Efficacy of NUTRI’s Softia S Product in Patients with Dysphagia
Natal'ya I. Pryanikova , Anna A. Bykadorova , Olesya S. Polikarpova , Inessa G. Shchelkunova , Marina V. Petrova
Clinical nutrition and metabolism ›› 2020, Vol. 1 ›› Issue (4) : 156 -164.
Efficacy of NUTRI’s Softia S Product in Patients with Dysphagia
Background: Dysphagia of various origins is widespread. There is a high risk of developing formidable complications: malnutrition, dehydration, weight loss, airway obstruction, aspiration pneumonia. The product Softia S is used to solve the problems of swallowing liquids. The Ministry of Agriculture, Forestry and Fisheries of Japan financed this study within the framework of the 8-Point Cooperation Plan presented by the Prime Minister of Japan S. Abe to the President of the Russian Federation V. V. Putin in May 2016. Aims: Assessment of the efficacy and safety of NUTRI’s Softia S product for patients with dysphagia of various origins. Materials and methods: Complex assessment of dysphagia included speech therapy, video fluoroscopy and video laryngoscopy with assessment of swallowing function Rosenbek (PAS) and FEDSS scales. Patients were divided into 2 groups (experiment and control). The study lasted 14 days. Examination by a speech therapist and a nutritionist was carried out daily. On the 1st and 14th days, laboratory parameters were monitored, and the patient’s body weight was determined. Results: The study included 30 patients with mild dysphagia. By the end of the study, 8 people in the experimental group showed a restoration of the swallowing function, residual effects in the form of choking persisted in 7 people. In the control group, a slight improvement was observed in 2 patients, 13 had no changes. The most significant changes were found in the experimental group for the indicators "Time of eating" ("Breakfast", on average, 3.7 minutes, p=0.0033; "Lunch", on average, 6.9 minutes, p <0.0001); "The number of chokes after hydration" ("Breakfast" by an average of 7.0, p <0.0001; "Lunch" by an average of 8.1, p <0.0001; "Dinner" by an average of 6.8, p <0.0001); "The number of chokes during hydration" ("Breakfast" by an average of 8.8, p <0.0001; "Lunch" by an average of 12.1, p <0.0001; "Dinner" by an average of 8.7, p <0.0001). The number of dysphonia cases with sputum significantly decreased only in the experimental group. Conclusions: Softia S can be used in complex therapy for dysphagia by reducing the amount of choking after and during hydration and time of eating and dysphonia cases with sputum.
dysphagia / diet / food and nutrition
| [1] |
Ивашкин В.Т., Маев И.В., Трухманов А.С., и др. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению дисфагии // Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2015. № 5. С. 84–93. [Ivashkin VT, Mayev IV, Trukhmanov AS, et al. Diagnostics and treatment of dysphagia: clinical guidelines of the Russian gastroenterological association. Russian Journal of Gastroenterology, Hepatology, and Coloproctology. 2015;(5): 84–93. (In Russ).] |
| [2] |
WGO Global Guidelines. Практические рекомендации Всемирной гастроэнтерологической организации «Дисфагия». World Gastroenterology Organisation; 2014. [WGO Global Guidelines. Practical recommendations of the World Gastroenterological Organization «Dysphagia». World Gastroenterology Organisation; 2014. (In Russ).] Режим доступа: http://www.worldgastroenterology.org/UserFiles/file/guidelines/dysphagia-russian-2014.pdf. Дата обращения: 15.07.2020. |
| [3] |
Holland G, Jayasekeran V, Pendleton N, et al. Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Dis Esophagus. 2011;24(7): 476–480. doi: 10.1111/j.1442-2050.2011.01182.x |
| [4] |
Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg. 2009;140(1):33–36. doi: 10.1016/j.otohns.2008.10.010 |
| [5] |
Lin LC, Wu SC, Chen HS, et al. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc. 2002;50(6):1118–1123. doi: 10.1046/j.1532-5415.2002.50270.x |
| [6] |
Диагностика и лечение дисфагии при заболеваниях центральной нервной системы: клинические рекомендации. Под ред. Стаховской Л.В., Мельниковой Е.В. Москва, 2013. [Stakhovskaya LV, Melnikova EV, ed. Diagnosis and treatment of dysphagia in diseases of the central nervous system: clinical recommendations. Moscow; 2013. (In Russ).] Режим доступа: https://rehabrus.ru/Docs/Disfagia_last.doc. Дата обращения: 15.07.2020. |
Pryanikova N.I., Bykadorova A.A., Polikarpova O.S., Shchelkunova I.G., Petrova M.V.
/
| 〈 |
|
〉 |