An Examination of Actual Condition and Relevant Factors of Nutritional Condition at Admission to Rehabilitation Hospital

• Published in: Physical Therapy Japan Vol. 46; no. 5; pp. 360 - 365
• Main Authors: ARAKAWA, Takeshi, KEMURIYAMA, Syoko, OKAMURA, Yui, KOBAYASHI, Kumiko, SHIMOKAWA, Ryuhei, MATSUMOTO, Naoto, NIINO, Naoakira
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Physical Therapy 2019
• Subjects: Nutrition; Recovery rehabilitation ward; Relevant factors
• ISSN: 0289-3770; 2189-602X
• DOI: 10.15063/rigaku.11608

Purpose: This study aimed to analyze nutritional conditions and factors affecting the same at admission to rehabilitation hospital.Methods: The number of hospitalized patients from June 2017 to July 2018 was 417, of which 167 patients (over 65 years old) who did not fall under the exclusion criteria were included in this study. Factors related to nutritional condition such as basic attributes, cause disease, condition before hospitalization (With or without surgery, gait independence and meal form at acute hospital discharge, hospital term of acute hospital), swallowing function (Repetitive saliva swallowing test, tongue pressure, strength of suprahyoid muscles, trunk function, and grip strength were measured. The nutritional status was assessed using the mini-nutritional assessment-short form. Patients with 7 points or less were included in the malnutrition group, and patients in the non-malnutrition group had 8 points or more. We analyzed the differences between the malnutrition group and non-malnutrition group of subjects using univariate analysis. Following which, multivariate analysis (logistic regression analysis) was performed. Explanatory variables were those with significant differences in univariate analysis. The dependent variable was the presence or absence of nutritional disorder.Results: There were 68 patients in the malnutrition group (40.7%) and 99 patients in the non-malnutrition group (59.3%). Gait independence at acute hospital discharge and tongue pressure were found to be significant predictors of nutrition disorders in the multivariate analysis.Conclusions: This report seems to be useful for future research. We plan to carry out a longitudinal study in the future．