End-of-life Characteristics and Appropriate Nutrient Intake in Frail Elderly Individuals as Seen from the Perspective of Trends in BMI
| Project/Area Number |
25671003
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Gerontological nursing
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| Research Institution | Tokyo Ariake University of Medical and Health Sciences |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
MAEDA Jyukai 東京有明医療大学, 看護学部, 教授 (80291574)
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| Project Period (FY) |
2013-04-01 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
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| Keywords | 終末期 / 看取り / BMI / 食事 / 栄養 / 水分 / エンドオブライフ / 終末期ケア / 自然死 / 高齢者 / 要介護高齢者 / SGA / 食事量 / 水分量 |
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| Outline of Final Research Achievements |
We surveyed and analyzed body mass index (BMI), food (kcal) and fluid (mL) intake, and reactions to food and drink from the time of admission till death in 131 elderly individuals who died at long-term care insurance facilities without receiving medical treatment such as an intravenous drip. Results revealed that while BMI gradually decreased from 5 years before death to the time of death, food intake and fluid intake decreased irreversibly and rapidly from approximately 6 months and 1 month, respectively, before death. Furthermore, from the point at which food intake started to decrease, elderly individuals exhibited marked refusal towards food and drink in addition to suffering dysphagia, which was considered characteristic of the end-of-life phase. This suggested that this irreversible increase in the refusal to have food and drink actively reduces nutrient intake in the end-of-life phase.
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Report
(4 results)
Research Products
(7 results)
