Malnutrition in aged care: interplay between dysphagia and diet

Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):350-356. doi: 10.1097/MOO.0000000000000911. Epub 2023 Jul 13.

Abstract

Purpose of review: This review aims to deliver expert insights on the current advances and challenges in managing malnutrition in aged care settings, with a specific emphasis on the interaction between dysphagia and diet.

Recent findings: Several reviews identify the high prevalence of dysphagia in aged care facilities and highlight the correlation between dysphagia and malnutrition. Recent studies underscore the importance of nutrition and cancer screening and assessment, yet highlight the lack of consensus on the definitive tools to be used. There is a growth in employing innovative implementations for enhancing swallowing function and optimizing texture-modified foods.

Summary: Early identification and strategic interventions are vital for managing malnutrition and dysphagia in aged care facilities, as these conditions are widespread and lead to a higher risk of complications. Although nutritional strategies have shown potential in enhancing oral intake for residents requiring texture-modified foods, lack of investigation on functional outcomes and long-term impact have been highlighted, emphasizing the need for continued research and development of effective assessment tools and targeted interventions to optimize the care for this at-risk group.

Publication types

  • Review

MeSH terms

  • Aged
  • Deglutition
  • Deglutition Disorders* / diagnosis
  • Deglutition Disorders* / etiology
  • Deglutition Disorders* / therapy
  • Diet
  • Humans
  • Malnutrition* / diagnosis
  • Malnutrition* / etiology
  • Malnutrition* / prevention & control
  • Risk Factors