{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:42:21Z","timestamp":1775781741920,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,16]],"date-time":"2016-05-16T00:00:00Z","timestamp":1463356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Dysphagia is common in dependent older adults. Thus, a method of evaluating eating and swallowing functions that can be used to diagnose and manage dysphagia in a simple and robust manner is required. In 2002, the Mann Assessment of Swallowing Ability (MASA) was introduced to identify dysphagia in acute\u2010stage stroke patients. As the MASA enables easy screening, it might also be applicable to dependent older adults if appropriate MASA cut\u2010off values and the most useful assessment items could be determined. In the present study, we attempted to determine suitable MASA cut\u2010off values, and the most useful assessment items for predicting aspiration and pharyngeal retention in dependent older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the MASA, we evaluated the eating and swallowing functions of 50 dependent older adults with dysphagia. All of the patients also underwent videoendoscopic\u2010based swallowing evaluations to detect aspiration and pharyngeal retention. The participants' characteristics and the utility of each assessment item were compared between various groups. Using the patients' videoendoscopic findings as a reference, receiver operating characteristic curve analysis was carried out to determine appropriate cut\u2010off values for predicting aspiration and pharyngeal retention in dependent older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The optimal MASA cut\u2010off values for predicting aspiration and pharyngeal retention were 122 points and 151 points, respectively. A total of 17 of the 24 clinical items assessed by the MASA were found to be associated with aspiration in dependent older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The MASA is a useful screening tool for evaluating eating and swallowing functions in dependent older adults. <jats:bold>Geriatr Gerontol Int 2017; 17: 561\u2010567<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12755","type":"journal-article","created":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T02:57:25Z","timestamp":1463713045000},"page":"561-567","source":"Crossref","is-referenced-by-count":28,"title":["Evaluation of a dysphagia screening system based on the Mann Assessment of Swallowing Ability for use in dependent older adults"],"prefix":"10.1111","volume":"17","author":[{"given":"Mariko","family":"Ohira","sequence":"first","affiliation":[{"name":"Tokyo Dental College Department of Dysphagia Rehabilitation and Community Dental Care  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Ishida","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Dysphagia Rehabilitation and Community Dental Care  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinobu","family":"Maki","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Social Dentistry  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai","family":"Ohkubo","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Dysphagia Rehabilitation and Community Dental Care  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Dysphagia Rehabilitation and Community Dental Care  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaharu","family":"Sakayori","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Social Dentistry  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Sato","sequence":"additional","affiliation":[{"name":"Tokyo Dental College Department of Crown &amp; Bridge Prosthodontics Tokyo Dental College  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,16]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"209","article-title":"Swallowing problems in the elderly","volume":"3","author":"Nita S","year":"1988","journal-title":"Dysphagia"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493526"},{"key":"e_1_2_7_4_1","first-page":"220","article-title":"The present condition and problems about dentistry related assessment itemes in the materials of the committee for ceertification on need for longterm care","volume":"16","author":"Hada M","year":"2001","journal-title":"J J Gerodontorogy"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-199408030-00004"},{"key":"e_1_2_7_6_1","first-page":"45","article-title":"Mealtime difficulties in a home for the aged: not just dysphagia","volume":"15","author":"Steele CM","year":"1997","journal-title":"Dysphagia"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/gn.1999.v20.97011"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2013.02.014"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711601112"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-004-0013-6"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.63.4.456"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1992.00530360057018"},{"key":"e_1_2_7_13_1","first-page":"637","article-title":"Aspiration in rehabilitation patients: videofluoroscopy vs bedside clinical assessment","volume":"69","author":"Splaingard ML","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-002-0095-y"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/22.suppl_2.P17-c"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2490\/jjrm1963.37.383"},{"key":"e_1_2_7_17_1","volume-title":"Evaluation and Treatment of Swallowing Disorders","author":"Logemann J","year":"1983"},{"key":"e_1_2_7_18_1","volume-title":"Endoscopic Evaluation and Treatment of Swallowing Disorders","author":"Langmore SE","year":"2001"},{"key":"e_1_2_7_19_1","volume-title":"MASA: The Mann Assessment of Swallowing Ability","author":"Mann G","year":"2002"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000016094"},{"key":"e_1_2_7_21_1","first-page":"90","article-title":"Evaluation of neurogenic dysphagia in iraqi patients with acute stroke","volume":"15","author":"Hasan ZN","year":"2010","journal-title":"Neurosciences"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2011\/10-0082)"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.05.008"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_2_7_25_1","first-page":"189","article-title":"Mini\u2010mental state; practical method for grading the congnitive state for the clinician","volume":"14","author":"Folstein MF","year":"1975","journal-title":"J Psychiatr Res"},{"key":"e_1_2_7_26_1","first-page":"59","article-title":"The impediments distinction standard of Japanese mini\u2010mental state examination\u2010aino","volume":"14","author":"Koumi H","year":"2000","journal-title":"Ainogakuinkiou"},{"key":"e_1_2_7_27_1","first-page":"61","article-title":"Fuctional evaluation: the barthel index","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Md State Med J"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E"},{"key":"e_1_2_7_29_1","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1093\/clinchem\/38.8.1425","article-title":"ROC curve analysis: an example showing the relationships among serum lipid and apolipoprotein concentrations in identifying patients with coronary artery","volume":"38","author":"Zweig MH","year":"1992","journal-title":"Clin Chem"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199703000-00023"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400309"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01321780"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318123ee6a"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/50A.5.M257"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23852"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-005-9011-6"},{"key":"e_1_2_7_37_1","first-page":"239","article-title":"The relationship between tongue pressure and swallowing function in dysphagic patients","volume":"18","author":"Aoki Y","year":"2014","journal-title":"Jpn J Dysphagia Rehabil"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fggi.12755","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fggi.12755","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.12755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T17:05:05Z","timestamp":1695575105000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.12755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,16]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1111\/ggi.12755"],"URL":"https:\/\/doi.org\/10.1111\/ggi.12755","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,16]]}}}