Dysphagia, Dementia and Frailty

Payne, Michelle A.; Morley, John E.

doi:10.1007/s12603-018-1033-5

Cited by 56 publications

(46 citation statements)

References 80 publications

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“…Moreover, Richardson et al suggested that the use of anticholinergics is strongly associated with the development of dementia [38], and Sura et al indicated that one out of five elderly patients with dementia are prescribed with anticholinergics [39]. Furthermore, decline in cognitive function decreases the abilities of feeding and swallowing due to a decrease in cognition of food and lack of oral movement associated with food intake [40]. Indeed, in this study, the prevalence of low HDS-R (i.e.…”

Section: Discussionmentioning

confidence: 99%

The associations of the number of medications and the use of anticholinergics with recovery from tubal feeding: a longitudinal hospital-based study

et al. 2020

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Background Several medications, such as anticholinergics, are considered to affect the swallowing function adversely; however, whether or not anticholinergics or polypharmacy should be avoided to prevent eating dysfunction in elderly populations remains unclear. We therefore examined whether or not the number of medications or the use of anticholinergics was associated with recovery from tubal feeding in elderly inpatients. Methods We conducted a retrospective 1-year observation study in 95 Japanese hospitalized patients (83.3 ± 9.7 years old) receiving nutrition through a feeding tube. The anticholinergic cognitive burden scale (ACBs) was used as an index for quantifying the anticholinergic action. Results Thirty-six (37.9%) subjects recovered from tubal to oral feeding during the observation period. The logistic regression models showed that an increased number of prescribed medications and an increase in ACBs decreased the incidence of recovery from tubal feeding (odds ratio [95% confidence interval]: 0.66 [0.50–0.87], P = 0.003 and 0.52 [0.29–0.92], P = 0.024, respectively). Furthermore, the cumulative incidence of recovery from tubal feeding was significantly lower in the subjects who were given an additional ≥3 medications during the observation period than in those who were not (hazard ratio [95% confidence interval]: 0.08 [0.01–0.59], P = 0.014). Conclusions The findings of this study suggest that an increased exposure to medications, especially anticholinergics, may be an important factor interfering with recovery from tubal feeding in hospitalized elderly patients.

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Section: Discussionmentioning

confidence: 99%

The associations of the number of medications and the use of anticholinergics with recovery from tubal feeding: a longitudinal hospital-based study

et al. 2020

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“…Finally, in the systematic review published in 2018, it was reported that whole-body sarcopenia and dysphagia are significantly associated (ORs, 4.06; 95% CI, 2.27-7.29) (39). Though, the question of which one is the cause remains, it may be suggested that the dysphagia screening-assessment should be performed in patients with frailty and sarcopenia (40). We could not show an association among dysphagia risk evaluated by EAT-10 and sarcopenia defined by EWGSOP2 criteria and regional thresholds for SMMI (BMI).…”

Section: Discussionmentioning

confidence: 99%

Self Reported Dysphagia is not Associated with Sarcopenia Defined by the Revised EWGSOP2 Criteria and Regional Thresholds at the Hospital Among Ambulatory Older Patients

Savaş

Yılmaz

2019

Mater Sociomed

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Introduction: Dysphagia and sarcopenia are geriatric syndromes, and they are shown to be related. There is no study on dysphagia and sarcopenia with the revised European Working Group on Sarcopenia in Older People (EWGSOP)2 criteria. Aim: We aimed to evaluate dysphagia and sarcopenia with the revised criteria implementing regional thresholds for skeletal muscle mass (SMM) in hospitalized older patients. Methods: Ambulatory patients ≥60 years of age from the Internal Medicine Department of our hospital were taken into the study. Grip strength, SMM via bioelectrical impedance analysis, nutritional status, dysphagia screening with Eating Assessment Tool-10, prior hospitalizations and diet were evaluated. Sarcopenia was defined by EWGSOP2 criteria using regional SMM thresholds adjusted to body mass index (BMI) (SMMI (BMI)). Results: Out of 112, 61 patients were enrolled. Sarcopenia, nutritional risk, and dysphagia were shown in 36.1%, 88.5%, and 14.8% of the patients. The risk of dysphagia was not associated with sarcopenia (p=0.263). Hospitalizations (≥1) in one year with pneumonia, modified diet, malnutrition, and low SMMI (BMI) were more common in patients with dysphagia risk than in the patients without (p=0.001, p<0.01, p=0.011, p=0.008, respectively). The median age and BMI were higher where SMMI (BMI) was lower in the group with dysphagia risk than in the group without (p=0.016, p=0.034, p=0.032), respectively. Conclusion: We found that self-reported dysphagia was not associated with sarcopenia defined by the EWGSOP2 criteria in ambulatory hospitalized patients over 60 years of age. Further studies using revised criteria, different adjustments and thresholds are needed to reveal possible differences.

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“…Older adults may also experience dysphagia or difficulty swallowing foods that affect 7% to 10% of people over 50 years of age (Sura, Madhavan, Carnaby, & Crary, 2012). For older adults with dysphagia, the main recommendation is to modify texture (foams, soaking foods, or thickened ice), temperature, volume, or viscosity (Cichero, 2018;Payne & Morley, 2018). Other changes include degenerative changes of the mucous membrane, secretory glands, and muscle tissue of the digestive tract (Granic et al, 2018;Rémond et al, 2015).…”

Section: Aging-related Physiological Changes That Might Affect Functimentioning

confidence: 99%

Recent progress in the use of functional foods for older adults: A narrative review

Jędrusek‐Golińska

Górecka

Buchowski

et al. 2020

Comp Rev Food Sci Food Safe

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The number and proportion of older adults are increasing globally, and it is predicted that in 2020, there will be 723 million people worldwide aged 66 and older. In recent decades, numerous studies showed that healthy eating is positively associated with better nutritional status and quality of life, and the decreased incidence of noncommunicable diseases. As older adults become health conscious, the demand for foods and beverages rich in nutrients and bioactive compounds has increased. The increased demand for healthy food stimulated a recent rapid increase in designing, producing, and marketing functional foods to prevent or correct nutrient deficiencies and to improve the nutritional status of older adults. These functional products contain and/or are enriched with dietary fiber; omega‐3 polyunsaturated fatty acids; phytoestrogens; polyphenols; carotenoids such as alpha‐ and beta‐carotene; lutein and zeaxanthin; pre‐, pro‐, and synbiotics; and plant sterols and stanols. A limited number of publications have thoroughly addressed the effect of functional foods on the nutritional status of older adults. The goal of this review was to review existing recent research on the role of functional foods in healthy and active aging.

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Dysphagia, Dementia and Frailty

Cited by 56 publications

References 80 publications

The associations of the number of medications and the use of anticholinergics with recovery from tubal feeding: a longitudinal hospital-based study

The associations of the number of medications and the use of anticholinergics with recovery from tubal feeding: a longitudinal hospital-based study

Self Reported Dysphagia is not Associated with Sarcopenia Defined by the Revised EWGSOP2 Criteria and Regional Thresholds at the Hospital Among Ambulatory Older Patients

Recent progress in the use of functional foods for older adults: A narrative review

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