Association Between Nutritional Status, Food Form, Appetite and Oral Health at the Time of Admission to a Convalescent Hospital: A Cross-Sectional Study

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-20 DOI:10.1111/joor.70005

Hiroyuki Suzuki, Naoki Todayama, Mika Someya, Haruka Okada, Masataka Watanabe, Kunihito Yamane, Tomoko Mukai, Tokiko Osawa, Miki Kuwazawa, Yoshimasa Okamatsu, Nobuyuki Kawate, Junichi Furuya

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引用次数: 0

Abstract

Background

Malnutrition negatively impacts the recovery of physical functions such as activities of daily living (ADL) through rehabilitation. However, older patients requiring rehabilitation are at high risk of malnutrition, making appropriate nutritional management essential for effective and efficient outcomes. Factors associated with the nutritional status of patients admitted to convalescent hospitals have been reported; however, only a few studies have comprehensively examined them.

Objective

To assess the comprehensive relationship between nutritional status and food form, appetite, swallowing function, and oral health status in patients admitted to a convalescent hospital.

Methods

In this cross-sectional study, we included 319 patients (155 male and 164 female; mean age, 74.9 ± 12.2 years) admitted to a convalescent hospital between January and December 2021. ADL, nutritional status (Mini Nutritional Assessment-Short Form), food form (Functional Oral Intake Scale), appetite (Simplified Nutritional Appetite Questionnaire for the Japanese Elderly), swallowing function (Dysphagia Severity Scale), and oral health status (Oral Health Assessment Tool) at admission were retrospectively extracted from medical records. Factors associated with nutritional status were examined through multiple regression analysis.

Results

Over 70% of the participants had nutritional deficiencies, with 58.0% at risk of malnutrition and 18.5% being malnourished. Multiple regression analysis results revealed that ADL, food form, appetite and oral health status were significantly associated with nutritional status at admission.

Conclusion

The findings suggest that good food form, appetite and oral health status on admission to a convalescent hospital may be crucial to realising good nutritional status.

Abstract Image

查看原文本刊更多论文

康复医院入院时营养状况、食物形式、食欲和口腔健康之间的关系：一项横断面研究。

背景：营养不良会对日常生活活动（ADL）等身体功能的康复产生负面影响。然而，需要康复的老年患者营养不良的风险很高，因此适当的营养管理对于有效和高效的结果至关重要。据报道，与住院康复医院病人的营养状况有关的因素；然而，只有少数研究对它们进行了全面的研究。目的：探讨疗养医院住院患者营养状况与食物形态、食欲、吞咽功能及口腔健康状况的综合关系。方法：在这项横断面研究中，我们纳入了319例患者(男性155例，女性164例；平均年龄（74.9±12.2岁），于2021年1月至12月入住康复医院。回顾性提取患者入院时的ADL、营养状况（简易营养评估表）、食物形态（功能性口服摄入量表）、食欲（日本老年人简化营养食欲问卷）、吞咽功能（吞咽困难严重程度量表）和口腔健康状况（口腔健康评估工具）。采用多元回归分析对影响营养状况的因素进行分析。结果：超过70%的参与者营养不足，其中58.0%有营养不良的风险，18.5%营养不良。多元回归分析结果显示，ADL、食物形态、食欲和口腔健康状况与入院时的营养状况有显著相关。结论：康复患者入院时良好的饮食形态、食欲和口腔健康状况可能是实现良好营养状态的关键。

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

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.