Evidence map›Paper›PMID 35418607›Full record

ArticleEuropean journal of clinical nutrition2022

Association between food texture levels consumed and the prevalence of malnutrition and sarcopenia in older patients after stroke.

Akio Shimizu, Ichiro Fujishima, Keisuke Maeda, Kenta Murotani, Tomohisa Ohno, Akiko Nomoto, Shinsuke Nagami, Ayano Nagano, Keisuke Sato, Junko Ueshima and 6 more

Registry-linked trialAbstract read
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In one paragraph

Article in European journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07492849 (Prevalence and Associated Factors of Sarcopenia in Stroke Patients), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07492849 completednot on this mapstarted 2025, after this paper: background citation

Prevalence and Associated Factors of Sarcopenia in Stroke Patients: A Cross-Sectional Observational Study

TypeobservationalSponsorCishan Hospital, Ministry of Health and WelfareRan2025 to 2026Enrolled80ConditionsSarcopenia, Cerebral Stroke, Cerebral Vascular Accident (CVA)/StrokeArmsObjective assessments, Subjective assessment
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Prevalence of Stroke-Related Sarcopenia: A Systematic Review and Meta-Analysis.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Akio ShimizuDepartment of Nutrition, Hamamatsu City Rehabilitation Hospital, Wago-kita, Hamamatsu, Japan.ORCID 0000-0003-0244-1953
Ichiro FujishimaDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Wago-kita, Hamamatsu, Japan.
Keisuke MaedaDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Yazakokarimata, Nagakute, Japan. kskmaeda1701@gmail.com.ORCID 0000-0001-7132-7818
Kenta MurotaniBiostatistics Center, Kurume University, Asahimachi, Kurume, Japan.
Tomohisa OhnoDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Wago-kita, Hamamatsu, Japan.
Akiko NomotoDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Wago-kita, Hamamatsu, Japan.
Shinsuke NagamiDepartment of Speech Language Pathology and Audiology, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, Matsushima, Kurashiki, Japan.
Ayano NaganoDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Yazakokarimata, Nagakute, Japan.
Keisuke SatoOkinawa Chuzan Clinical Research Center, Chuzan Hospital, Matsumoto, Okinawa, Japan.
Junko UeshimaDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Yazakokarimata, Nagakute, Japan.
Tatsuro InoueDepartment of Geriatric Medicine, National Center for Geriatrics and Gerontology, Morioka, Obu, Japan.
Midori ShimizuDepartment of Nutrition, Hamamatsu University Hospital, Handayama, Hamamatsu, Japan.
Yuria IshidaDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Yazakokarimata, Nagakute, Japan.
Jun KayashitaDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Ujina-higashi, Hiroshima, Japan.
Masaki SuenagaOkinawa Chuzan Clinical Research Center, Chuzan Hospital, Matsumoto, Okinawa, Japan.
Naoharu MoriDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Yazakokarimata, Nagakute, Japan.
Aichi Medical University · JPOkinawa Prefectural Chubu Hospital · JPHamamatsu University · JPKawasaki University of Medical Welfare · JPKurume University · JPNational Center for Geriatrics and Gerontology · JPPrefectural University of Hiroshima · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTexture-modified diets (TMDs) may affect nutritional status and sarcopenia in patients after stroke. This study aimed to investigate the association of food texture levels consumed by patients after stroke with the prevalence of malnutrition and sarcopenia. SUBJECTS/

methodsThis was a two-center cross-sectional study. A total of 443 patients aged ≥65 years undergoing post-stroke rehabilitation and with oral intake in rehabilitation wards in Shizuoka prefecture and Okinawa prefecture, Japan, were included in the analysis. Food textures were categorized according to the International Dysphagia Diet Standardization Initiative (IDDSI) framework. Malnutrition was diagnosed according to the Global Leadership Initiative on Malnutrition and sarcopenia was assess by the European Working Group on Sarcopenia in Older People 2 criteria. The Cochran-Armitage trend test was used to examine the prevalence of malnutrition and sarcopenia by consumption of lower food texture levels.

resultsMalnutrition and sarcopenia were diagnosed in 245 (55.3%) and 275 (62.1%) participants, respectively. Consumption of lower food texture levels was associated with a higher prevalence of malnutrition and severe malnutrition (P < 0.001 for both). In addition, consumption of lower food texture levels was associated with a higher prevalence of probable sarcopenia and sarcopenia (P < 0.001 for both). On multivariate analysis, significant associations were observed between IDDSI levels 5 (P < 0.001) and 4 (P = 0.009) and malnutrition, and between IDDSI levels 6 (P = 0.015), 5 (P = 0.033), and 4 (P = 0.015) and sarcopenia.

conclusionsIn patients with stroke, consumption of lower food texture levels categorized by the IDDSI framework was associated with a higher prevalence of malnutrition and sarcopenia.

Indexed as

MalnutritionSarcopeniaStrokeAgedCross-Sectional StudiesFoodHumansNutritional StatusPrevalence

Identifiers

PMID35418607
OpenAlexW4223967713

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.