{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T01:53:51Z","timestamp":1787709231709,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Oropharyngeal dysphagia (OD) is common among older adults. Some studies have evaluated the efficacy of a texture\u2010modified diet on mortality but with short\u2010term follow\u2010up. We aimed to evaluate the effect of a texture\u2010modified diet and controlled bolus volume on all\u2010cause mortality after 12 months in older persons with OD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This secondary analysis of a randomized clinical trial included patients aged \u226560\u2009years with a diagnosis of OD. They were concurrently and randomly assigned to receive either a texture\u2010modified food diet and controlled bolus volume (intervention group) or standard treatment (control group) with 12 months of follow\u2010up. Secondary outcomes were oral intake, weight, handgrip strength, phase angle, and aspiration pneumonia. Kaplan\u2010Meier analysis and the Cox proportional hazards model were used for mortality analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 127 participants (intervention group: 64 and control group: 63) were recruited, with a mean age of 76 years. The probability of all\u2010cause mortality was significantly lower in the intervention group (<jats:italic>n<\/jats:italic>\u2009=\u20098, 12%) than in the control group (<jats:italic>n<\/jats:italic>\u2009=\u200918, 29%) (hazard ratio\u2009=\u20090.36 [95% CI\u2009=\u20090.16\u20130.86]; <jats:italic>P<\/jats:italic>\u2009=\u20090.01). There were 5 (7.9%) and 10 (16.1%) aspiration pneumonia events in the intervention and control groups, respectively (not significant) in 12 months of follow\u2010up. Changes were observed in protein consumption (<jats:italic>P<\/jats:italic>\u2009=\u20090.01), body weight (<jats:italic>P<\/jats:italic>\u2009=\u20090.04), body mass index (<jats:italic>P<\/jats:italic>\u2009=\u20090.004), handgrip strength (<jats:italic>P<\/jats:italic>\u2009=\u20090.02), and phase angle (<jats:italic>P<\/jats:italic>\u2009=\u20090.04) between the treatment groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with the standard treatment, the dietary intervention improved efficacy by limiting nutrition complications, aspiration pneumonia, and all\u2010cause mortality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.11052","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T02:15:14Z","timestamp":1691115314000},"page":"665-672","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of a texture\u2010modified and controlled bolus volume diet on all\u2010cause mortality in older persons with oropharyngeal dysphagia: Secondary analysis of a randomized controlled trial"],"prefix":"10.1002","volume":"39","author":[{"given":"Carlos A.","family":"Reyes\u2010Torres","sequence":"first","affiliation":[{"name":"Posgrado en Ciencias de la Salud, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico Ciudad Universitaria Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9425-923X","authenticated-orcid":false,"given":"Lilia","family":"Castillo\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Servicio de Nutriolog\u00eda Cl\u00ednica Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniela G.","family":"Ramos\u2010V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Posgrado en Ciencias de la Salud, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico Ciudad Universitaria Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Cassis\u2010Nosthas","sequence":"additional","affiliation":[{"name":"Departamento de Ciencia y Tecnolog\u00eda de los Alimentos Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Zavala\u2010Solares","sequence":"additional","affiliation":[{"name":"Escuela de Altos Estudios en Salud Universidad La Salle Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guadalupe","family":"Garc\u00eda\u2010de\u2010la\u2010Torre","sequence":"additional","affiliation":[{"name":"Departamento de Salud P\u00fablica, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico Ciudad Universitaria Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5579-1450","authenticated-orcid":false,"given":"Aurora E.","family":"Serralde\u2010Zu\u0301n\u0303iga","sequence":"additional","affiliation":[{"name":"Servicio de Nutriolog\u00eda Cl\u00ednica Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1688837"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S97481"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.09.003"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.1.328"},{"issue":"3","key":"e_1_2_7_6_1","first-page":"35","article-title":"Disfagia en el anciano Nutrici\u00f3n Hospitalaria. 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