| Project/Area Number |
18K17989
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 59040:Nutrition science and health science-related
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| Research Institution | Kawasaki University of Medical Welfare |
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Principal Investigator |
Nagami Shinsuke 川崎医療福祉大学, リハビリテーション学部, 講師 (60744042)
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| Project Period (FY) |
2018-04-01 – 2021-03-31
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| Project Status |
Completed (Fiscal Year 2020)
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| Budget Amount *help |
¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | COPD / 嚥下調整食 / 嚥下モニター / 機械学習 / 摂食嚥下 / 医療福祉工学 / 咀嚼・嚥下 / 呼吸 / 医工学 / 言語聴覚療法学 / 支援機器 |
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| Outline of Final Research Achievements |
The prevalence of dysphagia in patients with chronic obstructive disease (COPD) was 17-20%, which is higher than that of the target group of the same age, and the frequency of patients with abnormal repeat saliva swallowing tests was higher even in those with mild disease. Patients with COPD also show impaired breathing - swallowing discoordination. In other words, the frequency of pre-swallowing and post-swallowing inspiration was found to be increased in COPD patients compared to the target group. In that case and in the study, it was necessary to use a dysphagia diet food. breathing-swallowing discoordination was also shown to contribute to frequent exacerbations in COPD patients.
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| Academic Significance and Societal Importance of the Research Achievements |
呼吸-嚥下の不整合が1年間の増悪頻度だけでなく、3年後の死亡などの予後不良状態を予見しうる可能性が示唆された。また、呼吸-嚥下の整合性に焦点を当てた介入がCOPD患者における増悪の予防に有効である可能性が示唆された。今後は、様々な疾患での検証が必要である。
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