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Plasma levels of amino acids in elderly long term care residents with oropharyngeal dysphagia: Comparison of hand-oral with tube-enteral-fed patients

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Summary.

Background: Dysphagia and eating difficulties are highly prevalent in long term care patients. Evaluation of their nutritional status is complicated by comorbidity, frailty and individual patterns of feeding. In previous studies we found vitamin deficiencies (folic acid B6 and B12) in orally fed elderly in early stages of oropharyngeal dysphagia despite satisfactory nutritional parameters (BMI, albumin and hemoglobin). The aim of this study is to evaluate the plasma amino acids levels in these hand-oral fed elderly patients with dysphagia.

Methods: Plasma amino acids were measured in 15 orally fed elderly patients in early functional outcome swallowing scale (FOSS), stage 2, and compared with those of 15 matched nasogastric-tube-fed counterparts.

Results: The plasma levels of all measured amino acids, ratio of essential to nonessential, levels of conditionally essential and the immune-enhancing amino acids were similar in both groups and within the normal range of our laboratory. The traditional nutritional parameters were also similar in both groups and within the normal range.

Conclusions: Plasma levels of amino acids in elderly patients in early stage of FOSS are satisfactory, supporting the view that their protein intake is adequate. Further studies should concentrate on patients in advanced stages of FOSS.

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References

  • L Brugler (2001) ArticleTitleHospital finds nutrition care pays off on all counts, cutting costs, complications, mortality. Clin Res Man 1 183–186

    Google Scholar 

  • ME Charlson P Pompei KL Ales CR Mackenzie (1987) ArticleTitleA new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 50 373–383

    Google Scholar 

  • KH Cho ES Kim JD Chen (1990) ArticleTitleTaurine intake and excretion in patients undergoing long term enteral nutrition. JPEN J Parenter Enteral Nutr 24 IssueID3 270–274

    Google Scholar 

  • KE Covinsky MH Covinsky RM Palmer AR Sehgal (2000) ArticleTitleSerum albumin concentration and clinical assessment of nutritional status in hospitalized older people: different sides of different coins? J Am Geriatr Soc 50 631–637

    Google Scholar 

  • M Gillick (2000) ArticleTitleRethinking the role of tube feeding in patients with advanced dementia. N Engl J Med 342 206–210 Occurrence Handle10639550 Occurrence Handle1:STN:280:DC%2BD3c%2Fpt1eluw%3D%3D

    PubMed  CAS  Google Scholar 

  • CH Jones CG Newstead EJ Will SW Smye AM Davison (1997) ArticleTitleAssessment of nutritional status in COPD patients: serum albumin is not a useful measure. Nephrol Dial Transplant 12 1406–1413 Occurrence Handle9249777 Occurrence Handle1:CAS:528:DyaK2sXltlKmu7g%3D

    PubMed  CAS  Google Scholar 

  • J Kayser-Jones (2002) ArticleTitleMalnutrition, dehydration, and starvation in the midst of plenty: The political impact of qualitative inquire. Qualitative Health Research 12 IssueID10 1391–1405 Occurrence Handle10.1177/1049732302238750 Occurrence Handle12474910

    Article  PubMed  Google Scholar 

  • J Kayser-Jones ES Schell C Porter JC Barbaccia H Shaw (1999) ArticleTitleFactors contributing to dehydration in nursing homes: inadequate staffing and lack of professional supervision. J Am Geriatr Soc 47 1187–1194 Occurrence Handle10522951 Occurrence Handle1:STN:280:DyaK1MvltVOrtA%3D%3D

    PubMed  CAS  Google Scholar 

  • KA Layne DS Losinski PM Zenner JA Ament (1989) ArticleTitleUsing the Fleming index of dysphagia to establish prevalence. Dysphagia 4 39–42 Occurrence Handle2640175 Occurrence Handle1:STN:280:By%2BA383otV0%3D

    PubMed  CAS  Google Scholar 

  • A Leibovitz B Sela B Habot S Gavendo R Lansky Y Avni R Segal (2002) ArticleTitleHomocysteine, blood level in long-term care residents with oropharyngeal dysphagia: comparison of hand oral and tube enteral fed patients. J Parent Enteral Nutr 26 94–97 Occurrence Handle1:CAS:528:DC%2BD38Xit1eiuro%3D

    CAS  Google Scholar 

  • A Leibovitz A Sharon-Guidetti R Segal L Blavat S Peller B Habot (2004) ArticleTitleCD4 lymphocyte count and CD4/CD8 ratio in elderly long term care patients with oropharyngeal dysphagia: comparison between oral and tube enteral feeding. Dysphagia 19 83–86 Occurrence Handle10.1007/s00455-003-0503-y Occurrence Handle15382795 Occurrence Handle1:STN:280:DC%2BD2cvnt1Sktg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  • E Lubart A Leibovitz B Habot (2004) ArticleTitleAttitudes of relatives and nursing staff toward tuboenteral feeding in severely demented patients. Am J Alzheimers Dis Other Demen 19 IssueID1 31–34 Occurrence Handle15002342

    PubMed  Google Scholar 

  • A Marcos P Varela I Santacruz A Munoz-Velez D Morande (1993) ArticleTitleNutritional status and immunocompetence in eating disorders. A comparative study. Eur J Clin Nutr 47 787–793 Occurrence Handle8287848 Occurrence Handle1:STN:280:ByuC3MnltFU%3D

    PubMed  CAS  Google Scholar 

  • S Mitchell R Berkowitz F Lawson et al. (2000) ArticleTitleA cross national survey of tube feeding decisions in cognitively impaired older persons. J Am Geriatr Soc 48 391–397 Occurrence Handle10798465 Occurrence Handle1:STN:280:DC%2BD3c3ls1ehsQ%3D%3D

    PubMed  CAS  Google Scholar 

  • SJ O’Keefe J Dicker (1988) ArticleTitleIs plasma albumin concentration useful in the assessment of nutritional status of hospital patients? Eur J Clin Nutr 42 41–45 Occurrence Handle3371296 Occurrence Handle1:STN:280:BieB38vpvFc%3D

    PubMed  CAS  Google Scholar 

  • G O’Laughlin C Shanley (1998) ArticleTitleSwallowing problems in the nursing home: A novel training response. Dysphagia 13 172–183

    Google Scholar 

  • A Pasvogel (2003) ArticleTitleThe influence of protein calorie malnutrition on quality of life in nursing homes. J Gerontol A Med Sci 58A IssueID2 159–164

    Google Scholar 

  • HT Pitkanen SS Oja K Kemppainen JM Seppa AA Mero (2003) ArticleTitleSerum amino acid concentration in aging men and women. Amino Acids 24 413–421 Occurrence Handle12768504 Occurrence Handle1:STN:280:DC%2BD3s3ksVersg%3D%3D

    PubMed  CAS  Google Scholar 

  • A Polge E Bancel H Bellet D Strubel S Poirey P Peray C Carlet B Magnan de Bornier (1997) ArticleTitlePlasma amino acid concentrations in elderly patients with protein energy malnutrition. Age Ageing 26 457–462 Occurrence Handle9466296 Occurrence Handle1:STN:280:DyaK1c7isFOksA%3D%3D

    PubMed  CAS  Google Scholar 

  • G Ravaglia P Forti F Maioli G Bianchi M Martelli T Talerico L Servadei M Zoli E Mariani (2004) ArticleTitlePlasma amino acid concentrations in patients with amnestic mild cognitive impairment or Alzheimer disease. Am J Clin Nutr 80 483–488 Occurrence Handle15277174 Occurrence Handle1:CAS:528:DC%2BD2cXmtFKisL8%3D

    PubMed  CAS  Google Scholar 

  • D Rudman DE Mattson AG Feller R Cotter RC Johnson (1989) ArticleTitleFasting plasma amino acids in elderly men. Am J Clin Nutr 49 559–566 Occurrence Handle2923089 Occurrence Handle1:CAS:528:DyaL1MXhslaisbs%3D

    PubMed  CAS  Google Scholar 

  • JR Salassa (1999) ArticleTitleA functional outcome swallowing scale for staging oropharyngeal dysphagia. Dig Dis 17 230–234 Occurrence Handle10.1159/000016941 Occurrence Handle10754363 Occurrence Handle1:STN:280:DC%2BD3c3ls1ymtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  • CM Steele C Greenwood I Ens C Robertson R Seidman Carlson (1997) ArticleTitleMealtime difficulties in a home for the aged: not just dysphagia. Dysphagia 12 43–50 Occurrence Handle8997832 Occurrence Handle1:STN:280:ByiC2M7ovVc%3D

    PubMed  CAS  Google Scholar 

  • D Wilmore (2004) ArticleTitleEnteral and parenteral arginine supplementation to improve medical outcomes in hospitalized patients. J Nutr 134 IssueID10 2893S–2867S

    Google Scholar 

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Authors and Affiliations

  1. Shmuel Harofe Hospital, Geriatric Medical Center, Beer-Yaakov, Israel

    A. Leibovitz, Y. Baumohel & R. Segal

  2. The Chemical Laboratories, Sheba Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    B. Sela & J. Zlotnik

Authors
  1. A. Leibovitz
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  2. B. Sela
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  3. J. Zlotnik
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  4. Y. Baumohel
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  5. R. Segal
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Leibovitz, A., Sela, B., Zlotnik, J. et al. Plasma levels of amino acids in elderly long term care residents with oropharyngeal dysphagia: Comparison of hand-oral with tube-enteral-fed patients. Amino Acids 29, 263–266 (2005). https://doi.org/10.1007/s00726-005-0217-6

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  • DOI: https://doi.org/10.1007/s00726-005-0217-6

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