Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team
This study aimed to evaluate the role of the general condition and oral health status in determining the primary nutritional route and suitable food form for oral ingestion among malnourished inpatients. This cross-sectional study included 255 inpatients referred to a nutrition support team (NST), w...
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MDPI AG
2021
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oai:doaj.org-article:8b091c436626418f8fe126422e1976112021-11-11T16:47:41ZFactors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team10.3390/ijerph1821117251660-46011661-7827https://doaj.org/article/8b091c436626418f8fe126422e1976112021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11725https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This study aimed to evaluate the role of the general condition and oral health status in determining the primary nutritional route and suitable food form for oral ingestion among malnourished inpatients. This cross-sectional study included 255 inpatients referred to a nutrition support team (NST), which included dental professionals, at an acute care hospital. We assessed the participants’ basic information, and Dysphagia Severity Scale (DSS) and Oral Health Assessment Tool (OHAT) scores. The nutritional intake mode was evaluated based on the Functional Oral Intake Scale scores at the initial NST consultation (FOIS-I), and then revised by the NST based on the participants’ general condition and oral health (FOIS-R). There was a divergence between FOIS-I and FOIS-R, with FOIS-R being significantly higher than FOIS-I (<i>p</i> < 0.001). Logistic regression analysis of FOIS-R identified that consciousness level (odds ratio (OR): 0.448; 95% confidence interval (CI): 0.214–0.935) and DSS (OR: 3.521; 95% CI: 2.574–4.815) significantly affected the oral nutrition intake. Among participants who could ingest orally (FOIS-R ≥ 3; <i>n</i> = 126), FOIS score had significant negative and positive associations with the OHAT and DSS scores, respectively. These findings suggest that appropriate assessment of oral health status, including swallowing function, might contribute to high-quality nutrition management.Junichi FuruyaHiroyuki SuzukiRena HidakaKazuharu NakagawaKanako YoshimiAyako NakaneKohei YamaguchiYukue ShimizuYasuhiro ItsuiKeiko SaitoYuji SatoHaruka ToharaShunsuke MinakuchiMDPI AGarticleoral intakemalnutritionoral health statusnutrition support teamFunctional Oral Intake Scaleoral health assessmentMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11725, p 11725 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
oral intake malnutrition oral health status nutrition support team Functional Oral Intake Scale oral health assessment Medicine R |
| spellingShingle |
oral intake malnutrition oral health status nutrition support team Functional Oral Intake Scale oral health assessment Medicine R Junichi Furuya Hiroyuki Suzuki Rena Hidaka Kazuharu Nakagawa Kanako Yoshimi Ayako Nakane Kohei Yamaguchi Yukue Shimizu Yasuhiro Itsui Keiko Saito Yuji Sato Haruka Tohara Shunsuke Minakuchi Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| description |
This study aimed to evaluate the role of the general condition and oral health status in determining the primary nutritional route and suitable food form for oral ingestion among malnourished inpatients. This cross-sectional study included 255 inpatients referred to a nutrition support team (NST), which included dental professionals, at an acute care hospital. We assessed the participants’ basic information, and Dysphagia Severity Scale (DSS) and Oral Health Assessment Tool (OHAT) scores. The nutritional intake mode was evaluated based on the Functional Oral Intake Scale scores at the initial NST consultation (FOIS-I), and then revised by the NST based on the participants’ general condition and oral health (FOIS-R). There was a divergence between FOIS-I and FOIS-R, with FOIS-R being significantly higher than FOIS-I (<i>p</i> < 0.001). Logistic regression analysis of FOIS-R identified that consciousness level (odds ratio (OR): 0.448; 95% confidence interval (CI): 0.214–0.935) and DSS (OR: 3.521; 95% CI: 2.574–4.815) significantly affected the oral nutrition intake. Among participants who could ingest orally (FOIS-R ≥ 3; <i>n</i> = 126), FOIS score had significant negative and positive associations with the OHAT and DSS scores, respectively. These findings suggest that appropriate assessment of oral health status, including swallowing function, might contribute to high-quality nutrition management. |
| format |
article |
| author |
Junichi Furuya Hiroyuki Suzuki Rena Hidaka Kazuharu Nakagawa Kanako Yoshimi Ayako Nakane Kohei Yamaguchi Yukue Shimizu Yasuhiro Itsui Keiko Saito Yuji Sato Haruka Tohara Shunsuke Minakuchi |
| author_facet |
Junichi Furuya Hiroyuki Suzuki Rena Hidaka Kazuharu Nakagawa Kanako Yoshimi Ayako Nakane Kohei Yamaguchi Yukue Shimizu Yasuhiro Itsui Keiko Saito Yuji Sato Haruka Tohara Shunsuke Minakuchi |
| author_sort |
Junichi Furuya |
| title |
Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| title_short |
Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| title_full |
Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| title_fullStr |
Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| title_full_unstemmed |
Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team |
| title_sort |
factors related to oral intake of food by hospitalized patients with malnutrition under the care of a nutrition support team |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/8b091c436626418f8fe126422e197611 |
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