Time Spent Away from Bed to Maintain Swallowing Function in Older Adults
Time Spent Away from Bed to Maintain Swallowing Function in Older Adults
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DOI：
10.1159/000522499
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发表时间：
2022-04-12
期刊：
影响因子：
3.5
通讯作者：
Tohara, Haruka
中科院分区：
文献类型：
--
作者：
Ishii, Miki;Nakagawa, Kazuharu;Tohara, Haruka
简介：本研究的目的是确定日常生活活动能力 (ADL) 较低的老年人的离床时间与全身肌肉质量和吞咽功能之间的关系。方法：这项横断面研究在东京医科齿科大学进行，纳入了在住所接受医疗干预的 65 岁以上成年人。收集有关年龄、性别、身高和体重、活动状态、病史、离床时间和功能性口腔摄入量表（FOIS）的数据。我们计算了体重指数、查尔森合并症指数、全身肌肉质量、四肢骨骼肌质量指数（ASMI）和躯干肌肉质量指数（TMI）。根据离床时间，受试者分组如下：= 0 小时（S）、= 4 小时（M）和 >= 6 小时（L）。使用单因素方差分析、Kruskal-Wallis 检验和 chi(2) 检验对这些变量进行分析，然后检查三组之间的差异。为了调整混杂因素，我们进行了以 ASMI 和 TMI 作为因变量的多元回归分析，以及以 FOIS 作为目标变量的序数逻辑回归分析。结果：对 90 名受试者（男性：n = 42；女性：n = 48；平均年龄 = 82.9 +/- 8.8 岁，S 组：n = 23；M：n = 30；L：n = 37）进行了分析。 L组的ASMI、TMI和FOIS评分显着高于S组和M组，而M组的ASMI和FOIS评分显着高于S组。调整混杂因素后，ASMI的显着解释因素是性别、活动状态、离床时间和TMI。 TMI 的因素包括活动状态、离床时间、ASMI 和 FOIS。 FOIS 的因素是离床时间和 TMI。结论：在该人群中，离床时间 4 小时或以上与四肢骨骼肌质量和 FOIS 相关，而离床时间 6 小时或以上与四肢骨骼肌质量、躯干肌肉质量和 FOIS 相关。这些发现强调了在日常生活中日常生活中可以预防吞咽功能下降的因素，这些老年人很难进行维持吞咽功能的锻炼。
Introduction: The aim of this study was to determine the associations of time spent away from bed with whole-body muscle mass and swallowing function in older adults with low activities of daily living (ADL). Methods: This cross-sectional study was conducted at Tokyo Medical and Dental University and included adults over 65 years of age who underwent a medical intervention at their residence. Data regarding age, sex, body height and weight, activity status, medical history, time spent away from bed, and Functional Oral Intake Scale (FOIS) were collected. We calculated the body mass index, Charlson Comorbidity Index, whole-body muscle mass, the appendicular skeletal muscle mass index (ASMI), and the trunk muscle mass index (TMI). According to the time spent away from bed, the subjects were grouped as follows: = 0 h (S), = 4 h (M), and >= 6 h (L). These variables were analyzed using the one-way analysis of variance, the Kruskal-Wallis test, and the chi(2) test, then differences among the three groups were examined. To adjust for confounding factors, we performed multiple regression analysis with ASMI and TMI as the dependent variables and ordinal logistic regression analysis with FOIS as the objective variable. Results: Ninety subjects (male: n = 42; female: n = 48; mean age = 82.9 +/- 8.8 years, and groups S: n = 23; M: n = 30; L: n = 37) were analyzed. Group L had a significantly higher ASMI, TMI, and FOIS score than groups S and M, while group M had a significantly higher ASMI and FOIS score than group S. After adjusting for confounding factors, the significant explanatory factors for ASMI were sex, activity status, time spent away from bed, and TMI. The factors for TMI were activity status, time spent away from bed, ASMI, and FOIS. The factors for FOIS were time spent away from bed and TMI. Conclusion: Spending 4 or more hours away from the bed is related to appendicular skeletal muscle mass and FOIS, while spending 6 or more hours is related to appendicular skeletal muscle mass, trunk muscle mass, and FOIS in this population. These findings highlight factors that can prevent a decline in swallowing function in the daily life of older adults with low ADL who have difficulty performing exercises to preserve swallowing function.