| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-12-24 |
| タイトル |
|
|
タイトル |
Associations of malnutrition factors with dysphagia mediated by ADL among nursing home residents |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
malnutrition |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
dysphagia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
nursing homes |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
older adults |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
activities of daily living |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Sakai, Kotomi
Kinoshita, Shoji
Wakabayashi, Hidetaka
Isowa, Tokiko
Tohara, Haruka
Yanagiba, Ryosuke
Momosaki, Ryo
|
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Objective： The potential link between malnutrition and dysphagia, along with its underlying mechanisms, remains unknown. This study aimed to investigate the association between malnutrition factors and dysphagia mediated by a decline in activities of daily living (ADL) among nursing home residents.
Methods： This cross-sectional study used data from 705 nursing home residents. The primary factors were risk of malnutrition and dysphagia. A body mass index (BMI) of <18.5 and insufficient energy and protein intakes were also collected as factors related to malnutrition. The causal mediation analysis was used with malnutrition factors as the exposure, dysphagia as the outcome, and ADL as the mediation factor.
Results： In total, 391 residents (55.5%) were at risk of malnutrition, and 451 residents (64.0%) had dysphagia. The average causal mediation effect (ACME) of risk of malnutrition on dysphagia was 0.07 (95% confidence interval [CI], 0.07–0.08), and the ACME of BMI <18.5 was 0.05 (95% CI, 0.04–0.05) (P < 0.001 for both). For insufficient nutritional intake, the ACME of low energy intake was 0.07 (95% CI, 0.07–0.07), and the ACME of low protein intake was 0.03 (95% CI, 0.02–0.04) (P < 0.001 for both). The total effects of all these exposures on dysphagia were significant (P = 0.002 for low protein intake and P < 0.001 for the others).
Conclusion： Malnutrition factors were associated with dysphagia, mediated by a decline in ADL among nursing home residents. This study suggests the importance of nutritional management along with approaches to ADL to prevent dysphagia. |
|
言語 |
en |
| 書誌情報 |
en : Wien Klin Wochenschr
発行日 2024-12-23
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| ISSN |
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|
収録物識別子タイプ |
EISSN |
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収録物識別子 |
1613-7671 |
| 権利 |
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|
権利情報 |
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00508-024-02488-1 |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 出版者 |
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|
出版者 |
Springer |
|
言語 |
en |
| 関係URI |
|
|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
10.1007/s00508-024-02488-1 |
2024JA0009_1_Title page.pdf (137 KB)
