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
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Head lifting strength is associated with dysphagia and malnutrition in frail older adults.
掲載誌名 正式名：Geriatrics & gerontology international
略　 称：Geriatr Gerontol Int
ISSNコード：14470594/14470594
掲載区分国外
巻・号・頁 15(4),pp.410-416
著者・共著者 Wakabayashi Hidetaka, Sashika Hironobu, Matsushima Masato
担当区分 筆頭著者,責任著者
発行年月 2015/04
概要 AIM:The purpose of the present study was to assess the association between head lifting strength, dysphagia and malnutrition in frail older adults.METHODS:A cross-sectional study was carried out in 386 frail older adults aged 65 years and older with dysphagia or suspected dysphagia. Head lifting strength was assessed by the Medical Research Council score. The severity of swallowing and nutritional status was evaluated using the Dysphagia Severity Scale and the Mini-Nutritional Assessment Short Form, respectively. Univariate and logistic regression analyses were applied to examine the associations between head lifting strength, dysphagia and malnutrition.RESULTS:There were 129 men and 257 women. The mean age was 83 years. The median Barthel Index score was 30 (interquartile range 5-65). A total of 189 (49%) older adults could independently lift their head. Based on the Dysphagia Severity Scale, 79 participants had no dysphagia, 138 had dysphagia without aspiration and 169 had dysphagia with aspiration. The Mini-Nutritional Assessment Short Form showed that 175 older adults were malnourished, 171 were at risk for malnutrition and 40 had a normal nutritional status. The Medical Research Council score in men was higher compared with women. Head lifting strength was significantly correlated with age (r = -0.256), the Barthel Index (r = 0.540), the Dysphagia Severity Scale (r = 0.458) and the Mini-Nutritional Assessment Short Form (r = 0.331). In logistic regression analysis, the Medical Research Council score was independently associated with both dysphagia with aspiration and malnutrition.CONCLUSIONS:Head lifting strength is associated with dysphagia with aspiration and malnutrition in frail older adults.
DOI 10.1111/ggi.12283
PMID 24690326