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The journal of nutrition, health & aging

Erschienen in:

16.10.2018

The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation

verfasst von: Hidetaka Wakabayashi, R. Takahashi, T. Murakami

Erschienen in: The journal of nutrition, health & aging | Ausgabe 1/2019

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Abstract

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.

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Titel: The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation
verfasst von: Hidetaka Wakabayashi
R. Takahashi
T. Murakami
Publikationsdatum: 16.10.2018
Verlag: Springer Paris
Erschienen in: The journal of nutrition, health & aging / Ausgabe 1/2019
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-018-1117-2

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The Prevalence and Prognosis of Sarcopenic Dysphagia in Patients Who Require Dysphagia Rehabilitation

Abstract

Objectives

Design

Setting

Participants

Measurements

Results

Conclusions

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Abstract

Objectives

Design

Setting

Participants

Measurements

Results

Conclusions

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