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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 | Neck Circumference Is Not Associated with Dysphagia but with Undernutrition 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(3),pp.355-360 |
| 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 | 2016/03 |
| 概要 | OBJECTIVES:The purpose was to assess the association between neck circumference, dysphagia, and undernutrition 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=385).MEASUREMENTS:Neck circumference, the Dysphagia Severity Scale (DSS) and the Mini Nutritional Assessment Short Form (MNA-SF).RESULTS:Participants included 130 males and 255 females with a mean age (± standard deviation) of 83 ± 8.0 years. Sixty-six were in acute hospitals, 195 were in geriatric health services facilities, and 124 were community-dwelling. The mean neck circumference in males and females was 37.1 ± 3.0 cm and 33.3 ± 3.3 cm, respectively. Based on the DSS, 81 participants were within normal limits, 137 had dysphagia without aspiration, and 167 had dysphagia with aspiration. The MNA-SF revealed that 173 were malnourished, 172 were at risk of malnutrition, and 40 had a normal nutritional status. Neck circumference was not significantly correlated with the DSS (r=-0.080) but was significantly correlated with the MNA-SF (r=0.183) in the Spearman rank correlation analysis. In the logistic regression, neck circumference was not independently associated with the DSS after adjusting for the MNA-SF, the Barthel Index, age, sex, setting, and cerebrovascular disorders. However, the multiple regression analysis showed that neck circumference had an independent effect on the MNA-SF after adjusting for the Barthel Index, age, sex, setting and cerebrovascular disorders.CONCLUSIONS:Neck circumference is not associated with dysphagia but with undernutrition in elderly individuals requiring long-term care. |
| DOI | 10.1007/s12603-015-0587-8 |
| PMID | 26892586 |