Association between Skeletal Muscle Strength and Dysphagia among Chinese Community-Dwelling Elderly Adults

Zhang, Huafang; Guo, Fanjia; Tang, Mengling; Dai, Hang; Sheng, Jian Zhong; Chen, L.; Liu, S.; Wang, J.; Shi, Yajun; Ye, C.; Hou, Gui-Min; Wu, Xinyin; Jin, Xiaorong; Chen, Kun

doi:10.1007/s12603-020-1379-3

Cited by 16 publications

(22 citation statements)

References 43 publications

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“…Thirty-four used only one method to estimate SI frequency: three used objective instrumental assessments [4,33,34], seven water and saliva test [22-24, 37, 39, 43], seventeen a screening instrument [18-20, 25, 29, 30, 36, 40, 41, 45-47, 49-51, 54], and seven self-perception [3,16,21,26,38,42,48]. Seven studies presented the estimated frequency of SI by more than one assessment method: one presented by all subtypes [17], two by objective assessment, water test, and a screening instrument [28,37], and four presented by water test and a screening instrument [27,32,44,53]. The lowest estimated frequency of SI was found by Zhang H. et al 2020 [44], 5.5% assessed by Eating Assessment Tool (EAT-10), followed by Mulheren et al 2018 [28], 6.4%, assessed by videofluoroscopy and Penetration/Aspiration Scale in the USA.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies presented the estimated frequency of SI by more than one assessment method: one presented by all subtypes [17], two by objective assessment, water test, and a screening instrument [28,37], and four presented by water test and a screening instrument [27,32,44,53]. The lowest estimated frequency of SI was found by Zhang H. et al 2020 [44], 5.5% assessed by Eating Assessment Tool (EAT-10), followed by Mulheren et al 2018 [28], 6.4%, assessed by videofluoroscopy and Penetration/Aspiration Scale in the USA. The highest frequency of SI (63.7%) was estimated by Bahat et al 2019 [25], that used the EAT-10 screening instrument in Turkey, followed by Hida et al 2020 [39] that used the 30-mL Water Swallow (50.4%).…”

Section: Resultsmentioning

confidence: 99%

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Frequency and associated factors for swallowing impairment in community-dwelling older persons: a systematic review and meta-analysis

et al. 2022

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Introduction Swallowing impairment (SI) is an underdiagnosed dysfunction frequently seen as an expected condition of aging. However, SI can lead to health complications and considerable social impact. Methods The objective of this systematic review with meta-analysis was to evaluate the frequency and associated factors with SI in community-dwelling older persons. Searches were performed in 13 electronic databases including MEDLINE and EMBASE (from inception to September 18, 2021). Data extraction and methodological quality assessment of included studies were performed by two independent reviewers. Meta-analysis of proportions with 95% confidence interval (CI) and prediction interval (PI) was used to pool estimates. Subgroup analysis by Country and Assessment Method was performed. General meta-analysis was used to pool measures of association between potential risk factors and SI occurrence (odds ratio [OR] or prevalence ratio [PR]). ResultsThe worldwide estimated frequency of SI in community-dwelling older persons was 20.35% (95%CI 16.61-24.68%, 95%PI 4.79-56.45, I 2 99%, n = 33,291). This estimation varied across assessment methods and by country. The main factors associated with SI were a dry mouth (OR 8.1, 95%CI 4.9-13.4), oral diadochokinesis (OR 5.3, 95%CI 1.0-27.3), ≥ 80 years old (OR 4.9, 95%CI 2.6-9.2), genetic factor (SNPrs17601696) (OR 4.8,, and partial dependence (OR 4.3, 95%CI 2.0-9.3). And the main factors associated with SI estimated by PR were dry mouth sensation (PR 4.1, 95%CI 2.6-6.5), oral sensorimotor alteration (PR 2.6, 95%CI 1.4-4.9), osteoporosis (PR 2.51, 95%CI 1.2-5.3), and heart diseases (PR 2.31, 95%CI 1.1-5.0). Conclusion One in five older adults worldwide are expected to experience SI and factors associated with this underdiagnosed dysfunction included biological and physiological changes related to aging, physical and psychological conditions, and poor oral health. Early assessment is paramount for the prevention of future clinical complications and should be a high priority in health care practices.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Frequency and associated factors for swallowing impairment in community-dwelling older persons: a systematic review and meta-analysis

et al. 2022

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“…Muchos estudios han encontrado asociación o correlación entre la disfagia y otro tipo de patologías, estados clínicos del paciente o síndromes: enfermedades neurológicas [8,17,28], malnutrición [8-11, 14, 24, 31], disfonía [22], neumonía [23,25,26], afectación en las actividades de la vida diaria [9,15,18,26,28], uso de psicofármacos [27], mala condición bucal [19,30], reducción de la fuerza muscular [10,33], anorexia nerviosa [34], demencia [14] y reflujo gastroesofágico [16]. Como se puede observar, el punto de vista desde el que se abordan los estudios de la disfagia es muy heterogéneo, apareciendo esta como consecuencia o como causa de diferentes patologías o estados clínicos de los pacientes.…”

Section: Discussionunclassified

“…Varios estudios determinaron una relación directa entre la prevalencia de la disfagia y una edad avanzada en los pacientes, clasificando esta como un síndrome geriátrico y remarcando una especial relevancia en la prevención y el tratamiento de la disfagia en pacientes ancianos [7,8,14,18,23,32,33].…”

Section: Discussionunclassified

Prevalencia de la disfagia orofaríngea en pacientes adultos. Revisión sistemática y metanálisis

Calles-Sánchez

Pardal-Refoyo

2023

ORL

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Introducción y objetivo: La disfagia orofaríngea es un síntoma clínico de alta prevalencia, caracterizado por la dificultad en la deglución, que presenta diversos factores etiológicos. Su tratamiento se realiza de manera multidisciplinar, incluyendo diversos profesionales de ciencias de la salud. El objetivo es conocer la prevalencia de la disfagia orofaríngea en pacientes adultos. Método: Se realizó una búsqueda bibliográfica de estudios relativos a la prevalencia de disfagia orofaríngea en pacientes adultos. El cribado y la selección de estudios se realizó a través del método Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Se realizó un análisis estadístico de las variables consideradas relevantes para el estudio. Resultados: Un total de 29 estudios fueron seleccionados. La prevalencia total de la disfagia se presentó con una probabilidad de p = 0.39, en un intervalo de confianza de (IC 95% 0.303 – 0.476). Discusión: Existe asociación o correlación entre la disfagia y diversos estados clínicos o patologías del paciente. Se ha encontrado una relación directa entre la prevalencia de la disfagia y una edad avanzada. Conclusiones: La disfagia orofaríngea se presentó con una alta prevalencia según los estudios seleccionados. Las enfermedades neurológicas, la malnutrición y la neumonía fueron los principales estados comórbidos en los pacientes con disfagia. La función de enfermería permanece prácticamente ausente en los estudios seleccionados.

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“…In a geriatric Korean community, 33.7% of the population reported symptoms of dysphagia ( 9 ). The prevalence of dysphagia is 5.5–12.9% in the elderly in Chinese communities ( 10 ), rising to 31.1% in the institutionalized elderly ( 11 ). According to one epidemiological survey of 5,943 patients, 2,341 patients (39.4%) had dysphagia, including 51.14% of stroke patients, 34.4% of patients with head and neck cancer, 48.3% of patients with nervous degenerative diseases, and 19.2% of healthy elderly people ( 12 ).…”

Section: Current Epidemiology and Hazards Of Dysphagiamentioning

confidence: 99%

Research progress in the risk factors and screening assessment of dysphagia in the elderly

Chen

Xing

et al. 2022

Front. Med.

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With the aging of the population, the incidence of dysphagia has gradually increased and become a major clinical and public health issue. Early screening of dysphagia in high-risk populations is crucial to identify the risk factors of dysphagia and carry out effective interventions and health management in advance. In this study, the current epidemiology, hazards, risk factors, preventive, and therapeutic measures of dysphagia were comprehensively reviewed, and a literature review of screening instruments commonly used globally was conducted, focusing on their intended populations, main indicators, descriptions, and characteristics. According to analysis and research in the current study, previous studies of dysphagia were predominantly conducted in inpatients, and there are few investigations and screenings on the incidence and influencing factors of dysphagia in the community-dwelling elderly and of dysphagia developing in the natural aging process. Moreover, there are no unified, simple, economical, practical, safe, and easy-to-administer screening tools and evaluation standards for dysphagia in the elderly. It is imperative to focus on dysphagia in the community-dwelling elderly, develop unified screening and assessment tools, and establish an early warning model of risks and a dietary structure model for dysphagia in the community-dwelling elderly.

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Association between Skeletal Muscle Strength and Dysphagia among Chinese Community-Dwelling Elderly Adults

Cited by 16 publications

References 43 publications

Frequency and associated factors for swallowing impairment in community-dwelling older persons: a systematic review and meta-analysis

Frequency and associated factors for swallowing impairment in community-dwelling older persons: a systematic review and meta-analysis

Prevalencia de la disfagia orofaríngea en pacientes adultos. Revisión sistemática y metanálisis

Research progress in the risk factors and screening assessment of dysphagia in the elderly

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