title: Dysphagia Assessed by the 10-Item Eating Assessment Tool Is Associated with Nutritional Status and Activities of Daily Living in Elderly Individuals Requiring Long-Term Care.
abstract: OBJECTIVE
  The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT-10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Geriatric health services facilities, acute hospitals, and the community.
  
  
  METHODS
  Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237).
  
  
  METHODS
  The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index.
  
  
  RESULTS
  There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score > 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis.
  
  
  CONCLUSIONS
  Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.
authors.affiliation: Hidetaka Wakabayashi, Department of Rehabilitation Medicine, Yokohama City University Medical Center, 4-57 Urafune-chou, Minami ward, Yokohama City, Japan 232-0024, E-mail: noventurenoglory@gmail.com, Tel: +81-45-261-5656; Fax: +81-45-253-9955.
authors.forename: H
authors.initials: H
authors.lastname: Wakabayashi
authors.forename: M
authors.initials: M
authors.lastname: Matsushima
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003679:Deglutition; D003680:Deglutition Disorders / Q000150:complications / Q000175:diagnosis*; D004435:Eating; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008134:Long-Term Care; D008297:Male; D044342:Malnutrition / Q000453:epidemiology / Q000209:etiology*; D008403:Mass Screening; D015596:Nutrition Assessment; D009752:Nutritional Status; D012111:Residence Characteristics; D011795:Surveys and Questionnaires