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	総説
言語種別	英語
査読の有無	査読あり
表題	A triad strategy of rehabilitation, nutrition, and oral management for malnutrition, sarcopenia, and frailty in super-aged societies.
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	142,pp.112959
著者・共著者	Yoshihiro Yoshimura, Hidetaka Wakabayashi, Ayaka Matsumoto, Fumihiko Nagano, Sayuri Shimazu, Ai Shiraishi
担当区分	2nd著者
発行年月	2026/02
概要	BACKGROUND:Rapid population aging has intensified the prevalence of malnutrition, sarcopenia, frailty, and oral dysfunction, significantly affecting healthcare outcomes and quality of life in older adults. A growing body of evidence suggests that integrating rehabilitation, nutrition support, and oral health management-a "triad" approach-may yield superior clinical outcomes compared to isolated interventions.OBJECTIVE:This narrative review synthesizes existing research on this integrated approach, highlighting its theoretical foundation, clinical implications, and implementation strategies.RESULTS:Evidence underscores that combined multidisciplinary interventions yield superior outcomes compared to single-domain approaches by effectively improving muscle mass, swallowing function, activities of daily living, and nutritional status. Recent policy developments, such as those in Japan, endorse this triad approach, reflecting its growing recognition; however, significant barriers to widespread clinical implementation remain.CONCLUSION:The triad approach is a promising cornerstone of modern geriatric care. Future research should focus on optimizing intervention delivery, overcoming implementation barriers, such as challenges in interdisciplinary coordination, and assessing long-term outcomes to firmly establish this approach within comprehensive care systems as a cornerstone of geriatric healthcare.
DOI	10.1016/j.nut.2025.112959
PMID	41092813