Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia
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...
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doaj-d7fcf2eea26a4dec847cac7b019897312021-02-12T00:04:45ZengMDPI AGNutrients2072-66432021-02-011359659610.3390/nu13020596Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic DysphagiaAkio Shimizu0Ichiro Fujishima1Keisuke Maeda2Hidetaka Wakabayashi3Shinta Nishioka4Tomohisa Ohno5Akiko Nomoto6Jun Kayashita7Naoharu Mori8The Japanese Working Group on Sarcopenic DysphagiaDepartment of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Rehabilitation Medicine, Tokyo Women’s Medical University, Shinjuku-ku 162-8666, JapanDepartment of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki 850-0854, JapanDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanThis 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 (<i>p </i>=<i> </i>0.004 and <i>p </i><<i> </i>0.001, respectively). A high provided energy for patients with sarcopenic dysphagia may improve swallowing ability and produce clinically meaningful functional outcomes.https://www.mdpi.com/2072-6643/13/2/596nutritional interventionolder adultsoropharyngeal dysphagia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Hidetaka Wakabayashi Shinta Nishioka Tomohisa Ohno Akiko Nomoto Jun Kayashita Naoharu Mori The Japanese Working Group on Sarcopenic Dysphagia |
spellingShingle |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Hidetaka Wakabayashi Shinta Nishioka Tomohisa Ohno Akiko Nomoto Jun Kayashita Naoharu Mori The Japanese Working Group on Sarcopenic Dysphagia Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia Nutrients nutritional intervention older adults oropharyngeal dysphagia |
author_facet |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Hidetaka Wakabayashi Shinta Nishioka Tomohisa Ohno Akiko Nomoto Jun Kayashita Naoharu Mori The Japanese Working Group on Sarcopenic Dysphagia |
author_sort |
Akio Shimizu |
title |
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia |
title_short |
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia |
title_full |
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia |
title_fullStr |
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia |
title_full_unstemmed |
Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia |
title_sort |
nutritional management enhances the recovery of swallowing ability in older patients with sarcopenic dysphagia |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-02-01 |
description |
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 (<i>p </i>=<i> </i>0.004 and <i>p </i><<i> </i>0.001, respectively). A high provided energy for patients with sarcopenic dysphagia may improve swallowing ability and produce clinically meaningful functional outcomes. |
topic |
nutritional intervention older adults oropharyngeal dysphagia |
url |
https://www.mdpi.com/2072-6643/13/2/596 |
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