Evidence map›Paper›PMID 39714471›Full record

ArticleWiener klinische Wochenschrift2025

Associations of malnutrition factors with dysphagia mediated by ADL among nursing home residents.

Kotomi Sakai, Shoji Kinoshita, Hidetaka Wakabayashi, Tokiko Isowa, Haruka Tohara, Ryosuke Yanagida, Ryo Momosaki

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Article in Wiener klinische Wochenschrift, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kotomi SakaiDepartment of Research, Heisei Medical Welfare Group Research Institute, 1-3-1 Yoyogi, Shibuya-Ku, 151-0053, Tokyo, Japan. sakai.kotomi@hmw.gr.jp.ORCID http://orcid.org/0000-0002-8700-9029
Shoji KinoshitaDepartment of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Hidetaka WakabayashiDepartment of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Tokiko IsowaDepartment of Nursing, Graduate School of Medicine, Mie University, Mie, Japan.
Haruka ToharaDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Ryosuke YanagidaDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Ryo MomosakiDepartment of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan.

Funding

JSPS KAKENHI JP22H03311
6 · The paper itself

Abstract

objectiveThe potential link between malnutrition and dysphagia along with its underlying mechanisms remains unknown. This study aimed to investigate the association between malnutrition factors and dysphagia mediated by a decline in activities of daily living (ADL) among nursing home residents.

methodsThis cross-sectional study used data from 705 nursing home residents. The primary factors were risk of malnutrition and dysphagia. A body mass index (BMI) of < 18.5 and insufficient energy and protein intakes were also collected as factors related to malnutrition. The causal mediation analysis was used with malnutrition factors as the exposure, dysphagia as the outcome, and ADL as the mediation factor.

resultsIn total, 391 residents (55.5%) were at risk of malnutrition and 451 residents (64.0%) had dysphagia. The average causal mediation effect (ACME) of risk of malnutrition on dysphagia was 0.07 (95% confidence interval, C, 0.07-0.08), and the ACME of BMI < 18.5 was 0.05 (95% CI 0.04-0.05, P < 0.001 for both). For insufficient nutritional intake, the ACME of low energy intake was 0.07 (95% CI 0.07-0.07), and the ACME of low protein intake was 0.03 (95% CI 0.02-0.04, P < 0.001 for both). The total effects of all these exposures on dysphagia were significant (P = 0.002 for low protein intake and P < 0.001 for the others).

conclusionMalnutrition factors were associated with dysphagia, mediated by a decline in ADL among nursing home residents. The results of this study suggest the importance of nutritional management along with approaches to ADL to prevent dysphagia.

Indexed as

Activities of Daily LivingDeglutition DisordersHomes for the AgedMalnutritionNursing HomesAgedAged, 80 and overAustriaComorbidityCross-Sectional StudiesFemaleHumansMalePrevalenceRisk FactorsActivities of daily livingDysphagiaMalnutritionNursing homesOlder adults

Identifiers

PMID39714471

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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.