title: Relationship between diet texture and discharge due to deteriorating health condition in nursing home residents in Japan: a multicenter 1-year prospective study.
abstract: We conducted a multicenter 1-year prospective study to evaluate the relationship between diet texture and discharge due to deteriorating health condition. The staff dietitian at each nursing home in Japan retrieved participants' data (N = 9528) from nursing records. Diet texture was categorized into 4 groups: "normal," "chopped," "pureed," and "parenteral nutrition." Discharge status was categorized into 2 groups: "discharge due to deteriorating health condition" and "stable health condition." Multivariate adjusted odds ratios and 95% confidence intervals (CIs) for "discharge due to deteriorating health condition" (n = 1820) were 1 (reference) for "normal", 1.23 (95% CI = 1.05-1.45) for "chopped," 1.82 (95% CI = 1.48-2.24) for "pureed," and 1.82 (95% CI = 1.41-2.35) for "parenteral nutrition." In conclusion, even after adjusting for baseline health status, texture-modified diets and parenteral nutrition were independently and positively associated with discharge due to deteriorating health condition.
authors.affiliation: University of Tokyo, Tokyo, Japan.
authors.forename: Erika
authors.initials: E
authors.lastname: Taniguchi
authors.affiliation: Keio University, Tokyo, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Asakura
authors.affiliation: University of Tokyo, Tokyo, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Murakami
authors.affiliation: Ikurien-naka, Ibaragi, Japan.
authors.forename: Shizuko
authors.initials: S
authors.lastname: Masayasu
authors.affiliation: University of Tokyo, Tokyo, Japan stssasak@m.u-tokyo.ac.jp.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sasaki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004032:Diet / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D007564:Japan; D008297:Male; D009735:Nursing Homes; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011446:Prospective Studies
keywords: diet texture; discharge status; elderly; masticatory ability; nursing home