Association between Weight Loss and Food Form in Older Individuals Residing in Long-Term Care Facilities

1-Year Multicenter Longitudinal Study

Bibliographic Data

ID15470248
AuthorsAkemi Endo (Hokkaido University), Yutaka Watanabe (0000-0002-4983-2399, Tohoku Fukushi University), Takae Matsushita (Hokkaido University), Kazutaka Okada (Hokkaido University), Yuki Ohara (0000-0002-1294-256X, Tokyo Metropolitan Institute of Gerontology), Masanori Iwasaki (0000-0002-5739-2936, Niigata University Medical and Dental Hospital), Kayoko Ito (0000-0002-7511-3945, Tokyo Dental College), Junko Nakajima (0000-0003-3548-3017, Tokyo Dental College), Yasuyuki Iwasa (0000-0002-0691-6111, Haradoi Hospital), Masataka Itoda (Nippon Dental University Hospital), Rikimaru Sasaki (Kagoshima University), Yasuhiro Nishi (0000-0001-6703-5978, Kagoshima University), Junichi Furuya (0000-0002-8018-4537, Tohoku Fukushi University), Yoshihiko Watanabe (0000-0002-8050-5943, Tohoku Fukushi University, corresponding author), George Umemoto (0000-0002-8458-1329, Fukuoka University Hospital), Masako Kishima (0009-0003-7708-9605, SHOWA Medical University), Hirohiko Hirano (0000-0002-8329-7617, Hiroshima University), Yuji Sato (0000-0002-1272-4108, SHOWA Medical University), Mitsuyoshi Yoshida (0000-0003-2981-4641, Hiroshima University), Yutaka Yamazaki (0000-0003-1126-8195, Hokkaido University)
Year2021
Volume18
Issue20
Pages10776-10776
Publication date2021-10-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182010776
PMID34682525
OpenAlexW3205127432
LanguageEN
Citations received1
References cited2

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 ( n = 455) who participated in the baseline (2018) and follow-up (2019) surveys were divided into two groups (regular diet, n = 284; dysphagia diet, n = 171). The regular diet group was further divided into the weight loss ( n = 80; weight loss ≥5% over 1 year) and weight maintenance ( n = 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

Environmental health · Long-term care · Longitudinal data · Longitudinal study · Multicenter study · Obesity · Psychiatry · Randomized controlled trial · Term (time · Weight loss · Child Nutrition and Feeding Issues · Demography · Medicine · Nutrition and Health in Aging · Nutrition, Health and Food Behavior · Gerontology · Internal Medicine

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