Yasuko Ishimoto
   Department   Kawasaki University of Medical Welfare  ,
   Position   Associate Professor
Language English
Title The association between subjective symptom of dysphagia and CGA items among nursing home residents in Japan: a cross-sectional study.
Conference 13th International Conference on Frailty & Sarcopenia Research
Conference Type International society and overseas society
Presentation Type Poster notice
Lecture Type General
Publisher and common publisherYasuko Ishimoto, Taizo Wada, Yumi Kimura, Takahiko Nakamoto, Hisanori Kawashima, Emiko Kato, Mai Tatsuno, Michiko Fujisawa, Kozo Matsubayashi, Ryota Sakamoto
Date 2022/03/23
Venue
(city and name of the country)
Toulouse, France
Summary Background: Dysphagia is one of the main cause of malnutrition and dehydration. Ten-item Eating Assessment tool (EAT-10) is a useful screening tool for dysphagia, but few studies showed the association with EAT-10 and Comprehensive Geriatric Assessment (CGA) items in nursing home. The aim of this cross-sectional study was to show the association of EAT-10 with activities of daily living (ADL), health status and lifestyle factors among the nursing home residents in Japan. Methods: A total of 209 elderly were administered CGA questionnaire in the nursing home in Kyoto, Japan, in July 2019. 115 elderly were excluded because they were specified under the long-term care insurance system or independent elderly under 74 year old. Study population consisted of 94 elderly subjects aged 75 years and older. Using EAT-10 cut-off point value of 3, participants were divided into two group: dysphagia high risk group and dysphagia low risk group (EAT-10 scores of ≥3 and <3) and compared the characteristics of those groups. We evaluated association between EAT-10 and CGA items. Results: There was no significant difference in age between these groups. The elderly subjects with EAT-10≥3 were significantly higher score than those with Eat-10<3 in FSI (1.6 vs 0.9), FRI (5.8 vs 3.9), and GDS (5.5 vs 3.6) and significantly lower in self-rated health (54.1vs 67.6) respectively (p<0.05). Conclusion: The elderly with dysphagia has risk of frail, fall and depression and low self-rated health. Subjective symptom of dysphagia should be paid more attention to improve physical and mental care in nursing home.