Association Between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities: 1-Year Multicenter Longitudinal Study

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Oct 23

PMID 34682525

Citations 2

Authors

Akemi Endo

Yutaka Watanabe

Takae Matsushita

Kazutaka Okada

Yuki Ohara

Masanori Iwasaki

Kayoko Ito

Junko Nakajima

Yasuyuki Iwasa

Masataka Itoda

Rikimaru Sasaki

Yasuhiro Nishi

Junichi Furuya

Yoshihiko Watanabe

George Umemoto

Masako Kishima

Hirohiko Hirano

Yuji Sato

Mitsuyoshi Yoshida

Yutaka Yamazaki

Affiliations

Soon will be listed here.

Abstract

Changing the food form for older adults requiring nursing care from a regular to dysphagia diet is thought to impact their nutritional status. We assessed the association between changes in food form and weight loss over 1 year in older adults. Older adults residing in long-term care facilities in Japan ( = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, = 284; dysphagia diet, = 171). The regular diet group was further divided into the weight loss ( = 80; weight loss ≥5% over 1 year) and weight maintenance ( = 204; weight loss <5%) groups. After 1 year, the Barthel Index significantly decreased, and the proportion of participants who switched from a regular diet to a dysphagia diet significantly increased in the weight loss group than in the weight maintenance group. Multivariate logistic regression analysis found that Barthel index variation (odds ratio (OR): 0.97, 95% confidence interval (CI): 0.94‒0.99), change from a regular diet to a dysphagia diet (OR: 4.41, 95% CI: 1.87‒10.41), and body weight at baseline (OR = 1.06, 95% CI: 1.01‒1.11) were significantly associated with weight loss. Our results suggest that maintaining the food form inhibits weight loss and improves health outcomes in older adults.

Citing Articles

Association Between Undernutrition and the Number of Molar Occlusions in Older Persons Requiring Care in Long-Term Care Insurance Facilities.

Takahashi K, Watanabe Y, Okumura T, Tamada Y, Sato M, Iwasaki M Nutrients. 2025; 17(4).

PMID: 40004959 PMC: 11858082. DOI: 10.3390/nu17040630.

Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study.

Takeda M, Watanabe Y, Taira K, Miura K, Ohara Y, Iwasaki M Healthcare (Basel). 2023; 11(13).

PMID: 37444661 PMC: 10340139. DOI: 10.3390/healthcare11131827.

Observational Variables for Considering a Switch from a Normal to a Dysphagia Diet among Older Adults Requiring Long-Term Care: A One-Year Multicenter Longitudinal Study.

Takeda M, Watanabe Y, Matsushita T, Taira K, Miura K, Ohara Y Int J Environ Res Public Health. 2022; 19(11).

PMID: 35682168 PMC: 9180175. DOI: 10.3390/ijerph19116586.

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