kazutaka Ohara, Yuki Iwasaki, Masanori Ito, Kayoko Nakajima, Junko Iwasa, Yasuyuki Itoda, Masataka Sasaki, Rikimaru Nishi, Yasuhiro Furuya, Junichi Watanabe, Yoshihiko Umemoto, George Kishima, Masako Hirano, Hirohiko Sato, Yuji Yoshida, Mitsuyoshi Yamazaki, Yutaka Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title_full | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title_fullStr | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title_full_unstemmed | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title_short | Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study |
title_sort | association between weight loss and food form in older individuals residing in long-term care facilities: 1-year multicenter longitudinal study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535238/ https://www.ncbi.nlm.nih.gov/pubmed/34682525 http://dx.doi.org/10.3390/ijerph182010776 |
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