著者
Yukiko Kurosawa Koji Hara Haruka Tohara Chizuru Namiki Ariya Chantaramanee Ayako Nakane Kazuharu Nakagawa Kohei Yamaguchi Kanako Yoshimi Junichi Furuya Shunsuke Minakuchi
出版者
Tohoku University Medical Press
雑誌
The Tohoku Journal of Experimental Medicine (ISSN:00408727)
巻号頁・発行日
vol.248, no.3, pp.201-208, 2019 (Released:2019-07-30)
参考文献数
39

Dysphagia is a common problem among older adults, causing aspiration pneumonia and malnutrition. It has been reported that calf circumference (CC), an index of nutritional status and physical activity, correlated with dysphagia in acute care hospitals, suggesting that CC can be a useful index for assessing dysphagia. We therefore aimed to explore the association between dysphagia and CC among community elderly people who require long-term care and determined the optimal CC cut-off value for patients with dysphagia. Our cross-sectional study, conducted at Tokyo Metropolis, included 154 participants (65 men) aged > 65 years (mean age: 80.1 ± 7.1) who required long-term care and were examined for dental disease and dysphagia during home visiting treatment. Age, body mass index (BMI), mini-nutritional assessment short-form (MNA-SF) score, Barthel index (BI), CC, functional oral intake scale (FOIS), and dysphagia severity scale (DSS) were evaluated. A DSS score < 5 was defined as dysphagia. To determine the association between CC and dysphagia, we performed logistic regression analysis and calculated the CC cut-off value for dysphagia. Thirty-seven participants (24.0%) were diagnosed with dysphagia. The logistic regression analysis showed that the presence of dysphagia was independently associated with CC after adjusting for age and sex. The CC cut-off value for the presence of dysphagia was 31.0 cm in men (sensitivity, 0.818; specificity, 0.868) and 29.3 cm in women (sensitivity, 0.760; specificity, 0.859). CC is a useful index for assessing dysphagia among community dwelling individuals who require long-term care.

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要介護認定を受けている地域在宅高齢者で、下腿周囲長は嚥下障害評価に有用であるという論文です。下腿周囲長のカットオフ値は男性31㎝、女性29.3㎝でした。サルコペニアの摂食嚥下障害に関する論文といえますね。栄養改善すれば嚥下障害が改… https://t.co/p662gVWylU

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