{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:46:47Z","timestamp":1790790407042,"version":"4.1.0"},"reference-count":58,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Dysphagia is a common condition among older adults, associated with significant health risks. This prospective, open-label observational cohort study aimed to determine the prevalence of dysphagia and its impact on nutritional status and clinical outcomes in elderly residents of six long-term care facilities. Methods: Patients aged \u2265 65 years were screened using the 3 oz Water Swallow Test (WST); those with dysphagia were followed for 6 months. Nutritional status was evaluated with the Mini Nutritional Assessment short-form (MNA-SF), the Global Leadership Initiative on Malnutrition (GLIM), and the SARC-F questionnaire. Anthropometric and body composition measurements were also obtained. Results: Among 656 patients screened, 188 (28.6%) had dysphagia (median age 90 years; 89.9% females). Mild dysphagia was present in 34.0%, while 66.0% had moderate-to-severe dysphagia. At baseline, patients with moderate-to-severe dysphagia had significantly lower BMI (18.4 vs. 20.6 kg\/m2, p = 0.014), smaller calf circumference (24.0 vs. 28.0 cm, p = 0.005), and higher SARC-F score (8 vs. 7, p = 0.028). Bioimpedance analysis showed lower fat mass (6.7 vs. 12.9 kg, p &lt; 0.001) and fat mass% (14.7 vs. 25.4%, p &lt; 0.001), and higher FFM% (85.3 vs. 74.6%, p &lt; 0.001). At 6 months, BMI, calf circumference, handgrip strength, fat mass, and fat mass% resulted significantly lower in patients with moderate-to-severe dysphagia. A total of 23 participants (12.2%) died during follow-up, with a higher mortality rate in the moderate-to-severe group (HR 2.58, 95% CI 1.20\u20137.59, p = 0.044); aspiration pneumonia was the leading cause (21.7%). Conclusions: Dysphagia significantly affects nutritional status and survival in elderly residents of long-term care facilities. Early personalized nutritional intervention is pivotal to improve outcomes.<\/jats:p>","DOI":"10.3390\/nu17203268","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:29:17Z","timestamp":1760711357000},"page":"3268","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence of Dysphagia and Its Health Implications Among Elderly Residents in Long-Term Care Facilities in the Liguria Region (Italy): An Observational Cohort Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2585-4566","authenticated-orcid":false,"given":"Elena","family":"Formisano","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy"},{"name":"Dietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Di Cino","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Nicosia","sequence":"additional","affiliation":[{"name":"Department of Health and Social Services, Liguria Region Administration, Piazza della Vittoria 119, 16121 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1791-4506","authenticated-orcid":false,"given":"Andrea","family":"Pasta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianfranco","family":"Paccione","sequence":"additional","affiliation":[{"name":"Farmacy Department, Istituto Don Orione di Genova, 16143 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro Antioco","family":"Sukkar","sequence":"additional","affiliation":[{"name":"Facolt\u00e0 di Medicina e Chirurgia, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7080-9807","authenticated-orcid":false,"given":"Livia","family":"Pisciotta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy"},{"name":"Dietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-1547","authenticated-orcid":false,"given":"Samir Giuseppe","family":"Sukkar","sequence":"additional","affiliation":[{"name":"Dietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1002\/ueg2.70062","article-title":"Esophageal and Oropharyngeal Dysphagia: Clinical Recommendations from the United European Gastroenterology and European Society for Neurogastroenterology and Motility","volume":"5","author":"Mari","year":"2025","journal-title":"United Eur. Gastroenterol. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"189","DOI":"10.2147\/CIA.S97481","article-title":"Oropharyngeal Dysphagia in Older Persons\u2014From Pathophysiology to Adequate Intervention: A Review and Summary of an International Expert Meeting","volume":"11","author":"Wirth","year":"2016","journal-title":"Clin. Interv. Aging"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.2147\/CIA.S107750","article-title":"European Society for Swallowing Disorders\u2014European Union Geriatric Medicine Society White Paper: Oropharyngeal Dysphagia as a Geriatric Syndrome","volume":"11","author":"Baijens","year":"2016","journal-title":"Clin. Interv. Aging"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.mayocp.2020.08.001","article-title":"Dysphagia in Older Adults","volume":"96","author":"Thiyagalingam","year":"2021","journal-title":"Mayo Clin. Proc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.dld.2024.05.001","article-title":"Diagnostic Delay in Achalasia","volume":"56","author":"Pasta","year":"2024","journal-title":"Dig. Liver Dis."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.pmr.2008.06.001","article-title":"Anatomy and Physiology of Feeding and Swallowing\u2014Normal and Abnormal","volume":"19","author":"Matsuo","year":"2008","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.clnu.2022.01.024","article-title":"ESPEN Practical Guideline: Clinical Nutrition and Hydration in Geriatrics","volume":"41","author":"Volkert","year":"2022","journal-title":"Clin. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Furnari, M., Calabrese, F., Pasta, A., Marabotto, E., Barbera, L., Bodini, G., Savarino, E.V., Savarino, V., Zentilina, P., and Giannini, E.G. (2025). Eosinophilic Esophagitis Is the Leading Cause of Dysphagia in an Outpatient Setting. Eur. J. Gastroenterol. Hepatol.","DOI":"10.1097\/MEG.0000000000003048"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2643","DOI":"10.1111\/jgs.16137","article-title":"Swallowing Disorders in the Older Population","volume":"67","author":"Christmas","year":"2019","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2782","DOI":"10.1111\/jgs.19068","article-title":"Esophageal Motor Disorders across Ages: A Retrospective Multicentric Analysis","volume":"72","author":"Pasta","year":"2024","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1016\/j.dld.2025.04.044","article-title":"Esophageal Motility Disorders among Elderly Patients: An International Multicenter Study","volume":"57","author":"Visaggi","year":"2025","journal-title":"Dig. Liver Dis."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Shimamoto, K., Matsui, R., Nishiyama, Y., Nishino, K., and Ban, H. (2025). Impact of Severe Dysphagia on Overall Survival after Percutaneous Endoscopic Gastrostomy. Sci. Rep., 15.","DOI":"10.1038\/s41598-025-88097-y"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.jamda.2018.10.025","article-title":"Burden of Oral Symptoms and Its Associations with Nutrition, Well-Being, and Survival Among Nursing Home Residents","volume":"20","author":"Lindroos","year":"2019","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Doan, T.N., Ho, W.C., Wang, L.H., Chang, F.C., Nhu, N.T., and Chou, L.W. (2022). Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis. J. Clin. Med., 11.","DOI":"10.3390\/jcm11092605"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1007\/s00455-024-10682-6","article-title":"Prevalence of Dysphagia and Risk of Malnutrition in Elderly Living in Nursing Homes","volume":"39","author":"Engberg","year":"2024","journal-title":"Dysphagia"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Ueshima, J., Momosaki, R., Shimizu, A., Motokawa, K., Sonoi, M., Shirai, Y., Uno, C., Kokura, Y., Shimizu, M., and Nishiyama, A. (2021). Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review. Nutrients, 13.","DOI":"10.3390\/nu13030778"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Javorszky, S.M., Palli, C., Domkar, S., and Iglseder, B. (2024). Combined Systematic Screening for Malnutrition and Dysphagia in Hospitalized Older Adults: A Scoping Review. BMC Geriatr., 24.","DOI":"10.1186\/s12877-024-05070-6"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/S0140-6736(21)01451-3","article-title":"Management of Disease-Related Malnutrition for Patients Being Treated in Hospital","volume":"398","author":"Schuetz","year":"2021","journal-title":"Lancet"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Papadopoulou, S., Anagnostopouplou, A., Katsarou, D.V., Megari, K., Efthymiou, E., Argyriadis, A., Kougioumtzis, G., Theodoratou, M., Sofologi, M., and Argyriadi, A. (2024). Dysphagia in Rare Diseases and Syndromes: Current Approaches to Management and Therapeutic Innovations-A Systematic Review. Healthcare, 13.","DOI":"10.3390\/healthcare13010052"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1007\/s00455-021-10275-7","article-title":"Management of Dysphagia in Nursing Homes: A National Survey","volume":"37","author":"Engh","year":"2021","journal-title":"Dysphagia"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Roberts, H., Lambert, K., and Walton, K. (2024). The Prevalence of Dysphagia in Individuals Living in Residential Aged Care Facilities: A Systematic Review and Meta-Analysis. Healthcare, 12.","DOI":"10.3390\/healthcare12060649"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1159\/000520326","article-title":"Prevalence of Oropharyngeal Dysphagia and Risk of Pneumonia, Malnutrition, and Mortality in Adults Aged 60 Years and Older: A Meta-Analysis","volume":"68","author":"Banda","year":"2022","journal-title":"Gerontology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s00455-007-9127-y","article-title":"Clinical Utility of the 3-Ounce Water Swallow Test","volume":"23","author":"Suiter","year":"2008","journal-title":"Dysphagia"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1001\/archneur.1992.00530360057018","article-title":"Validation of the 3-Oz Water Swallow Test for Aspiration Following Stroke","volume":"49","author":"Depippo","year":"1992","journal-title":"Arch. Neurol."},{"key":"ref_25","first-page":"266","article-title":"Valutazione Della Disfagia: Percorsi Diagnostico-Terapeutico e Implicazioni Nutrizionali","volume":"7-3","author":"Sukkar","year":"2003","journal-title":"ADI Mag."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Dell\u2019Aquila, G., Peladic, N.J., Nunziata, V., Fedecostante, M., Salvi, F., Carrieri, B., Liperoti, R., Carf\u00ec, A., Eusebi, P., and Onder, G. (2022). Prevalence and Management of Dysphagia in Nursing Home Residents in Europe and Israel: The SHELTER Project. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-03402-y"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e40188","DOI":"10.1097\/MD.0000000000040188","article-title":"Prevalence of Swallowing Disorder among Older Adults in Nursing Homes: A Meta-Analysis","volume":"103","author":"Ran","year":"2024","journal-title":"Medicine"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Norman, K., Ha\u00df, U., and Pirlich, M. (2021). Malnutrition in Older Adults-Recent Advances and Remaining Challenges. Nutrients, 13.","DOI":"10.3390\/nu13082764"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Yoo, M.C., Won, C.W., and Soh, Y. (2022). Association of High Body Mass Index, Waist Circumference, and Body Fat Percentage with Sarcopenia in Older Women. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-03643-x"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jamda.2010.11.013","article-title":"Body Mass Index and Mortality in Institutionalized Elderly","volume":"12","author":"Cereda","year":"2011","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s40520-024-02694-x","article-title":"Calf Circumference as a Surrogate Indicator for Detecting Low Muscle Mass in Hospitalized Geriatric Patients","volume":"36","author":"Kiss","year":"2024","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.clnu.2013.07.013","article-title":"Calf Circumference, Frailty and Physical Performance among Older Adults Living in the Community","volume":"33","author":"Landi","year":"2014","journal-title":"Clin. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1007\/s41999-021-00603-3","article-title":"The Association between Low Calf Circumference and Mortality: A Systematic Review and Meta-Analysis","volume":"13","author":"Wei","year":"2022","journal-title":"Eur. Geriatr. Med."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Ikegami, T., Nishikawa, H., Goto, M., Matsui, M., Asai, A., Ushiro, K., Ogura, T., Takeuchi, T., Nakamura, S., and Kakimoto, K. (2022). The Relationship between the SARC-F Score and the Controlling Nutritional Status Score in Gastrointestinal Diseases. J. Clin. Med., 11.","DOI":"10.3390\/jcm11030582"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1016\/j.clnu.2004.09.012","article-title":"Bioelectrical Impedance Analysis\u2014Part II: Utilization in Clinical Practice","volume":"23","author":"Kyle","year":"2004","journal-title":"Clin. Nutr."},{"key":"ref_36","first-page":"1","article-title":"Use of Bioelectrical Impedance Analysis in Centenarians: A Systematic Review","volume":"35","author":"Veronese","year":"2023","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1038\/sj.ejcn.1601625","article-title":"Body Composition Estimated by Bioelectrical Impedance in the Swedish Elderly. Development of Population-Based Prediction Equation and Reference Values of Fat-Free Mass and Body Fat for 70- and 75-y Olds","volume":"57","author":"Dey","year":"2003","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"21501319231158280","DOI":"10.1177\/21501319231158280","article-title":"Effect of Dysphagia on the Older Adults\u2019 Nutritional Status and Meal Pattern","volume":"14","author":"Saleedaeng","year":"2023","journal-title":"J. Prim. Care Community Health"},{"key":"ref_39","first-page":"1290","article-title":"Decreased Skeletal Muscle Mass and Risk Factors of Sarcopenic Dysphagia: A Prospective Observational Cohort Study","volume":"72","author":"Maeda","year":"2017","journal-title":"J. Gerontol. Ser. A Biomed. Sci. Med. Sci."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Shimizu, A., Fujishima, I., Maeda, K., Wakabayashi, H., Nishioka, S., Ohno, T., Nomoto, A., Kayashita, J., and Mori, N. (2021). Nutritional Management Enhances the Recovery of Swallowing Ability in Older Patients with Sarcopenic Dysphagia. Nutrients, 13.","DOI":"10.3390\/nu13020596"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1002\/hed.21819","article-title":"Association between Severity of Dysphagia and Survival in Patients with Head and Neck Cancer","volume":"34","author":"Shune","year":"2012","journal-title":"Head Neck"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1720.e11","DOI":"10.1016\/j.jamda.2022.06.016","article-title":"Sarcopenic Dysphagia Is Associated with Mortality in Institutionalized Older Adults","volume":"23","year":"2022","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00455-024-10774-3","article-title":"Sarcopenia, Dysphagia, and Frailty in Community-Dwelling Older Adults: An Analysis of Mediation and Moderated Mediation Models","volume":"40","author":"Celik","year":"2024","journal-title":"Dysphagia"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"337","DOI":"10.5535\/arm.23101","article-title":"Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update","volume":"47","author":"Kakehi","year":"2023","journal-title":"Ann. Rehabil. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1007\/s00455-022-10412-w","article-title":"Mortality from Aspiration Pneumonia: Incidence, Trends, and Risk Factors","volume":"37","author":"Gupte","year":"2022","journal-title":"Dysphagia"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1007\/s00455-002-0072-5","article-title":"Predictors of Aspiration Pneumonia in Nursing Home Residents","volume":"17","author":"Langmore","year":"2002","journal-title":"Dysphagia"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1016\/j.jamda.2022.07.009","article-title":"Nutritional Management in Adult Patients with Dysphagia: Position Paper from Japanese Working Group on Integrated Nutrition for Dysphagic People","volume":"23","author":"Ueshima","year":"2022","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"100486","DOI":"10.1016\/j.jnha.2025.100486","article-title":"Effectiveness of Diet Modification on Dietary Nutrient Intake, Aspiration, and Fluid Intake for Adults with Dysphagia: A Meta-Analysis of Randomized Controlled Trials","volume":"29","author":"Chu","year":"2025","journal-title":"J. Nutr. Health Aging"},{"key":"ref_49","first-page":"86","article-title":"Dietary Protein Recommendations and the Prevention of Sarcopenia: Protein, Amino Acid Metabolism and Therapy","volume":"12","author":"Rasmussen","year":"2009","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_50","first-page":"2752","article-title":"The Management of Sarcopenic Dysphagia: A Multidisciplinary Approach Leveraging Emerging Technologies","volume":"16","author":"Deng","year":"2024","journal-title":"Aging Dis."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.dld.2024.08.049","article-title":"Distribution of Esophageal Inflammation in Patients with Eosinophilic Esophagitis and Its Impact on Diagnosis and Outcome","volume":"57","author":"Sorge","year":"2025","journal-title":"Dig. Liver Dis."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e14929","DOI":"10.1111\/nmo.14929","article-title":"Effect of Hiatal Hernia and Esophagogastric Junction Morphology on Esophageal Motility: Evidence from High-Resolution Manometry Studies","volume":"36","author":"Kayali","year":"2024","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.imlet.2023.106834","article-title":"Expression of Epidermal Growth Factor Receptor (EGFR) in Systemic Sclerosis Patients (SSc) and Gastro-Oesophageal Reflux Disease (GORD)","volume":"265","author":"Pasta","year":"2024","journal-title":"Immunol. Lett."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"367","DOI":"10.2147\/ITT.S276869","article-title":"Optimal Assessment, Treatment, and Monitoring of Adults with Eosinophilic Esophagitis: Strategies to Improve Outcomes","volume":"13","author":"Visaggi","year":"2024","journal-title":"Immunotargets Ther."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Pasta, A., Calabrese, F., Furnari, M., Savarino, E.V., Visaggi, P., Bodini, G., Formisano, E., Zentilin, P., Giannini, E.G., and Marabotto, E. (2025). Endoscopic Management of Eosinophilic Esophagitis: A Narrative Review on Diagnosis and Treatment. J. Clin. Med., 14.","DOI":"10.3390\/jcm14113756"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00455-016-9758-y","article-title":"Development of International Terminology and Definitions for Texture-Modified Foods and Thickened Fluids Used in Dysphagia Management: The IDDSI Framework","volume":"32","author":"Cichero","year":"2017","journal-title":"Dysphagia"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"111048","DOI":"10.1016\/j.nut.2020.111048","article-title":"Nutritional Therapy for Patients with Coronavirus Disease 2019 (COVID-19): Practical Protocol from a Single Center Highly Affected by an Outbreak of the Novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection","volume":"82","author":"Formisano","year":"2020","journal-title":"Nutrition"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2980","DOI":"10.1016\/j.clnu.2021.06.020","article-title":"Nutritional Parameters Associated with Prognosis in Non-Critically Ill Hospitalized COVID-19 Patients: The NUTRI-COVID19 Study","volume":"41","author":"Caccialanza","year":"2021","journal-title":"Clin. Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/20\/3268\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T04:30:35Z","timestamp":1761021035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/20\/3268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":58,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["nu17203268"],"URL":"https:\/\/doi.org\/10.3390\/nu17203268","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]}}}