Frail elderly subjects
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Under the age of 65 and above (the first insured person), it corresponds to Necessity care degree 1 to 5 which is the entry criterion of the long-term care insurance system, under medical management by the doctor, not only care such as nursing care nursing care, occupational therapist Rehabilitation by physiotherapists, etc. Also, users of nursing-age geriatric health facilities that are living while receiving services such as nutrition management and meals by a managed nutritionist.
Exclusion criteria
Exclusion criteria: Those in need of enteral or intravenous nutritional therapy. Patients with severe dysphagia who are unable to take food orally. Those with a level of consciousness rating (JCS: Japan coma scale) of 2-2 or higher. Patients who frequently fall ill. Persons who are incapable of understanding the research explanation (However, if the consent of a substitute is obtained, the participant will be included in the study, but if signs or actions of refusal are observed from the participant himself/herself, participation in the study will be terminated immediately.). Persons who are determined not to be included as participants by the judgment of the facility director, who is the facility physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Eating and swallowing function is estimated with the Repeated Saliva Swallowing Test (RSST), the Revised Water Swallowing Test (MWST), and tongue pressure muscle strength.Body measurements and body composition will be estimated by body weight, body mass index (BMI), body fat percentage, body fat mass, skeletal muscle mass, upper arm circumference (AC), triceps subcutaneous fat thickness (TSF), upper arm muscle circumference (AMC), upper arm muscle area (AMA), and lower leg circumference (CC). Physical performance is estimated by grip strength, maximum walking speed, number of repetitive openings and closings of the lower extremities, quadriceps endurance, lower extremity muscle strength, respiratory muscle function (peak flow meter), and functional independence measures (FIM). | — |
Secondary
| Measure | Time frame |
|---|---|
| Cognitive function is estimated with the Mini-Mental State Examination (MMSE) and the N Mental State Rating Scale for the Elderly (NM scale). | — |
Countries
Japan
Contacts
Tezukayama University Department of Food and Nutrition, Faculty of Contemporary Human Life Science