Nutr Res Pract.  2023 Oct;17(5):934-944. 10.4162/nrp.2023.17.5.934.

Newly developed care food enhances grip strength in older adults with dysphagia: a preliminary study

Affiliations
  • 1Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Korea
  • 2Graduate Program in System Health Science & Engineering, Ewha Womans University, Seoul 03760, Korea
  • 3Department of Clinical Nutrition, The Graduate School of Clinical Biohealth, Ewha Womans University, Seoul 03760, Korea
  • 4Hyundai Green Food Co., Yongin 16827, Korea
  • 5Division of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea

Abstract

BACKGROUND/OBJECTIVES
Maintaining total muscle mass in the older adults with swallowing difficulty (dysphagia) is important for preserving swallowing function. Increasing protein intake can help sustain lean body mass in the older adults. The aim of this study was to evaluate the effect of various high-protein texture-modified foods (HPTMFs) on muscle mass and perform dietary assessment in ≥ 65-yrs-old patients with dysphagia.
SUBJECTS/METHODS
Participants (n = 10) received the newly developed HPTMFs (average 595.23 ± 66.75 kcal/day of energy, 54.22 ± 6.32 g/day of protein) for 10 days. Relative handgrip strength (RHS), mid-upper arm circumference (MUAC), body composition, mini nutritional assessment (MNA), mini dietary assessment (MDA), and Euro Quality-of-Life questionnaire 5-dimensional classification (EQ-5D) were assessed.
RESULTS
After 10 days, an increase in MUAC (26.36 ± 2.35 cm to 28.50 ± 3.17 cm, P = 0.013) and RHS (0.38 ± 0.24 kg/kg body weight to 0.42 ± 0.22 kg/kg body weight, P = 0.046) was observed. Although MNA, MDA, EQ-5D, subjective health status, muscle mass, and calf circumference showed a tendency to increase after intervention, no significant differences were found.
CONCLUSIONS
These results suggest that the HPTMFs can be used for improving the nutritional and health status in patients with dysphagia.

Keyword

Deglutition disorders; aged; diet; high-protein diet; grip strength; nutritional status

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