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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | The effects of resistance training of swallowing muscles on dysphagia in older people: A cluster, randomized, controlled trial. |
| 掲載誌名 | 正式名：Nutrition (Burbank, Los Angeles County, Calif.) 略 称：Nutrition ISSNコード：18731244/08999007 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 48,pp.111-116 |
| 著者・共著者 | Wakabayashi Hidetaka, Matsushima Masato, Momosaki Ryo, Yoshida Shuhei, Mutai Rieko, Yodoshi Toshifumi, Murayama Shinichi, Hayashi Tetsuro, Horiguchi Ryoko, Ichikawa Hiroko |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2018/04 |
| 概要 | OBJECTIVE:This study examined the effects of resistance training of swallowing muscles in community-dwelling older individuals with dysphagia.METHODS:A cluster randomized controlled trial was performed in day-service and day-care facilities. The participants were older (≥65 y) community-dwelling individuals with dysphagia. The intervention group performed a tongue resistance exercise and a head flexion exercise against manual resistance. Both groups received a brochure on dysphagia rehabilitation. The primary endpoint was an improvement in dysphagia assessed by the Eating Assessment Tool (EAT-10) score. Tongue pressure was the secondary endpoint.RESULTS:Participants included 47 men and 57 women, with a mean age ± standard deviation of 80 ± 7 y. At baseline, the median EAT-10 score was 7 (interquartile range, 5-12). A total of 91 patients, 43 in the intervention group (8 clusters) versus 48 in the control group (11 clusters), were assessed postintervention. The percentage of participants with EAT-10 scores <3 was not statistically significantly different between the two groups (intervention group, 23% versus control group, 19%, P = 0.598). Postintervention median EAT-10 scores were 6 (interquartile range, 3-10) in each group (P = 0.665) and mean tongue pressure was 23.9 ± 10.0 versus 25.9 ± 10.9 kPa (P = 0.376). The intervention did not significantly affect the EAT-10 score or tongue pressure in a mixed effects random intercept model. The Mini Nutritional Assessment Short Form score correlated significantly with the postintervention EAT-10 score.CONCLUSIONS:Resistance training of swallowing muscles did not improve dysphagia in this study. Better nutritional status correlated independently with improved swallowing function. |
| DOI | 10.1016/j.nut.2017.11.009 |
| PMID | 29469011 |