Sensitivity and Specificity of Body Mass Index for Sarcopenic Dysphagia Diagnosis among Patients with Dysphagia: A Multi-Center Cross-Sectional Study

Togashi, Shintaro; Wakabayashi, Hidetaka; Ohinata, Hironori; Nishioka, Shinta; Kokura, Yoji; Momosaki, Ryo

doi:10.3390/nu14214494

Cited by 7 publications

(4 citation statements)

References 39 publications

(78 reference statements)

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“…Based on this result, we can say that although increasing weight affects the hiatal clamp and esophagogastric junction distances, it does not have an impact on the complaint of dysphagia. Togashi et al (2022) support the results of our study by demonstrating a higher occurrence of dysphagia complaints in patients with a BMI < 20.0 kg/m 2 .…”

Section: Discussionsupporting

confidence: 92%

The Relationship of Anatomical Localizations of Hiatal Clamp and Oesophagogastric Junction with Body Mass Index

Karaca-Bozdag,

Bozdag,

Kürkçüoglu

et al. 2024

Int. J. Morphol.

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In our study, we aimed to reveal the relationship between the anatomical localizations measured and the Body Mass Index (BMI) in patients scheduled for upper gastrointestinal endoscopy. In this study, anatomical localizations of the hiatal clamp and oesophagogastric junction in 189 female and 137 male patients who applied to the hospital with different gastrointestinal system complaints and underwent esophagogastroduodenoscopy (EGD) were investigated depending on BMI. In addition, the data were compared with the patients' complaints before EGD and the diagnoses they received after EGD. SPSS Statistics 22 (IBM Corp. Turkey) program was used for statistical analysis and p<0.05 value was considered significant. There was no statistically significant correlation between the patients' BMIs and the anatomical localizations of the hiatal clamp and oesophagogastric junction (p>0.05). On the other hand, it was determined that the hiatal clamp distance and the distance of the oesophagogastric junction increased as the height and weight increased (p<0.001). In male patients, these anatomical structures were found at a statistically greater distance than female patients (p<0.001). As a result of the Receiver operating characteristic (ROS) analysis, both hiatal clamp and EGD localization were found to have a statistically significant relationship with the diagnosis of ulcer, and the cut-off value for both localizations was determined as >38. As a result of the study, it can be said that BMI values, hiatal clamp distance and oesophagogastric junction localizations may change in relation to height and weight.

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Section: Discussionsupporting

confidence: 92%

The Relationship of Anatomical Localizations of Hiatal Clamp and Oesophagogastric Junction with Body Mass Index

Karaca-Bozdag,

Bozdag,

Kürkçüoglu

et al. 2024

Int. J. Morphol.

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“…The database was derived from a multicenter cohort study that used the Japanese Sarcopenic Dysphagia Database, which primarily aimed to assess the risk and contributing factors associated with sarcopenic dysphagia, 16 , 29 ) using the REDCap web-base data-capturing system. 30 ) In the database, we registered dysphagic patients aged ≥20 years and with a Food Intake LEVEL Scale (FILS) score of ≤8 31 ) from nine acute‐care hospitals, eight rehabilitation hospitals, two long‐term care hospitals, and one home‐visit rehabilitation team between November 2019 and March 2021 through a standardized questionnaire for data collection.…”

Section: Methodsmentioning

confidence: 99%

Polypharmacy, Potentially Inappropriate Medications, and Dysphagia in Older Inpatients: A Multi-Center Cohort Study

Togashi,

Ohinata,

Noguchi

et al. 2024

Ann Geriatr Med Res

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Background: Although the relationship between medication status, symptomatology, and outcomes has been evaluated, data on the prevalence of polypharmacy and potentially inappropriate medications (PIMs) and the association of polypharmacy and PIMs with swallowing function during follow-up are limited among hospitalized patients aged ≥65 years with dysphagia. Methods: In this 19‐center cohort study, we registered 467 inpatients aged ≥65 years and evaluated those with the Food Intake LEVEL Scale (FILS) scores ≤8 between November 2019 and March 2021. Polypharmacy was defined as prescribing ≥5 medications and PIMs were identified based on the 2023 Updated Beers Criteria. We applied a generalized linear regression model to examine the association of polypharmacy and PIMs with FILS score at discharge.Results: We analyzed 399 participants (median age, 83.0 years; males, 49.8%). The median follow‐up was 51.0 days (interquartile range, 22.0–84.0 days). Polypharmacy and PIMs were present in 67.7% of and 56.1% of patients, respectively. After adjusting for covariates, neither polypharmacy (β = 0.05; 95% confidence interval [CI], -0.04–0.13, p=0.30) nor non‐steroidal anti‐inflammatory medications (β = 0.09; 95% CI, -0.02–0.19; p=0.10) were significantly associated with FILS score at discharge.Conclusions: The results of this study indicated a high proportion of polypharmacy and PIMs among inpatients aged ≥65 years with dysphagia. Although these prescribed conditions were not significantly associated with swallowing function at discharge, our findings suggest the importance of regularly reviewing medications to ensure the appropriateness of prescriptions when managing older inpatients.

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“…The cut-off values were 19.7 kg for handgrip strength in males and 29.5 cm for calf circumference in females [ 53 ]. The body mass index cut-off value was 20.1 kg/m 2 in older dysphagia patients [ 54 ]. Early assessment of swallowing function may prevent sarcopenic dysphagia.…”

Section: Sarcopenic Dysphagiamentioning

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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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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Sensitivity and Specificity of Body Mass Index for Sarcopenic Dysphagia Diagnosis among Patients with Dysphagia: A Multi-Center Cross-Sectional Study

Cited by 7 publications

References 39 publications

The Relationship of Anatomical Localizations of Hiatal Clamp and Oesophagogastric Junction with Body Mass Index

The Relationship of Anatomical Localizations of Hiatal Clamp and Oesophagogastric Junction with Body Mass Index

Polypharmacy, Potentially Inappropriate Medications, and Dysphagia in Older Inpatients: A Multi-Center Cohort Study

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

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