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Effects of oral functional training for nutritional improvement in Japanese older people requiring long-term care
Takeshi Kikutani1, Reiko Enomoto, Fumiyo Tamura
1Rehabilitation Clinic for Speech and Swallowing Disorders, The Nippon Dental University Hospital, Tokyo, Japan. kikutani@tokyo.ndu.ac.jp
Objectives:
The aim of this study was to evaluate the effect of oral functional training and nutrient supplements to improve the nutrition of malnourished elderly people in a nursing home.
Background:
Malnutrition is a frequent problem in the elderly requiring long-tem care; however, it is not clear whether oral functional training can be effective to improve nutrition.
Subjects And Methods:
Fourteen subjects of 82 residents (mean age 85.7+or-6.2 years) in a nursing home, who had a serum albumin level of
Results:
In the supplement group, serum albumin was 3.44+/- 0.36 g/dl at the start of the study (before intervention) and 3.24+/- 0.45 g/dl at 4 months after intervention. In the oral training plus supplement group, it was 3.56+/- 0.22 g/dl before intervention and significantly increased to 3.70+/- 0.33 g/dl after intervention (p<0.05: Wilcoxon signed-rank test).
Conclusion:
Nutritional supplements alone were not adequate, but with oral functional training to maintain and improve feeding function, nutritional improvement in the elderly could be observed.
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