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The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults
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Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review

Department of Clinical Nutrition and Food Services, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa, Tokyo 141-8625, Japan
Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu Mie 514-8507, Japan
Department of Nutrition, Hamamatsu City Rehabilitation Hospital, 1-6-1 Wago-kita, Naka-ku, Hamamatsu, Shizuoka 433-8127, Japan
Tokyo Metropolitan Institute of Gerontology, 35-2, Sakaecho, Itabashi-ku, Tokyo 173-0015, Japan
Department of Clinical Nutrition, Okayama University Hospital, 2-5-1, Shikatacho, Kita-ku, Okayama 700-8558, Japan
Department of Nutrition, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Institutes of Innovation for Future Society, Nagoya University, 65 Tsurumaicho, Showa-ku, Nagoya, Aichi 466-8560, Japan
Department of Clinical Nutrition, Keiju Medical Center, 94 Tomiokacho, Nanao, Ishikawa 926-8605, Japan
Department of Clinical Nutrition and Food Service, Yasuoka Hospital, 3-16-35, Yokono-cho, Shimonoseki, Yamaguchi 759-6604, Japan
Department of Nutrition, Chubu Rosai Hospital, 1-10-6 Koumei, Minato-ku, Nagoya, Aichi 455-8530, Japan
Department of Rehabilitation Medicine, Setagaya Memorial Hospital, 2-30-10 Noge, Setagaya, Tokyo 158-0092, Japan
Author to whom correspondence should be addressed.
Academic Editors: Pere Clavé and Martina Barchitta
Nutrients 2021, 13(3), 778;
Received: 12 November 2020 / Revised: 22 February 2021 / Accepted: 23 February 2021 / Published: 27 February 2021
(This article belongs to the Special Issue Nutrition and Rehabilitation in Older Patients with Disability)
Malnutrition negatively affects the quality of life of patients with dysphagia. Despite the need for nutritional status assessment in patients with dysphagia, standard, effective nutritional assessments are not yet available, and the identification of optimal nutritional assessment items for patients with dysphagia is inadequate. We conducted a scoping review of the use of nutritional assessment items in adult patients with oropharyngeal and esophageal dysphagia. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched to identify articles published in English within the last 30 years. Twenty-two studies met the inclusion criteria. Seven nutritional assessment categories were identified: body mass index (BMI), nutritional screening tool, anthropometric measurements, body composition, dietary assessment, blood biomarkers, and other. BMI and albumin were more commonly assessed in adults. The Global Leadership Initiative on Malnutrition (GLIM), defining new diagnostic criteria for malnutrition, includes the categories of BMI, nutritional screening tool, anthropometric measurements, body composition, and dietary assessment as its required components, but not the blood biomarkers and the “other” categories. We recommend assessing nutritional status, including GLIM criteria, in adult patients with dysphagia. This would standardize nutritional assessments in patients with dysphagia and allow future global comparisons of the prevalence and outcomes of malnutrition, as well as of appropriate interventions. View Full-Text
Keywords: swallowing; malnutrition; nutritional status; GLIM; adults swallowing; malnutrition; nutritional status; GLIM; adults
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MDPI and ACS Style

Ueshima, J.; Momosaki, R.; Shimizu, A.; Motokawa, K.; Sonoi, M.; Shirai, Y.; Uno, C.; Kokura, Y.; Shimizu, M.; Nishiyama, A.; Moriyama, D.; Yamamoto, K.; Sakai, K. Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review. Nutrients 2021, 13, 778.

AMA Style

Ueshima J, Momosaki R, Shimizu A, Motokawa K, Sonoi M, Shirai Y, Uno C, Kokura Y, Shimizu M, Nishiyama A, Moriyama D, Yamamoto K, Sakai K. Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review. Nutrients. 2021; 13(3):778.

Chicago/Turabian Style

Ueshima, Junko; Momosaki, Ryo; Shimizu, Akio; Motokawa, Keiko; Sonoi, Mika; Shirai, Yuka; Uno, Chiharu; Kokura, Yoji; Shimizu, Midori; Nishiyama, Ai; Moriyama, Daisuke; Yamamoto, Kaori; Sakai, Kotomi. 2021. "Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review" Nutrients 13, no. 3: 778.

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