Evidence map›Paper›PMID 39958015›Full record

ArticleCureus2025

Social Isolation Among Older Adults With Dysphagia Requiring Home Health Care: A Cross-Sectional Study.

Reiko Yoshizaki, Ayako Nakane, Kanako Yoshimi, Takayuki Saito, Mitsuko Saito, Kohei Yamaguchi, Kazuharu Nakagawa, Jun Aida, Haruka Tohara

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Reiko YoshizakiDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Ayako NakaneDepartment of Dentistry and Oral Surgery, Tokyo Shinjuku Medical Center, Tokyo, JPN.
Kanako YoshimiDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Takayuki SaitoDepartment of Dentistry, Gohan ga Tabetai Dental Clinic, Tokyo, JPN.
Mitsuko SaitoDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Kohei YamaguchiDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Kazuharu NakagawaDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Jun AidaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.
Haruka ToharaDepartment of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesWe hypothesized that community-dwelling older adults with impaired swallowing functions have a higher risk of social isolation than individuals without impaired function. The aim of this study was to identify the association of dysphagia with social isolation in home care patients using daily interaction frequency and laughter frequency as indicators of social interaction.

methodsOne hundred ninety home care patients, aged ≥65 years, were included in this cross-sectional questionnaire survey. The patients' basic information, level of care required, and social background as a percentage of public health care costs were obtained. Swallowing function, assessed with the Food Intake Level Scale (FILS), was evaluated from the medical records. Respondents answered how often they interacted with people outside their family, the number of people they interacted with, and how often they laughed in their daily lives. Logistic regression analyses were performed to examine factors associated with social isolation.

resultsLaughter frequency was significantly lower in the dysphagia group (P=0.011). The interaction frequency was lower in those who needed more care (odds ratio (OR) (95% confidence interval (CI)) = 0.16 (0.03, 0.78)) and lower in those with dysphagia (0.40 (0.17, 0.97)). The number of exchanges was lower for those with dysphagia (0.22 (0.09, 0.58)) and needed more care (0.10 (0.02, 0.60)) and higher for those with dementia (2.86 (1.22, 6.66)).

conclusionsSwallowing function is significantly associated with social interaction between homebound older adults and others. An approach to maintaining and improving swallowing function in older people requiring home healthcare may help maintain social interaction and prevent social isolation.

Indexed as

ageddysphagiahome care patientinteraction statussocial isolation

Identifiers

PMID39958015
PMCPMC11829240

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