Functional prognosis in patients with sarcopenic dysphagia: An observational cohort study from the Japanese sarcopenic dysphagia database

Abstract

Aim In sarcopenic dysphagia, confirmation of recovery of the swallowing function and activity of daily living is insufficient. The aim of this study was to examine differences in the recovery of the swallowing function and activities of daily living between sarcopenic dysphagia patients and non‐sarcopenic dysphagia patients. Methods The registry data of the Japanese Sarcopenic Dysphagia Database were used for the analysis; 440 patients met the eligibility criteria of the study. Dysphagia was evaluated according to the Food Intake Level Scale and a five‐step diagnostic algorithm for the disorder. Patients were divided into two groups according to the presence or absence of sarcopenic dysphagia. Results Sarcopenic dysphagia was found in 268 cases (60.9%). The rate of improvement in the Food Intake Level Scale was 47.4% in sarcopenic dysphagia patients and 62.2% in non‐sarcopenic dysphagia patients. The rate of improvement in the Food Intake Level Scale was lower in the sarcopenic dysphagia patients (P = 0.008). A multiple regression analysis showed that the presence of sarcopenic dysphagia had a significant influence on changes in the Food Intake Level Scale and Barthel Index (β = −0.191, 95% confidence interval, −1.484 to −0.530, P < 0.001, β = 0.112, 95% confidence interval, 0.587 to 10.450, P = 0.028). Conclusion Improvement in the swallowing function was poor in patients with sarcopenic dysphagia. Sarcopenic dysphagia should be examined to improve swallowing function. Geriatr Gerontol Int 2022; 22: 839–845.

Sarcopenic dysphagia and aspiration pneumonia in older people

“…We read a recently published article by Nagai et al with great interest. 1 The poor functional recovery of patients with sarcopenic dysphagia reported in their study is consistent with our day-to-day clinical experience. While acknowledging the clinical significance of Nagai et al 0 s study, we propose that aspiration pneumonia should also be considered as a factor underlying poor functional recovery in patients with sarcopenic dysphagia.…”

“…Dear Editor, The recent article of Sekiguchi et al 1 investigating the association between protein intake and the protection of renal function, including in very old people with chronic kidney disease in Japan, was of great interest. The findings are important because a highprotein diet might be effective in maintaining renal function.…”

Sensitivity and Specificity of Body Mass Index for Sarcopenic Dysphagia Diagnosis among Patients with Dysphagia: A Multi-Center Cross-Sectional Study

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