Han Hyejin, Park Yoonhee, Kwon Hyeji, Jeong Yeseung, Joo Soyoung, Cho Mi Sook, Park Ju Yeon, Jung Hee-Won, Kim Yuri
Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Korea.
Graduate Program in System Health Science & Engineering, Ewha Womans University, Seoul 03760, Korea.
Nutr Res Pract. 2023 Oct;17(5):934-944. doi: 10.4162/nrp.2023.17.5.934. Epub 2023 Jul 18.
BACKGROUND/OBJECTIVES: Maintaining total muscle mass in the older adults with swallowing difficulty (dysphagia) is important for preserving swallowing function. Increasing protein intake can help sustain lean body mass in the older adults. The aim of this study was to evaluate the effect of various high-protein texture-modified foods (HPTMFs) on muscle mass and perform dietary assessment in ≥ 65-yrs-old patients with dysphagia.
SUBJECTS/METHODS: Participants (n = 10) received the newly developed HPTMFs (average 595.23 ± 66.75 kcal/day of energy, 54.22 ± 6.32 g/day of protein) for 10 days. Relative hand-grip strength (RHS), mid-upper arm circumference (MUAC), body composition, mini nutritional assessment (MNA), mini dietary assessment (MDA), and Euro Quality-of-Life questionnaire 5-dimensional classification (EQ-5D) were assessed.
After 10 days, an increase in MUAC (26.36 ± 2.35 cm to 28.50 ± 3.17 cm, = 0.013) and RHS (0.38 ± 0.24 kg/kg body weight to 0.42 ± 0.22 kg/kg body weight, = 0.046) was observed. Although MNA, MDA, EQ-5D, subjective health status, muscle mass, and calf circumference showed a tendency to increase after intervention, no significant differences were found.
These results suggest that the HPTMFs can be used for improving the nutritional and health status in patients with dysphagia.
背景/目的:维持吞咽困难(吞咽障碍)的老年人的肌肉总量对于保持吞咽功能很重要。增加蛋白质摄入量有助于维持老年人的瘦体重。本研究的目的是评估各种高蛋白质地改良食品(HPTMFs)对≥65岁吞咽障碍患者肌肉量的影响并进行饮食评估。
受试者/方法:参与者(n = 10)接受新开发的HPTMFs(平均能量595.23±66.75千卡/天,蛋白质54.22±6.32克/天),持续10天。评估相对握力(RHS)、上臂中部周长(MUAC)、身体成分、微型营养评定(MNA)、简易饮食评估(MDA)和欧洲生活质量问卷5维度分类(EQ-5D)。
10天后,观察到MUAC增加(从26.36±2.35厘米增至28.50±3.17厘米,P = 0.013)以及RHS增加(从0.38±0.24千克/千克体重增至0.42±0.22千克/千克体重,P = 0.046)。尽管干预后MNA、MDA、EQ-5D、主观健康状况、肌肉量和小腿周长有增加趋势,但未发现显著差异。
这些结果表明,HPTMFs可用于改善吞咽障碍患者的营养和健康状况。