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Does oral ingestion contribute to improved cognitive and physical functions in gastrostomy patients?

Research Project

Project/Area Number 15K11457
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionThe Nippon Dental University

Principal Investigator

TAMURA FUMIYO  日本歯科大学, 生命歯学部, 教授 (60297017)

Co-Investigator(Kenkyū-buntansha) 八重垣 健  日本歯科大学, 生命歯学部, 教授 (40166468)
菊谷 武  日本歯科大学, 生命歯学部, 教授 (20214744)
羽村 章  日本歯科大学, 生命歯学部, 教授 (60162921)
町田 麗子 (榎本麗子)  日本歯科大学, 生命歯学部, 講師 (00409228)
水上 美樹  日本歯科大学, 生命歯学部, 医療職員 (60735695)
Research Collaborator Genakai Sae  
Nakazawa Yujiro  
Hanagata Tetsuo  
Imai Yoko  
Tanuma Naoyuki  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords重症心身障害者 / 経口摂取 / 脳機能 / 摂食嚥下障害 / 経管栄養 / 胃電図
Outline of Final Research Achievements

The objective of this study was to determine the significance of oral ingestion in tube-fed patients by measuring the effects of partial oral ingestion on cerebral, gastric, respiratory and hemodynamic functions. Nine patientswith severe psychosomatic disorders who provided informed consented were included in this study. The subjects were monitored, beginning from the resting state before tube feeding through the resting state after feeding by fNIRS imaging. The obtained data were analyzed with a nonparametric test. Cerebral function significantly increased after tube feeding, as compared to that in the resting state under Setting A (p = 0.021). Under Setting B, CBF significantly increased after oral ingestion (p = 0.038) and after tube feeding (p = 0.021), as compared to the resting state. Our data suggest that introducing oral ingestion, at least partially, in tube-fed patients with severe dysphagia is beneficial in that it can stimulate cerebral function.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (5 results)

All 2017 2016 Other

All Int'l Joint Research (2 results) Presentation (3 results)

  • [Int'l Joint Research] University of Redlands, ruesdail Center(米国)

    • Related Report
      2016 Research-status Report
  • [Int'l Joint Research] University of Redlands, Truesdail Center(米国)

    • Related Report
      2015 Research-status Report
  • [Presentation] 経管栄養注入前の事前経口摂取が重症心身障害者の脳機能に与える効果について2017

    • Author(s)
      仲澤裕次郎、磯田友子、新藤広基、元開早絵、元橋功典、菊池栄子、齊藤峻、千木良あき子、田村文誉 菊谷武
    • Organizer
      日本障害者歯科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 健康成人における栄養摂取方法の違いが胃運動に与える効果について2016

    • Author(s)
      仲澤 裕次郎、田村 文誉、元開 早絵、水上 美樹、千木良 あき子、齊藤 峻、菊谷 武
    • Organizer
      第33回日本障害者歯科学会
    • Place of Presentation
      大宮ソニックシティ
    • Year and Date
      2016-10-01
    • Related Report
      2016 Research-status Report
  • [Presentation] 健康成人における栄養摂取方法の違いが胃運動に与える効果について2016

    • Author(s)
      仲澤裕次郎、田村 文誉、元開 早絵、水上 美樹、千木良 あき子、齊藤 峻、菊谷 武
    • Organizer
      一般社団法人 日本障害者歯科学会 第33回総会および学術大会
    • Place of Presentation
      大宮ソニックシティ(埼玉県大宮市)
    • Year and Date
      2016-10-01
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2022-02-16  

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