Association between characteristics of swallowing-related muscles and trunk muscle mass

Yamaguchi, Kohei; Nakagawa, Kazuharu; Yoshimi, Kanako; Ariya, Chantaramanee; Nakane, Ayako; Ishii, Miki; Hasegawa, Shohei; Tohara, Haruka

doi:10.1038/s41598-023-34905-2

Cited by 3 publications

(2 citation statements)

References 34 publications

(45 reference statements)

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“…Unlike skeletal muscles, the geniohyoid muscle is a striated muscle, and its histological characteristics make it difficult for swallowing muscles to atrophy [ 13 ]. However, the geniohyoid muscle volume and cross-sectional area of the tongue decrease with age [ 14 , 15 ]. The prevalence of dysphagia in older people is approximately 20%–35%, although it varies by countries and regions [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Sarcopenic dysphagia is due to whole-body sarcopenia and low muscle mass and strength related to swallowing [ 13 ]. Decreased limb and trunk skeletal muscle mass involved in postural retention leads to decreased swallowing muscle mass [ 14 , 23 ]. In a study of the effects of food abstinence in older hospitalized patients, 77% had sarcopenia and 26% had dysphagia after two months [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

Kakehi,

Isono,

Wakabayashi

et al. 2023

Ann Rehabil Med

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Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

Kakehi,

Isono,

Wakabayashi

et al. 2023

Ann Rehabil Med

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Effect of Combined Oral Management, Rehabilitation, and Nutrition Interventions on Improving Systemic Problems in Older Adults

Yoshimi

Nakagawa

Yamaguchi

et al. 2023

Curr Oral Health Rep

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Time spent away from bed is associated with oral hygiene and oral function: A cross‐sectional and multi‐institutional study

Yanagida,

Tohara,

Wakabayashi

et al. 2024

J of Oral Rehabilitation

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BackgroundSpending time away from bed is important in older adults. Not doing so can lead to functional decline rapidly.ObjectiveTo investigate the association between oral function and time spent away from bed in older adults living in nursing homes.MethodsWe enrolled 748 adults aged ≥65 years across eight nursing homes between April 2022 and March 2023. ‘Problems with oral hygiene’ and ‘problems with oral function’ were the dependent variables in the multiple regression analyses to determine their association with time spent away from bed.ResultsWe selected 304 participants (76 men; mean age, 86.3 ± 7.5 years) and divided them into three groups: group S (< 4 h), group M (4 to < 6 h) and group L (≥ 6 h), with 28, 23 and 253 participants, respectively. Comparison of the characteristics between the groups demonstrated significant differences in the Barthel index (p < .001), time spent away from bed (p < .001), history of aspiration pneumonia (p < .001), confirmation of meals and food forms (p = .010), problems with oral hygiene (p = .014), and problems with oral function (p = .002). Based on multiple regression analyses, ‘problems with oral hygiene’ (p < .001) and ‘problems with oral function’ (p < .001) were significantly associated with time spent away from bed.ConclusionsThe time spent away from bed was significantly associated with both oral hygiene and function in older adults, suggesting the importance of extending the time that older adults spend away from bed.

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Association between characteristics of swallowing-related muscles and trunk muscle mass

Cited by 3 publications

References 34 publications

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

Effect of Combined Oral Management, Rehabilitation, and Nutrition Interventions on Improving Systemic Problems in Older Adults

Time spent away from bed is associated with oral hygiene and oral function: A cross‐sectional and multi‐institutional study

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