Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients
The study aimed to investigate the impact of physical intervention and the amount of nutritional intake on the increase in tongue strength and swallowing function in older adults with sarcopenia. From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation wer...
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| Veröffentlicht in: | Nutrients 2020-10, Vol.12 (10), p.3104 |
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| creator | Nagano, Ayano Maeda, Keisuke Koike, Masaki Murotani, Kenta Ueshima, Junko Shimizu, Akio Inoue, Tatsuro Sato, Keisuke Suenaga, Masaki Ishida, Yuria Mori, Naoharu |
| description | The study aimed to investigate the impact of physical intervention and the amount of nutritional intake on the increase in tongue strength and swallowing function in older adults with sarcopenia. From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation were analyzed. The intervention employed in the study was the usual physical and occupational therapy for two months. Tongue strength was measured before and after two months of treatment. Data on tongue strength, the amount of energy and protein intake, intervention time, and swallowing function were examined. A total of 95 sarcopenic older patients were included (mean age 83.4 ± 6.5 years). The mean tongue strength after the intervention was significantly increased from 25.4 ± 8.9 kPa to 30.5 ± 7.6 kPa as a result of the treatment (
< 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (
= 0.011 and
= 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53-1.70];
< 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function. |
| doi_str_mv | 10.3390/nu12103104 |
| format | Article |
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< 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (
= 0.011 and
= 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53-1.70];
< 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu12103104</identifier><identifier>PMID: 33053651</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aged ; Aged, 80 and over ; Body Mass Index ; Body weight ; Deglutition ; Diet ; Dysphagia ; Eating ; Energy intake ; Female ; Fractures ; Geriatric Assessment ; Hand Strength ; Health insurance ; Hospitalization ; Humans ; Intervention ; Linear Models ; Male ; Muscle Strength ; Musculoskeletal system ; Nutrition ; Nutrition Assessment ; Nutritional Requirements ; Nutritional Status ; Older people ; Proteins ; Rehabilitation ; Sarcopenia ; Sarcopenia - diet therapy ; Sarcopenia - rehabilitation ; Swallowing ; Therapy ; Tongue ; Tongue - metabolism</subject><ispartof>Nutrients, 2020-10, Vol.12 (10), p.3104</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-bbc7c74738250be71404e7986e736094fba0fcd826fbf8019881e6a052bb47083</citedby><cites>FETCH-LOGICAL-c472t-bbc7c74738250be71404e7986e736094fba0fcd826fbf8019881e6a052bb47083</cites><orcidid>0000-0001-7132-7818 ; 0000-0003-0623-9365 ; 0000-0002-0629-085X ; 0000-0002-5709-4541 ; 0000-0003-0244-1953</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601202/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601202/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33053651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagano, Ayano</creatorcontrib><creatorcontrib>Maeda, Keisuke</creatorcontrib><creatorcontrib>Koike, Masaki</creatorcontrib><creatorcontrib>Murotani, Kenta</creatorcontrib><creatorcontrib>Ueshima, Junko</creatorcontrib><creatorcontrib>Shimizu, Akio</creatorcontrib><creatorcontrib>Inoue, Tatsuro</creatorcontrib><creatorcontrib>Sato, Keisuke</creatorcontrib><creatorcontrib>Suenaga, Masaki</creatorcontrib><creatorcontrib>Ishida, Yuria</creatorcontrib><creatorcontrib>Mori, Naoharu</creatorcontrib><title>Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>The study aimed to investigate the impact of physical intervention and the amount of nutritional intake on the increase in tongue strength and swallowing function in older adults with sarcopenia. From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation were analyzed. The intervention employed in the study was the usual physical and occupational therapy for two months. Tongue strength was measured before and after two months of treatment. Data on tongue strength, the amount of energy and protein intake, intervention time, and swallowing function were examined. A total of 95 sarcopenic older patients were included (mean age 83.4 ± 6.5 years). The mean tongue strength after the intervention was significantly increased from 25.4 ± 8.9 kPa to 30.5 ± 7.6 kPa as a result of the treatment (
< 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (
= 0.011 and
= 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53-1.70];
< 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Deglutition</subject><subject>Diet</subject><subject>Dysphagia</subject><subject>Eating</subject><subject>Energy intake</subject><subject>Female</subject><subject>Fractures</subject><subject>Geriatric Assessment</subject><subject>Hand Strength</subject><subject>Health insurance</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intervention</subject><subject>Linear Models</subject><subject>Male</subject><subject>Muscle Strength</subject><subject>Musculoskeletal system</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Requirements</subject><subject>Nutritional Status</subject><subject>Older people</subject><subject>Proteins</subject><subject>Rehabilitation</subject><subject>Sarcopenia</subject><subject>Sarcopenia - diet therapy</subject><subject>Sarcopenia - rehabilitation</subject><subject>Swallowing</subject><subject>Therapy</subject><subject>Tongue</subject><subject>Tongue - metabolism</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkU9rVDEUxYNYbKnd-AEk4EaE0Zs_L3mzEaRUHWhrsXUdkkwyk_peMiZ5hS787maYaa1mc3Pv_XFyyEHoFYH3jM3hQ5wIJcAI8GfoiIKkMyE4e_7kfohOSrmF7ZEgBXuBDhmDjomOHKHfZ947WwtOHl-t70uwesDf3VqbMISqa0gR67jEl1PNYdu19SJW_dPhCx31yo0uVtygxbjJ6W7XhohvUlxNDl_X7OKqrreja51t2rgYLL5qwg0sL9GB10NxJ_t6jH58Prs5_To7__ZlcfrpfGa5pHVmjJVWcsl62oFxknDgTs574SQTMOfeaPB22VPhje-BzPueOKGho8ZwCT07Rh93upvJjG5p29tZD2qTw6jzvUo6qH83MazVKt0pKYBQoE3g7V4gp1-TK1WNoVg3DDq6NBVFeUdYv0ff_Ifepim3f2tUx7pmnVDZqHc7yuZUSnb-0QwBtQ1W_Q22wa-f2n9EH2JkfwABJp8X</recordid><startdate>20201012</startdate><enddate>20201012</enddate><creator>Nagano, Ayano</creator><creator>Maeda, Keisuke</creator><creator>Koike, Masaki</creator><creator>Murotani, Kenta</creator><creator>Ueshima, Junko</creator><creator>Shimizu, Akio</creator><creator>Inoue, Tatsuro</creator><creator>Sato, Keisuke</creator><creator>Suenaga, Masaki</creator><creator>Ishida, Yuria</creator><creator>Mori, Naoharu</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7132-7818</orcidid><orcidid>https://orcid.org/0000-0003-0623-9365</orcidid><orcidid>https://orcid.org/0000-0002-0629-085X</orcidid><orcidid>https://orcid.org/0000-0002-5709-4541</orcidid><orcidid>https://orcid.org/0000-0003-0244-1953</orcidid></search><sort><creationdate>20201012</creationdate><title>Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients</title><author>Nagano, Ayano ; 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From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation were analyzed. The intervention employed in the study was the usual physical and occupational therapy for two months. Tongue strength was measured before and after two months of treatment. Data on tongue strength, the amount of energy and protein intake, intervention time, and swallowing function were examined. A total of 95 sarcopenic older patients were included (mean age 83.4 ± 6.5 years). The mean tongue strength after the intervention was significantly increased from 25.4 ± 8.9 kPa to 30.5 ± 7.6 kPa as a result of the treatment (
< 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (
= 0.011 and
= 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53-1.70];
< 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33053651</pmid><doi>10.3390/nu12103104</doi><orcidid>https://orcid.org/0000-0001-7132-7818</orcidid><orcidid>https://orcid.org/0000-0003-0623-9365</orcidid><orcidid>https://orcid.org/0000-0002-0629-085X</orcidid><orcidid>https://orcid.org/0000-0002-5709-4541</orcidid><orcidid>https://orcid.org/0000-0003-0244-1953</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Body Mass Index Body weight Deglutition Diet Dysphagia Eating Energy intake Female Fractures Geriatric Assessment Hand Strength Health insurance Hospitalization Humans Intervention Linear Models Male Muscle Strength Musculoskeletal system Nutrition Nutrition Assessment Nutritional Requirements Nutritional Status Older people Proteins Rehabilitation Sarcopenia Sarcopenia - diet therapy Sarcopenia - rehabilitation Swallowing Therapy Tongue Tongue - metabolism |
| title | Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients |
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