Association between food texture levels consumed and the prevalence of malnutrition and sarcopenia in older patients after stroke
Association between food texture levels consumed and the prevalence of malnutrition and sarcopenia in older patients after stroke
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中风后老年患者摄入的食物质地水平与营养不良和肌肉减少症患病率之间的关系
DOI：
10.1038/s41430-022-01126-1
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发表时间：
2022
影响因子：
4.7
通讯作者：
Mori Naoharu
中科院分区：
文献类型：
--
作者：
Shimizu Akio;Fujishima Ichiro;Maeda Keisuke;Murotani Kenta;Ohno Tomohisa;Nomoto Akiko;Nagami Shinsuke;Nagano Ayano;Sato Keisuke;Ueshima Junko;Inoue Tatsuro;Shimizu Midori;Ishida Yuria;Kayashita Jun;Suenaga Masaki;Mori Naoharu
研究背景和目的组织改良饮食（TMDs）可能影响脑卒中后患者的营养状况和肌肉减少症。本研究旨在调查中风后患者所消耗的食物质地水平与营养不良和肌肉减少症的患病率的关联。Subjects/MethodsThis是一个双中心的横断面研究。在日本静冈县和冲绳县的康复病房接受卒中后康复并口服摄入的443例年龄≥65岁的患者被纳入分析。根据国际吞咽困难饮食标准化倡议（IDDSI）框架对食物质地进行分类。根据全球营养不良领导倡议诊断营养不良，并根据欧洲老年人肌肉减少症工作组2标准评估肌肉减少症。的Cochran-Armitage趋势检验被用来检查营养不良和肌肉减少症的患病率较低的食物质地level.Results245（55.3%）和275（62.1%）的参与者，分别被诊断为营养不良和肌肉减少症。食物质地水平较低的消费与营养不良和严重营养不良的患病率较高相关（两者均P< 0.001）。此外，食用较低质地水平的食物与可能的肌肉减少症和肌肉减少症的患病率较高相关（两者均P< 0.001）。在多变量分析中，IDDSI水平5（P< 0.001）和4（P= 0.009）和营养不良，以及IDDSI水平6（P= 0.015），5（P= 0.033），4（P= 0.015）和肌肉减少症。结论在中风患者中，按IDDSI框架分类的较低食物质地水平的消费与营养不良和肌肉减少症的较高患病率相关。
Background/objectivesTexture-modified diets (TMDs) may affect nutritional status and sarcopenia in patients after stroke. This study aimed to investigate the association of food texture levels consumed by patients after stroke with the prevalence of malnutrition and sarcopenia.Subjects/methodsThis was a two-center cross-sectional study. A total of 443 patients aged ≥65 years undergoing post-stroke rehabilitation and with oral intake in rehabilitation wards in Shizuoka prefecture and Okinawa prefecture, Japan, were included in the analysis. Food textures were categorized according to the International Dysphagia Diet Standardization Initiative (IDDSI) framework. Malnutrition was diagnosed according to the Global Leadership Initiative on Malnutrition and sarcopenia was assess by the European Working Group on Sarcopenia in Older People 2 criteria. The Cochran–Armitage trend test was used to examine the prevalence of malnutrition and sarcopenia by consumption of lower food texture levels.ResultsMalnutrition and sarcopenia were diagnosed in 245 (55.3%) and 275 (62.1%) participants, respectively. Consumption of lower food texture levels was associated with a higher prevalence of malnutrition and severe malnutrition (P< 0.001 for both). In addition, consumption of lower food texture levels was associated with a higher prevalence of probable sarcopenia and sarcopenia (P< 0.001 for both). On multivariate analysis, significant associations were observed between IDDSI levels 5 (P< 0.001) and 4 (P= 0.009) and malnutrition, and between IDDSI levels 6 (P= 0.015), 5 (P= 0.033), and 4 (P= 0.015) and sarcopenia.ConclusionsIn patients with stroke, consumption of lower food texture levels categorized by the IDDSI framework was associated with a higher prevalence of malnutrition and sarcopenia.
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影响因子：
6.3
作者：
Kawasaki, Yui;Sakai, Masashi;Akamatsu, Rie
通讯作者：
Akamatsu, Rie
中风的肌肉减少症和肌肉损失的数字，占中风后残疾的核能。
DOI：
10.1007/s13539-011-0024-8
发表时间：
2011-03
期刊：
Journal of cachexia, sarcopenia and muscle
影响因子：
--
作者：
Scherbakov N;Doehner W
通讯作者：
Doehner W
DOI：
10.1016/j.jamda.2021.05.018
发表时间：
2021-08-26
影响因子：
7.6
作者：
Shimizu, Akio;Fujishima, Ichiro;Mori, Naoharu
通讯作者：
Mori, Naoharu
影响因子：
5.9
作者：
Irisawa, Hiroshi;Mizushima, Takashi
通讯作者：
Mizushima, Takashi
影响因子：
5.8
作者：
Keller, H.;Chambers, L.;Duizer, L.
通讯作者：
Duizer, L.