Perceived swallowing problems and mortality risk in very elderly people ≥85 years old: Results of the Tokyo Oldest Old Survey on Total Health study

Objetivo: Avaliou-se a autopercepção das condições de saúde bucal de um grupo de idosos por meio da aplicação do índice General Oral Health Assessment Index (Gohai). Métodos: Participaram do estudo 136 idosos, frequentadores do Centro de Revitalização da Terceira Idade (Certi), onde aplicou-se um questionário com questões do índice Gohai sobre a autopercepção das condições bucais. Realizou-se análise descritiva do resultado de cada uma das perguntas. Resultados: Dos idosos entrevistados, 78,7% responderam sempre sentir dor ou desconforto ao deglutir; 55,1% relataram desconforto em comer algum alimento, e 66,9% relataram insatisfação com a aparência da sua boca. A média global do índice Gohai quando aplicada à escala de interpretação foi de 28,88, classificada com uma percepção de saúde bucal “ruim” sobre a qualidade de vida. Conclusão: Os idosos avaliaram negativamente suas condições bucais pelo desconforto em comer, dificuldade/dor para deglutir e insatisfação com sua condição bucal.

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Validation of the 15-item Brief Inventory of Swallowing Ability (BISA-15) for Older Adults Based on a Rasch Analysis

Kim¹,

Kim²

2020

Commun Sci Disord

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Objectives: Aging-related changes in swallowing functions have rapidly become prevalent among the elderly. Self-reported questionnaires are often conducted to observe how people perceive their swallowing functions, and to report the swallowing-associated qualityof-life. This study was conducted to demonstrate the use of Rasch analysis for validating the pre-developed self-reported questionnaire to assess swallowing functions for community-dwelling older adults. Methods: A total of 479 older adults (men= 238, mean age± SD= 75.6 ± 7.17 years) were enrolled. Twenty-six items with respect to swallowing functions were completed by the participants. Each item investigated symptom frequency or severity on a 5-point Likert scale. A Rasch analysis using the WINSTEP ® program was undertaken to establish validity and reliability of the questionnaire. Results: From the item fit statistics analysis, 11 out of 26 items were shown to be misfits to the model. Thus, the 15-item Brief Inventory of Swallowing Ability (BISA-15) was derived and demonstrated a unidimensional scale based on the dimensionality and item fit statistics. The overall item reliability was excellent. The person reliability was lower than the required threshold. The rating scales needed to collapse into three categories both in frequency and severity (i.e., never, sometimes/moderate, often/severe). Conclusion: The BISA-15 can be utilized to detect degree of aberrations in swallowing that transit from normal to subclinical stage in older adults. Future studies are warranted to further clarify the utility of the BISA-15 in a wide range of age in the elderly as well as in the various clinical populations.

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Perceived swallowing problems and mortality risk in very elderly people ≥85 years old: Results of the Tokyo Oldest Old Survey on Total Health study

Abstract: Perceived swallowing disorders should be verified by a clinical examination, as they are associated with other health outcomes and increased all-cause mortality.

Cited by 4 publications

References 27 publications

Changes in etiology and severity of dysphagia with aging

Changes in etiology and severity of dysphagia with aging

Autopercepção da saúde bucal de idosos

Validation of the 15-item Brief Inventory of Swallowing Ability (BISA-15) for Older Adults Based on a Rasch Analysis

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