Associations of malnutrition factors with dysphagia mediated by ADL among nursing home residents.

IF 1.9 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Wiener Klinische Wochenschrift Pub Date : 2024-12-23 DOI:10.1007/s00508-024-02488-1

Kotomi Sakai, Shoji Kinoshita, Hidetaka Wakabayashi, Tokiko Isowa, Haruka Tohara, Ryosuke Yanagida, Ryo Momosaki

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引用次数: 0

Abstract

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, C, 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. The results of this study suggest the importance of nutritional management along with approaches to ADL to prevent dysphagia.

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营养不良因素与养老院居民ADL介导的吞咽困难的关系。

目的：营养不良和吞咽困难之间的潜在联系及其潜在机制尚不清楚。本研究旨在探讨营养不良因素与养老院居民日常生活活动能力下降所导致的吞咽困难之间的关系。方法：本横断面研究采用705名养老院居民的资料。主要因素是营养不良和吞咽困难的风险。结果：391名居民（55.5%）存在营养不良风险，451名居民（64.0%）存在吞咽困难。营养不良风险对吞咽困难的平均因果中介效应（ACME）为0.07(95%可信区间C， 0.07-0.08)， BMI的平均因果中介效应（ACME）为0.07。结论：营养不良因素与吞咽困难相关，其中介作用是养老院居民ADL的下降。本研究结果提示营养管理和ADL方法对预防吞咽困难的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wiener Klinische Wochenschrift 医学-医学：内科

CiteScore

4.70

自引率

3.80%

发文量

110

审稿时长

4-8 weeks

期刊介绍： The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.