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Eating Dysfunction and Nutrition States in Older Adults

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Geriatric Nutrition".

Deadline for manuscript submissions: closed (20 December 2022) | Viewed by 5073

Special Issue Editor


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Guest Editor
Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
Interests: epidemiology; geriatrics; nutritional status; oral health; tooth loss frailty; frail elderly

Special Issue Information

Dear Colleagues,

With the aging of the population, an increasing number of elderly people are living with various diseases and disabilities, often chronic, that impair their lives. Simultaneously, their eating ability often suffers with aging and chronic disease progression. These difficulties in eating are caused by inadequacies in the eating environment, preparing meals, enjoying community meals, eating with healthy oral and swallowing functions, caring for their own health, and a variety of other functions. Eating is not just about nutritional intake; it is about bringing pleasure to life.

Health and care professionals need to provide personalized eating care that supports the dignity of older adults with diseases and disabilities in the residential, community, and healthcare settings. Providing appropriate care requires a proper assessment of the population’s status. However, there is a lack of knowledge on supporting the chronically diseased and disabled elderly.

This Special Issue will consolidate the current knowledge of eating dysfunction and nutritional status of older adults in the residential and community settings with debilitating diseases and disabilities, offering insight into providing support for oral function, feeding, and swallowing, as well as dietary support informed by an understanding of these realities.

Clinicians from various disciplines are invited to share research investigating the effects of aging and disease on the oral and swallowing functions required for adequate nutrition, how their nutritional needs can be translated into feasible dietary care, and how oral function and dietary care can be provided for elderly people in a community setting. Original research analyses, systematic reviews, and policy/system-focused studies are welcome.

Dr. Ayako Edahiro
Guest Editor

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Keywords

  • older adults
  • dignity
  • frail elderly
  • chronic diseases and disabilities
  • eating dysfunction
  • oral and swallowing function
  • residential aged care
  • community-based comprehensive care
  • community-based meal care
  • personalized nutrition care
  • malnutrition management
  • feasible dietary care

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Published Papers (1 paper)

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20 pages, 1320 KiB  
Systematic Review
The Hydration Status of Adult Patients with Oropharyngeal Dysphagia and the Effect of Thickened Fluid Therapy on Fluid Intake and Hydration: Results of Two Parallel Systematic and Scoping Reviews
by Paula Viñas, Mireia Bolivar-Prados, Noemi Tomsen, Alicia Costa, Sergio Marin, Stephanie A. Riera, Núria Barcons and Pere Clavé
Nutrients 2022, 14(12), 2497; https://doi.org/10.3390/nu14122497 - 16 Jun 2022
Cited by 15 | Viewed by 4708
Abstract
Background: The effect of oropharyngeal dysphagia (OD) and thickened fluid (TF) therapy on hydration status has not been well defined in the literature. We aimed to assess the hydration status in patients with OD and the effect TF therapy has on it. Methods: [...] Read more.
Background: The effect of oropharyngeal dysphagia (OD) and thickened fluid (TF) therapy on hydration status has not been well defined in the literature. We aimed to assess the hydration status in patients with OD and the effect TF therapy has on it. Methods: Two literature reviews following PRISMA methodology (each one including a systematic and a scoping review) were performed: (R1) hydration status in adult patients with OD; (R2) effect of TF therapy on fluid intake and dehydration. Narrative and descriptive methods summarized both reviews. Quality assessment was assessed by Joanna Briggs Institute tools and GRADE. Results: (R1) Five out of twenty-two studies using analytical parameters or bioimpedance showed poorer hydration status among OD and 19–100% prevalence of dehydration; (R2) two high quality studies (total of 724 participants) showed positive effects of TF on hydration status. Among the articles included, nine out of ten studies that evaluated fluid intake reported a reduced TF intake below basal water requirements. Conclusions: Dehydration is a highly prevalent complication in OD. There is scientific evidence on the positive effect of TF therapy on the hydration status of patients with OD. However, strict monitoring of fluid volume intake is essential due to the low consumption of TF in these patients. Full article
(This article belongs to the Special Issue Eating Dysfunction and Nutrition States in Older Adults)
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