Improving physical performance reduces dysphagia via improvement of tongue strength in patients with acute heart failure: a two-wave cross-lagged mediation model analysis

Yokota, Jun‐Ichi; Endo, Ryunosuke; Takahashi, Ren

doi:10.1007/s40520-023-02485-w

Cited by 2 publications

(1 citation statement)

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“…Additionally, physical rehabilitation and nutritional management have been shown to improve TS in patients with sarcopenia in convalescent hospitals [12]. Furthermore, improving physical function has been shown to improve dysphagia through increased TS in patients with acute heart failure [13]. Physical performance shows diurnal variations of up to 26% [14].…”

Section: Introductionmentioning

confidence: 99%

Tongue Strength of Older Adults Requiring Long-Term Care Varies throughout the Day

Yoshinaka,

Yamaguchi,

Yanagida

et al. 2023

Geriatrics

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Physical performance shows approximately 30% diurnal variation; however, diurnal variation in oral function remains unclear. This study aimed to determine the diurnal variation in oral and swallowing function in older adults requiring long-term care. The participants included 13 adults aged >60 years (3 men and 10 women, mean age: 77.2 ± 6.3 years, age range: 62–90 years) requiring long-term care. Tongue strength (TS) and oral mucosal moisture were measured as indices of oral and swallowing function, while hand grip strength was measured as an index of general muscle strength. The patients were asked to participate in a “test” after breakfast, lunch, and dinner on the same day. Multilevel linear regression analysis was used to examine diurnal differences in each item. Multilevel linear regression analysis with adjustment for age and sex revealed that TS was significantly higher at noon (p = 0.001) than in the morning. Therefore, caregivers who provide support during meals to older people requiring long-term care should consider the possibility of swallowing function differing according to the time of the day. In conclusion, it may be beneficial to establish a nutritional therapy that accounts for the diurnal variation in TS.

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Section: Introductionmentioning

confidence: 99%