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Cited by 72Dysphagia Assessment and ManagementNutrition and Health in AgingChild Nutrition and Feeding Issues

Texture-modified food and fluids in dementia and residential aged care facilities

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Painter, Virginia, Le Couteur, David, Waite, Louise·2017·Clinical Interventions in Aging
DOI 10.2147/cia.s140581PMC PMC5546786
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Abstract

INTRODUCTION: Dysphagia is common in people living with dementia and associated with increased risk of aspiration pneumonia, dehydration, malnutrition, and death. Treatment options are limited and the use of texture-modified food and fluids (TMF) is a widespread clinical practice. This review aimed to evaluate the evidence for TMF in dementia. METHODS: A literature search using terms "dysphagia," "texture-modified food and fluids," "dementia," and "aged care" was performed by using three electronic databases from 1990 to March 2017. Studies were assessed for suitability, then reviewed with data extracted, and grouped by categories of outcome measures. RESULTS: A total of 3,722 publications were identified, and 22 studies met the inclusion criteria. Studies were heterogeneous in design and methodology. There were no publications examining dementia exclusively; however, many subjects with dementia were included in studies of residential aged care facilities. TMF reduced the risk of aspiration seen on videofluoroscopy but not clinical aspiration and pneumonia. TMF was associated with lower daily energy and fluid intake and variable adherence. CONCLUSION: There is a lack of evidence for people living with dementia and in residential care facilities that TMF improves clinical outcomes such as aspiration pneumonia, nutrition, hydration, morbidity, and mortality. Adverse effects including poorer energy and fluid intake were identified.

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  • Restrictive diets in older persons are associated with potential risks in terms of malnutrition, quality of life, morbidity, and mortality.

    “Restrictive diets must be avoided for older persons regarding potential 1697 risks in terms of malnutrition, quality of life, morbidity, and mortality [228, 229].”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [228]

    The Introduction says texture-modified food and fluids may contribute to reduced quality of life and malnutrition, and the Results (Aspiration) report one study associating them with more hospital admissions and deaths. But the paper addresses these diets in dementia and residential care, not restrictive diets generally; its findings on morbidity and mortality are mixed, and it does not recommend that all older people avoid such diets. Section labels are available, but page numbers are not. (LLM, conf=0.86)

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Research works printed but not linked: 42

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Cited by

Sorted by citations

Authors
Painter, V., Le Couteur, D., & Waite, L.
Affiliations
  • Concord Repatriation General Hospital (AU)
  • The University of Sydney (AU)
Corresponding author
Waite, Louise
ORCID
Waite, Louise
Venue
Clinical Interventions in Aging
Publisher
Informa UK Limited
Published
2017-08
Volume
Volume 12
Pages
1193-1203
ISSN
  • 1176-9092 (ISSN-L)
  • 1178-1998
DOI
10.2147/cia.s140581
PMC
PMC5546786
OpenAlex
W2740082565
Cited by
72
References
1
Citations by year
2026: 5 · 2025: 6 · 2024: 11 · 2023: 9 · 2022: 7 · 2021: 17 · 2020: 5 · 2019: 8 · 2018: 3 · 2015: 1
FWCI
1.01
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Interventions in Aging (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
dementia, dysphagia, nursing homes, aspiration pneumonia, aspiration, nutrition, hydration, adherence, videofluoroscopy
MeSH terms
Aged, Deglutition Disorders, Dementia, Feeding Methods, Female, Homes for the Aged, Humans, Male, Nursing Homes, Nutritional Status, Pneumonia, Aspiration

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