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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 | The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation. |
| 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 | 23(1),pp.84-88 |
| 著者・共著者 | Wakabayashi Hidetaka, Takahashi Rimiko, Murakami Terumi |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2019 |
| 概要 | OBJECTIVES:The purpose of this study was to assess the prevalence and prognosis of sarcopenic dysphagia in patients who require dysphagia rehabilitation.DESIGN:Prospective cohort study.SETTING:Tertiary-care acute general hospital.PARTICIPANTS:One hundred and eight patients referred to the Department of Rehabilitation Medicine for dysphagia rehabilitation.MEASUREMENTS:The Food Intake Level Scale (FILS), a 5-step diagnostic algorithm for sarcopenic dysphagia.RESULTS:The study included 72 males and 36 females (mean age, 76±7 years). Comorbid diseases included brain and nervous system disease (36%), cardiovascular disease (25%), respiratory disease (14%), and cancer (11%). Median energy intake was 1159 kcal (interquartile range: 648, 1502). Median FILS at admission and discharge was 4 (interquartile range: 2, 7) and 8 (interquartile range: 5, 8), respectively. Sarcopenic dysphagia was observed in 35 patients (32%). Sarcopenic dysphagia was associated with lower FILS at referral and discharge, lower calf circumference, lower handgrip strength, lower body mass index, lower serum albumin, and higher C-reactive protein at referral. Tongue pressure, energy intake, and Barthel index did not differ significantly between patients with or without sarcopenic dysphagia. Ordered logistic regression analysis of the FILS at discharge adjusted for presence of sarcopenic dysphagia, age, sex, and the FILS at admission revealed that presence of sarcopenic dysphagia (β=-1.603, 95% confidence intervals= -2.609, -0.597, p=0.002), sex, and the FILS at admission were independently associated with the FILS at discharge.CONCLUSIONS:The prevalence of sarcopenic dysphagia in patients who require dysphagia rehabilitation was quite high. Sarcopenic dysphagia was independently associated with poor swallowing function at discharge. |
| DOI | 10.1007/s12603-018-1117-2 |
| PMID | 30569074 |