Department of Nutrition, Sapporonishimaruyama Hospital, Sapporo 064-0944, Japan.
Department of Nutritional Management, Keiju Hatogaoka Integrated Facility for Medical and Long-Term Care, Hosu 927-0023, Japan.
Nutrients. 2023 Mar 6;15(5):1291. doi: 10.3390/nu15051291.
This retrospective cohort study examined the effects of undernutrition on swallowing function and activities of daily living in hospitalized patients. Data from the Japanese Sarcopenic Dysphagia Database were used, and hospitalized patients aged ≥20 years with dysphagia were included in the analysis. Participants were assigned to the undernutrition or normal nutritional status group based on the Global Leadership Initiative on Malnutrition criteria. The primary outcome was the Food Intake Level Scale change, and the secondary outcome was the Barthel Index change. Among 440 residents, 281 (64%) were classified under the undernutrition group. The undernutrition group had a significantly higher Food Intake Level Scale score at baseline and Food Intake Level Scale change ( = 0.001) than the normal nutritional status group. Undernutrition was independently associated with the Food Intake Level Scale change (B = -0.633, 95% confidence interval = -1.099 to -0.167) and the Barthel Index change (B = -8.414, 95% confidence interval = -13.089 to -3.739). This was defined as the period from the date of admission to the hospital until discharge or 3 months later. Overall, our findings indicate that undernutrition is associated with reduced improvement in swallowing function and the ability to perform activities of daily living.
这项回顾性队列研究调查了营养不良对住院患者吞咽功能和日常生活活动的影响。使用了日本肌少症吞咽障碍数据库的数据，并对有吞咽困难的 20 岁及以上住院患者进行了分析。根据全球营养不足倡议标准，将参与者分为营养不良或正常营养状态组。主要结局是食物摄入水平量表的变化，次要结局是巴氏指数的变化。在 440 名居民中，281 名（64%）被归类为营养不良组。与正常营养状态组相比，营养不良组在基线时的食物摄入水平量表评分和食物摄入水平量表变化显著更高（=0.001）。营养不良与食物摄入水平量表变化（B=-0.633，95%置信区间=-1.099 至-0.167）和巴氏指数变化（B=-8.414，95%置信区间=-13.089 至-3.739）独立相关。这一定义为从入院日期到出院或 3 个月后的时间段。总的来说，我们的研究结果表明，营养不良与吞咽功能和日常生活活动能力的改善减少有关。
