Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients.
Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients.
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DOI：
10.3390/nu12103104
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发表时间：
2020-10-12
期刊：
影响因子：
5.9
通讯作者：
Mori N
中科院分区：
文献类型：
--
作者：
Nagano A;Maeda K;Koike M;Murotani K;Ueshima J;Shimizu A;Inoue T;Sato K;Suenaga M;Ishida Y;Mori N
这项研究旨在探讨物理干预和营养摄入量对石棺减少症老年患者舌力和吞咽功能增加的影响。从2018年11月至2019年5月，对因康复入院的老年石棺减少症患者进行分析。研究中采用的干预措施是为期两个月的常规物理和职业治疗。在治疗前和治疗2个月后测量舌力。检查舌力、能量和蛋白质摄入量、干预时间和吞咽功能的数据。共纳入95例骨质疏松症老年患者，平均年龄83.4±6.5岁。治疗后平均舌力由治疗前的25.4±8.9kpa提高到治疗后的30.5±7.6kpa(p<；0.001)。在调整多变量模型中的混杂因素后，以理想体重为基础的≥能量摄入量为30kcal/kg/d，蛋白质摄入量为1.2g/kg/d，对治疗后舌力的增加有显著影响(p=0.011和p=0.020)。用Mann吞咽能力评定量表评定的吞咽功能在治疗后显著提高(两对之间的平均差值：1.12[0.53-1.7]；p<；0.001)。对老年骨质疏松症住院患者进行物理干预和严格的营养管理，可有效改善舌力和吞咽功能。
The study aimed to investigate the impact of physical intervention and the amount of nutritional intake on the increase in tongue strength and swallowing function in older adults with sarcopenia. From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation were analyzed. The intervention employed in the study was the usual physical and occupational therapy for two months. Tongue strength was measured before and after two months of treatment. Data on tongue strength, the amount of energy and protein intake, intervention time, and swallowing function were examined. A total of 95 sarcopenic older patients were included (mean age 83.4 ± 6.5 years). The mean tongue strength after the intervention was significantly increased from 25.4 ± 8.9 kPa to 30.5 ± 7.6 kPa as a result of the treatment (p < 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (p = 0.011 and p = 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53–1.70]; p < 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.
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DOI：
10.5535/arm.2016.40.4.620
发表时间：
2016-08
期刊：
Annals of rehabilitation medicine
影响因子：
--
作者：
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影响因子：
3.3
作者：
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影响因子：
5.9
作者：
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影响因子：
3.6
作者：
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通讯作者：
Minakuchi, Shunsuke