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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 | Occlusal Support, Dysphagia, Malnutrition, and Activities of Daily Living in Aged Individuals Needing Long-Term Care: A Path Analysis. |
| 掲載誌名 | 正式名：The journal of nutrition, health & aging 略 称：J Nutr Health Aging ISSNコード：17604788/12797707 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 22(1),pp.53-58 |
| 著者・共著者 | Wakabayashi H, Matsushima M, Ichikawa H, Murayama S, Yoshida S, Kaneko M, Mutai R |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2018 |
| 概要 | OBJECTIVES:This study aimed to examine the interrelationships among occlusal support, dysphagia, malnutrition, and activities of daily living in aged individuals needing long-term care.DESIGN:Cross-sectional study and path analysis.SETTING:Long-term health care facilities, acute care hospitals, and the community.PARTICIPANTS:Three hundred and fifty-four individuals aged ≥ 65 years with dysphagia or potential dysphagia in need of long-term care.MEASUREMENTS:The modified Eichner Index, Dysphagia Severity Scale, Mini Nutritional Assessment Short Form, and Barthel index.RESULTS:The participants included 118 males and 236 females with a mean (standard deviation) age of 83 (8) years. A total of 216 participants had functional occlusal support with or without dentures. Of the total participants, 73 were within normal limits regarding the severity of dysphagia, 119 exhibited dysphagia without aspiration, and 162 exhibited dysphagia with aspiration. Only 34 had a normal nutritional status, while 166 participants were malnourished, and 154 were at risk of malnutrition. The median Barthel index score was 30. Path analysis indicated two important findings: occlusal support had a direct effect on dysphagia (standard coefficient = 0.33), and dysphagia was associated directly with malnutrition (standard coefficient = 0.50). Dysphagia and malnutrition were associated directly with impaired activities of daily living (standard coefficient = 0.57, 0.22).CONCLUSION:In aged individuals needing long-term care, occlusal support is associated directly with dysphagia and indirectly with malnutrition and activities of daily living via dysphagia. |
| DOI | 10.1007/s12603-017-0897-0 |
| PMID | 29300422 |