Department of Nutrition, Faculty of Medical and Health Sciences.
Department of Speech Science, School of Psychology, University of Auckland, Grafton, Auckland, USA.
Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):350-356. doi: 10.1097/MOO.0000000000000911. Epub 2023 Jul 13.
This review aims to deliver expert insights on the current advances and challenges in managing malnutrition in aged care settings, with a specific emphasis on the interaction between dysphagia and diet.
Several reviews identify the high prevalence of dysphagia in aged care facilities and highlight the correlation between dysphagia and malnutrition. Recent studies underscore the importance of nutrition and cancer screening and assessment, yet highlight the lack of consensus on the definitive tools to be used. There is a growth in employing innovative implementations for enhancing swallowing function and optimizing texture-modified foods.
Early identification and strategic interventions are vital for managing malnutrition and dysphagia in aged care facilities, as these conditions are widespread and lead to a higher risk of complications. Although nutritional strategies have shown potential in enhancing oral intake for residents requiring texture-modified foods, lack of investigation on functional outcomes and long-term impact have been highlighted, emphasizing the need for continued research and development of effective assessment tools and targeted interventions to optimize the care for this at-risk group.
本文旨在就老年护理环境中营养不良管理的最新进展和挑战提供专业见解，特别关注吞咽困难与饮食之间的相互作用。
有几项综述确定了在老年护理机构中吞咽困难的高患病率，并强调了吞咽困难与营养不良之间的相关性。最近的研究强调了营养和癌症筛查和评估的重要性，但也强调了缺乏明确的工具来进行评估。人们越来越多地采用创新的方法来增强吞咽功能和优化质地改良食品。
早期识别和策略干预对于管理老年护理机构中的营养不良和吞咽困难至关重要，因为这些情况很普遍，会导致更高的并发症风险。尽管营养策略已显示出在增强需要质地改良食品的居民的口腔摄入方面具有潜力，但缺乏对功能结果和长期影响的研究，强调需要继续研究和开发有效的评估工具和有针对性的干预措施，以优化对这一高风险群体的护理。
