Study on objective classification method of heterogeneous soft diet for elderly.

• Project/Area Number: 18K11105
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 59040:Nutrition science and health science-related
• Research Institution: Prefectural University of Hiroshima
• Principal Investigator: Kayashita Jun 県立広島大学, 地域創生学部, 教授 (40312178)
• Co-Investigator(Kenkyū-buntansha): 山縣 誉志江 県立広島大学, 地域創生学部, 助教 (40634150)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Project Status: Completed (Fiscal Year 2021)
• Budget Amount: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
• Keywords: 不均質 / 介護食 / 咀嚼 / 食品 / スマイルケア食 / 嚥下 / 嚥下食 / 嚥下調整食

Outline of Final Research Achievements

There is no objective classification method for heterogeneous long-term care foods. So, we tried to classify them. Evaluation using hardness, adhesiveness, and cohesiveness, which is used in the objective classification of homogeneous care foods such as jelly and paste, has a great influence on physical properties in the ratio of hard foods to soft foods in heterogeneous care foods. Therefore, we considered a new method. A sensory test of care food was conducted by medical stuff, and highly correlated method with the evaluation was examined. As a result,
We separate the non-homogeneous care food solids and paste, add a certain amount of water only to the solids, control the number of rotations and time of the mixer, separate the mixer crushed material with a mesh, and weigh the residue remaining on the mesh. By measuring, we were able to confirm a method that significantly correlates with the sensory test results

Academic Significance and Societal Importance of the Research Achievements

高齢者が増加しているわが国では、咀嚼機能や嚥下機能の低下した高齢者も増加している。機能が低下すると、普通食が食べれなくなり、介護食の適応となる。この食形態が必要な高齢者は多く、特養や老建では入所者の半数以上は介護食が必要である。介護食は、普通食に近い不均質な介護食から、ペーストやゼリー状などの均質な介護食まで幅広い。均質な食事の客観的評価方法は確立されているが、不均質な介護食では客観的評価が存在しないため主観的評価（舌でつぶせる等）で評価されている。この方法は、舌の力に依存するため、評価者と対象者では評価の差が生じやすい。この状況の改善のために、不均質な介護食の客観的評価方法の確立を試みた。

Research Products

• [Journal Article] 官能評価による学会分類2013(食事)早見表のコードとユニバーサルデザインフード区分の対応の検証 (2021)
  • Author(s): 山縣 誉志江, 板谷 怜美, 五十嵐 沙織, 栢下 淳子, 丹生 希代美, 引野 義之, 川島 加奈, 大庭 恵子, 栢下 淳
  • Journal Title: 日本摂食・嚥下リハビリテーション学会雑誌 Volume: 25 Pages: 81-89
  • NAID: 130008138347
  • Peer Reviewed / Open Access
• [Journal Article] 嚥下機能の低下した人に適した食品の物性 (2021)
  • Author(s): 山縣 誉志江, 五十嵐 沙織, 栢下 淳
  • Journal Title: 日本調理科学会誌 Volume: 54 Pages: 193-196
  • NAID: 130008072162
  • Peer Reviewed
• [Journal Article] Sarcopenic Dysphagia with Low Tongue Pressure Is Associated with Worsening of Swallowing, Nutritional Status, and Activities of Daily Living (2021)
  • Author(s): A.Shimizu, K. Maeda, H. Wakabayashi, S. Nishioka, T. Ohno, A. Nomoto, J. Kayashita, I. Fujishima
  • Journal Title: The journal of nutrition, health & aging Volume: 1 Issue: 7 Pages: 1641-3
  • DOI: 10.1007/s12603-021-1641-3
  • Peer Reviewed / Open Access
• [Journal Article] Low tongue strength is associated with oral and cough-related abnormalities in older inpatients. (2021)
  • Author(s): Akio Shimizu, Keisuke Maeda, Shinsuke Nagami, Ayano Nagano, Yumi Yamada, Midori Shimizu, Yuria Ishida, Jun Kayashita, Ichiro Fujishima, Naoharu Mori, Kenta Murotani, Masaki Suenaga
  • Journal Title: Nutrition (Burbank, Los Angeles County, Calif.) Volume: 83 Pages: 111062-111062
  • DOI: 10.1016/j.nut.2020.111062
  • Peer Reviewed / Open Access
• [Journal Article] Release of updated International Dysphagia Diet Standardisation Initiative Framework (IDDSI 2.0) (2020)
  • Author(s): Julie A.Y. Cichero, Peter T.L. Lam, Jianshe Chen, Roberto O. Dantas, Janice Duivestein, Ben Hanson, Jun Kayashita, Mershen Pillay, Luis F. Riquelme, Catriona M. Steele, Jan Vanderwegen
  • Journal Title: Journal of Texture Studies Volume: 51 Pages: 195-196
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Concurrent and predictive validity of the Mini Nutritional Assessment Short‐Form and the Geriatric Nutritional Risk Index in older stroke rehabilitation patients (2020)
  • Author(s): Journal of Human Nutrition and Dietetics
  • Journal Title: Shinta Nishioka, Katsuhisa Omagari, Emi Nishioka, Natsumi Mori, Yutaka Taketani, Jun Kayashita Volume: 33 Pages: 12-22
  • Peer Reviewed
• [Journal Article] Body mass index and recovery of activities of daily living in older patients with femoral fracture: An analysis of a national inpatient database in Japan (2020)
  • Author(s): Shinta Nishioka, Hidetaka Wakabayashi, Keisuke Maeda, Hiroshi Shamoto, Yutaka Taketani, Jun Kayashita, Ryo Momosaki
  • Journal Title: Archives of Gerontology and Geriatrics Volume: 87 Pages: 104009-104009
  • Peer Reviewed
• [Journal Article] Impact of Multiple Texture-Modified Diets on Oral Intake and Nutritional Status in Older Patients with Pneumonia: A Retrospective Cohort Study. (2020)
  • Author(s): Akio Shimizu, Ryo Momosaki, Jun Kayashita, Ichiro Fujishima
  • Journal Title: Dysphagia Volume: 35 Pages: 574-582
  • Peer Reviewed
• [Journal Article] The influence of syringe geometry on the International Dysphagia Diet Standardisation Initiative flow test (2020)
  • Author(s): Shingo Matsuyama, Makoto Nakauma, Takahiro Funami, Yoshie Yamagata, Jun Kayashita
  • Journal Title: International Journal of Food Science and Technology Volume: 55 Pages: 2962-2969
  • Peer Reviewed
• [Journal Article] Preoperative rehabilitation for patients undergoing colorectal cancer surgery: a retrospective cohort study. (2020)
  • Author(s): Watanabe T, Momosaki R, Suzuki S, Abo M.
  • Journal Title: Support Care Cancer Volume: 28 Issue: 4 Pages: 2293-2297
  • DOI: 10.1007/s00455-019-10063-4
  • Peer Reviewed / Open Access
• [Journal Article] Release of Updated International Dysphagia Diet Standardisation Initiative Framework (IDDSI 2.0) (2020)
  • Author(s): Cichero JAY, Lam PTL, Chen J, Dantas RO, Duivestein J, Hanson B, Kayashita J, Pillay M, Riquelme LF, Steele CM, Vanderwegen J.
  • Journal Title: J Texture Stud Volume: 51（1） Issue: 1 Pages: 195-196
  • DOI: 10.1111/jtxs.12481
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Concurrent and Predictive Validity of the Mini Nutritional Assessment Short-Form and the Geriatric Nutritional Risk Index in Older Stroke Rehabilitation Patients (2020)
  • Author(s): Nishioka S, Omagari K, Nishioka E, Mori N, Taketani Y, Kayashita J.
  • Journal Title: J Hum Nutr Diet. Volume: 33（1） Issue: 1 Pages: 12-22
  • DOI: 10.1111/jhn.12699
  • Peer Reviewed
• [Journal Article] Occlusal Support Is Associated With Nutritional Improvement and Recovery of Physical Function in Patients Recovering From Hip Fracture (2020)
  • Author(s): Sawa Y, Kayashita J, Nikawa H.
  • Journal Title: Gerodontology. Volume: 37（1） Issue: 1 Pages: 59-65
  • DOI: 10.1111/ger.12446
  • Peer Reviewed
• [Journal Article] The Global Leadership Initiative on Malnutrition-Defined Malnutrition Predicts Prognosis in Persons With Stroke-Related Dysphagia (2019)
  • Author(s): Shimizu A, Maeda K, Koyanagi Y, Kayashita J, Fujishima I, Mori N.
  • Journal Title: J Am Med Dir Assoc. Volume: 20（12） Issue: 12 Pages: 1628-1633
  • DOI: 10.1016/j.jamda.2019.07.008
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Clinical benefits of videofluoroscopic examination of swallowing using texture modified test food (2018)
  • Author(s): Aya Nakajima, Shinsuke Nagami, Yoshie Yamagata and Jun Kayashita
  • Journal Title: EC Nutrition Volume: 13 Pages: 24-31
  • Peer Reviewed / Open Access
• [Journal Article] The Criteria of Thickened Liquid for Dysphagia Management in Japan (2018)
  • Author(s): Watanabe E, Yamagata Y, Fujitani J, Fujishima I, Takahashi K, Uyama R, Ogoshi H, Kojo A, Maeda H, Ueda K, Kayashita J
  • Journal Title: Dysphagia Volume: 33 Issue: 1 Pages: 26-32
  • DOI: 10.1007/s00455-017-9827-x
  • Peer Reviewed / Open Access
• [Journal Article] Texture-modified diets are associated with decreased muscle mass in older adults admitted to a rehabilitation ward (2018)
  • Author(s): Shimizu A, Maeda K, Tanaka K, Ogawa M, Kayashita J
  • Journal Title: Geriatrics & gerontology international Volume: 18 Issue: 5 Pages: 698-704
  • DOI: 10.1111/ggi.13233
  • Peer Reviewed / Open Access