Texture-Modified Diets are Associated with Poor Appetite in Older Adults who are Admitted to a Post-Acute Rehabilitation Hospital

Shimizu, Akio; Fujishima, Ichiro; Maeda, Keisuke; Murotani, Kenta; Kayashita, Jun; Ohno, Tomohisa; Nomoto, Akiko; Ueshima, Junko; Ishida, Yuria; Inoue, Tatsuro

doi:10.1016/j.jamda.2021.05.018

Cited by 22 publications

(23 citation statements)

References 31 publications

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“…A review reported that abnormal eating behaviors, eating disorders, and dietary changes are found in most people with dementia, especially in its later stages. 32 A recent observational study showed that texture-modified diets are associated with poor appetite in older adults in a post-acute rehabilitation hospital, 33 common among older adults. Moreover, an observational study in community-dwelling older people reported that reduced saliva flow rate was associated with poor dietary intake.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Diet Type on Weight Loss in Patients with Alzheimer’s Disease

Nakamura

2021

Am J Alzheimers Dis Other Demen

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Objectives: To compare differences in weight loss in patients with Alzheimer’s disease on normal, diabetic, or texture-modified diets. Methods: This prospective interventional study examined the data of patients with Alzheimer’s disease who were admitted to a long-term care hospital in Japan from February to April 2013. Dietary elements and weight loss over a 3-month period were examined. Results: Of the 75 patients examined, 6 were on a normal diet, 10 were on a diabetic diet, and 59 were on a texture-modified diet. Weight loss was significantly associated with body weight, Mini Nutritional Assessment®, and diet type. In the non-malnourished patients, there was a significant difference between the three types of diets in terms of eating rate and weight loss. Conclusion: Diet type was independently associated with weight loss in patients with Alzheimer’s disease. Research using larger sample sizes is necessary to eliminate the differences between these diet types.

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Section: Discussionmentioning

confidence: 99%

The Impact of Diet Type on Weight Loss in Patients with Alzheimer’s Disease

Nakamura

2021

Am J Alzheimers Dis Other Demen

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“…Anorexia is more prevalent in rehabilitation patients, including stroke patients, on TMDs compared with the prevalence of anorexia in rehabilitation patients on regular diets. 11 Therefore, registered dietitians (RDs) need to provide specialized nutritional care to improve appetite and prevent decreased food intake.…”

Section: Strokementioning

confidence: 99%

“…Recent findings indicate that patients on a TMD have a higher incidence of anorexia than those on a regular diet. 11 Second, TMD recipients have more malnutrition and muscle mass loss than those on a regular diet. 10,11 In some reports, the use of added water or special cooking to modify the meal form has been attributed to decreased nutrient density, which results in malnutrition and muscle mass loss.…”

Section: Tmdmentioning

confidence: 99%

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Nutritional Management in Adult Patients With Dysphagia: Position Paper From Japanese Working Group on Integrated Nutrition for Dysphagic People

Ueshima

Shimizu

Maeda

et al. 2022

Journal of the American Medical Directors Association

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“…As mentioned above, patients with dysphagia after surgery were forced to consume a modified diet due to the limited swallowing capacity. It has been reported that texture-modified diets are associated with poor appetite [30]. Thus, patients could not eat enough meals to remove the NGT due to this poor appetite.…”

Section: Significant Variables For Removal Of the Ngtmentioning

confidence: 99%

Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?

Okumura

Hara

Nakane

et al. 2021

IJERPH

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This retrospective study determined the significant predictive factors for the number of days required to remove nasogastric tubes (NGTs) after surgery in patients with oral cancer (OC). In this study, patients underwent a videofluoroscopic swallowing study (VFSS) approximately 2 weeks after surgery. Videofluoroscopic images were analyzed, and variables such as swallowing and swallowing kinematics were measured. Patient characteristics, swallowing kinematics, and swallowing results were assessed using a Cox proportional hazards model. This study assessed 129 participants (66 men, 63 women, mean age: 69.0 ± 14.1 years) with nine types of cancer. The Cox proportional hazard ratio revealed that sex, body mass index before surgery, radiotherapy and/or chemotherapy, dysphagia before surgery, normalized pharyngeal constriction ratio, upper esophageal sphincter (UES) opening, and laryngeal vestibule disclosure (LVC) disorder were predictive factors for the removal of NGTs when adjusted for age. The study identified several predictive factors for the removal of NGTs and oral intake recovery in patients with OC. Regarding swallowing kinematics, UES opening is the most significant predictive factor. After surgery for OC, VFSS should be performed to assess safe eating methods and predict the recovery of oral intake and removal of the NGT.

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Texture-Modified Diets are Associated with Poor Appetite in Older Adults who are Admitted to a Post-Acute Rehabilitation Hospital

Cited by 22 publications

References 31 publications

The Impact of Diet Type on Weight Loss in Patients with Alzheimer’s Disease

The Impact of Diet Type on Weight Loss in Patients with Alzheimer’s Disease

Nutritional Management in Adult Patients With Dysphagia: Position Paper From Japanese Working Group on Integrated Nutrition for Dysphagic People

Can Videofluoroscopic Swallowing Kinematic Analysis Predict Recovery of Oral Intake in Postoperative Oral Cancer Patients Requiring Nasogastric Tube Feeding?

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