Tongue Strength is Associated with Grip Strength and Nutritional Status in Older Adult Inpatients of a Rehabilitation Hospital
| Autor: | Takahiro Takehisa, Yozo Takehisa, Haruka Tohara, Enri Nakayama, Kotomi Sakai, Tomomi Maeda, Motonobu Sugimoto, Koichiro Ueda |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Rehabilitation hospital
Male medicine.medical_specialty Sarcopenia Nutritional Status Isometric exercise Rehabilitation Centers 03 medical and health sciences Speech and Hearing Grip strength 0302 clinical medicine Tongue Hand strength Isometric Contraction medicine Humans 030212 general & internal medicine Aged Aged 80 and over Inpatients Hand Strength business.industry Gastroenterology medicine.disease Dysphagia medicine.anatomical_structure Cross-Sectional Studies Otorhinolaryngology Physical therapy Female medicine.symptom business Deglutition Disorders Body mass index 030217 neurology & neurosurgery |
| Zdroj: | Dysphagia. 32(2) |
| ISSN: | 1432-0460 |
| Popis: | The aim of this cross-sectional study was to investigate whether tongue strength observed in older adult inpatients of a rehabilitation hospital is associated with muscle function, nutritional status, and dysphagia. A total of 174 older adult inpatients aged 65 years and older in rehabilitation (64 men, 110 women; median age, 84 years; interquartile range, 80-89 years) who were suspected of having reduced tongue strength due to sarcopenia were included in this study. Isometric tongue strength was measured using a device fitted with a disposable oral balloon probe. We evaluated age, muscle function as assessed by the Barthel index and grip strength, nutritional status as measured by the Mini Nutritional Assessment-short form (MNA-SF), body mass index, serum albumin, controlling nutritional status, and calf circumference and arm muscle area to assess muscle mass. In addition, the functional oral intake scale (FOIS) was used as an index of dysphagia. Multivariate linear regression analysis revealed that isometric tongue strength was independently associated with grip strength (coefficient = 0.33, 95 % confidence interval (CI) 0.12-0.54, p = 0.002), MNA-SF (coefficient = 0.74, 95 % CI 0.12-1.35, p = 0.019), and FOIS (coefficient = 0.02, 95 % CI 0.00-0.15, p = 0.047). To maintain and improve tongue strength in association with sarcopenic dysphagia, exercise therapy and nutritional therapy interventions, as well as direct interventions to address tongue strength, may be effective in dysphagia rehabilitation in older adult inpatients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink