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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 | Dysphagia Assessed by the 10-Item Eating Assessment Tool Is Associated with Nutritional Status and Activities of Daily Living in Elderly Individuals Requiring Long-Term Care. |
| 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 | 20(1),pp.22-27 |
| 著者・共著者 | Wakabayashi Hidetaka, Matsushima Masato |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2016/01 |
| 概要 | OBJECTIVES:The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT-10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care.DESIGN:Cross-sectional study.SETTING:Geriatric health services facilities, acute hospitals, and the community.PARTICIPANTS:Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237).MEASUREMENTS:The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index.RESULTS:There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score > 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis.CONCLUSIONS:Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care. |
| DOI | 10.1007/s12603-016-0671-8 |
| PMID | 26728929 |