PMID- 33670314
OWN - NLM
STAT- MEDLINE
DCOM- 20210506
LR  - 20210506
IS  - 2072-6643 (Electronic)
IS  - 2072-6643 (Linking)
VI  - 13
IP  - 2
DP  - 2021 Feb 11
TI  - Nutritional Management Enhances the Recovery of Swallowing Ability in Older 
      Patients with Sarcopenic Dysphagia.
LID - 10.3390/nu13020596 [doi]
LID - 596
AB  - This study assessed whether a high provided energy of >/=30 kcal/ideal body weight 
      (IBW)/day (kg) for patients with sarcopenic dysphagia effectively improved 
      swallowing ability and the activities of daily living (ADLs). Among 110 patients 
      with sarcopenic dysphagia (mean age, 84.9 +/- 7.4 years) who were admitted to a 
      post-acute hospital, swallowing ability and the ADLs were assessed using the Food 
      Intake LEVEL Scale (FILS) and the Functional Independence Measure (FIM), 
      respectively. The primary outcome was the FILS at discharge, while the secondary 
      outcome was the achievement of the FIM with a minimal clinically important 
      difference (MCID) at discharge. We created a homogeneous probability model 
      without statistically significant differences using the inverse probability of 
      treatment weighting (IPTW) method with and without a mean provided energy of >/=30 
      kcal/IBW/day (kg) for a period of 1 week of hospitalization and compared the 
      outcomes between groups. A mean provided energy of >/=30 kcal/IBW/day (kg) was 
      achieved in 62.7% of patients. In the IPTW model, the FILS and the rates of 
      achieved MCID of the FIM at discharge were significantly higher in the mean 
      provided energy of >/=30 kcal/IBW/day (kg) group (p = 0.004 and p < 0.001, 
      respectively). A high provided energy for patients with sarcopenic dysphagia may 
      improve swallowing ability and produce clinically meaningful functional outcomes.
FAU - Shimizu, Akio
AU  - Shimizu A
AUID- ORCID: 0000-0003-0244-1953
AD  - Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu 
      433-8127, Japan.
AD  - Department of Palliative and Supportive Medicine, Graduate School of Medicine, 
      Aichi Medical University, Nagakute 480-1195, Japan.
FAU - Fujishima, Ichiro
AU  - Fujishima I
AD  - Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, 
      Hamamatsu 433-8127, Japan.
FAU - Maeda, Keisuke
AU  - Maeda K
AUID- ORCID: 0000-0001-7132-7818
AD  - Department of Palliative and Supportive Medicine, Graduate School of Medicine, 
      Aichi Medical University, Nagakute 480-1195, Japan.
AD  - Department of Geriatric Medicine, National Center for Geriatrics and Gerontology, 
      Obu 474-8511, Japan.
FAU - Wakabayashi, Hidetaka
AU  - Wakabayashi H
AUID- ORCID: 0000-0002-0364-0818
AD  - Department of Rehabilitation Medicine, Tokyo Women's Medical University, 
      Shinjuku-ku 162-8666, Japan.
FAU - Nishioka, Shinta
AU  - Nishioka S
AUID- ORCID: 0000-0002-6726-8605
AD  - Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation 
      Hospital, Nagasaki 850-0854, Japan.
FAU - Ohno, Tomohisa
AU  - Ohno T
AUID- ORCID: 0000-0002-3824-2924
AD  - Department of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 
      433-8127, Japan.
FAU - Nomoto, Akiko
AU  - Nomoto A
AD  - Department of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 
      433-8127, Japan.
FAU - Kayashita, Jun
AU  - Kayashita J
AD  - Department of Health Sciences, Faculty of Human Culture and Science, Prefectural 
      University of Hiroshima, Hiroshima 734-8558, Japan.
FAU - Mori, Naoharu
AU  - Mori N
AD  - Department of Palliative and Supportive Medicine, Graduate School of Medicine, 
      Aichi Medical University, Nagakute 480-1195, Japan.
FAU - The Japanese Working Group On Sarcopenic Dysphagia
AU  - The Japanese Working Group On Sarcopenic Dysphagia
LA  - eng
GR  - 18K11142/Japan Society for the Promotion of Science/
GR  - 000/Japanese Society of Dysphagia Rehabilitation/
PT  - Comparative Study
PT  - Journal Article
DEP - 20210211
PL  - Switzerland
TA  - Nutrients
JT  - Nutrients
JID - 101521595
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Deglutition/physiology
MH  - Deglutition Disorders/etiology/physiopathology/*therapy
MH  - Diet
MH  - Energy Intake/*physiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Nutrition Therapy/*methods
MH  - Prospective Studies
MH  - Sarcopenia/*complications/physiopathology
PMC - PMC7917588
OTO - NOTNLM
OT  - nutritional intervention
OT  - older adults
OT  - oropharyngeal dysphagia
COIS- The authors declare no conflict of interest.
EDAT- 2021/03/07 06:00
MHDA- 2021/05/07 06:00
PMCR- 2021/02/11
CRDT- 2021/03/06 01:07
PHST- 2020/12/21 00:00 [received]
PHST- 2021/02/04 00:00 [revised]
PHST- 2021/02/06 00:00 [accepted]
PHST- 2021/03/06 01:07 [entrez]
PHST- 2021/03/07 06:00 [pubmed]
PHST- 2021/05/07 06:00 [medline]
PHST- 2021/02/11 00:00 [pmc-release]
AID - nu13020596 [pii]
AID - nutrients-13-00596 [pii]
AID - 10.3390/nu13020596 [doi]
PST - epublish
SO  - Nutrients. 2021 Feb 11;13(2):596. doi: 10.3390/nu13020596.