Presbyphagia Versus Dysphagia: Identifying Age-Related Changes in Swallow Function

McCoy, Yvette; Desai, Rinki Varindani

doi:10.1044/persp3.sig15.15

Cited by 21 publications

(23 citation statements)

References 31 publications

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“…These specific changes can result in decreases in range of motion, generation of pressure, and speed of movements. [13][14][15][16] In the oral cavity, older adults often develop an impaired sense of smell or taste 16,18 due to changes in dentition, oral hygiene, and salivary flow. In addition, there is reduced muscle mass and contraction, which leads to poor strength and function of the tongue, lips, velum, and jaw.…”

Section: Aging and Swallowingmentioning

confidence: 99%

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Dysphagia in Older Adults

Thiyagalingam

Kulinski

Thorsteinsdottir

et al. 2021

Mayo Clinic Proceedings

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Dysphagia, which is a geriatric syndrome affecting 10% to 33% of older adults, is commonly seen in older adults who have experienced a stroke or neurodegenerative diseases such as Alzheimer or Parkinson disease. Patients diagnosed as having dysphagia can experience malnutrition, pneumonia, and dehydration. Patients can also experience increased rates of mortality and long-term care admission. Providers can identify the specific type of dysphagia for treatment in approximately 80% of patients by asking 5 questions in the patient's history: What happens when you try to swallow? Do you have trouble chewing? Do you have difficulty swallowing solids, liquids, or both? Describe the symptom onset, duration, and frequency? What are the associated symptoms? Providers can then request a videofluoroscopic swallow study or a fiberoptic endoscopic evaluation of swallowing for further evaluation of oropharyngeal dysphagia. If providers are diagnosing esophageal dysphagia, barium esophagraphy or esophagogastroduodenoscopy (EGD) can be used as part of the assessment. Patients can be treated for oropharyngeal dysphagia by using compensatory interventions, including behavioral changes, oral care, dietary modification, or rehabilitative interventions such as exercises and therapeutic oral trials. Providers often address treatment of esophageal dysphagia by managing the underlying etiology, which could include removal of caustic medications or using EGD as a therapeutic modality for esophageal rings. High-quality, large research studies are necessary to further manage the diagnosis and appropriate treatment of this growing geriatric syndrome.

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Section: Aging and Swallowingmentioning

confidence: 99%

“…16 In older adults, presbyphagia may also lead to dysphagia when a stressor occurs, such as delirium, dementia, an adverse effect of a medication, or a hospitalization. 13,[16][17][18] See Figure for a summary. commonly classified together as oropharyngeal in clinical practice).…”

Section: Aging and Swallowingmentioning

confidence: 99%

Dysphagia in Older Adults

Thiyagalingam

Kulinski

Thorsteinsdottir

et al. 2021

Mayo Clinic Proceedings

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“…The secondary causes of dysphagia complicate this situation. 10 , 14 ) The most feared complication of dysphagia is aspiration, pneumonia, and the associated 30%–50% increase in mortality. 14 , 41 , 42 ) Therefore, it is important to be aware of the dysphagia-related risk factors that may complicate presbyphagia.…”

Section: Discussionmentioning

confidence: 99%

“…All stages of swallowing are affected. 5 - 10 ) The changes observed in presbyphagia include reduced bolus control, preparation, and transport; delayed swallow triggering and initiation; delayed opening of the upper and lower esophageal sphincters (UOS and LOS, respectively); and decreased esophageal peristalsis and dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H

Umay

Eyigör

Bahat

et al. 2022

Ann Geriatr Med Res

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Background: Dysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice. Methods: A multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities.Results: Based on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people. Conclusion: This consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.

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“…This is known as presbyphagia. 7 In turn, the subtle changes associated with presbyphagia can lead to intermittent impaired deglutition. Especially in elderly patients, one must recognize that impaired deglutition remains a hidden threat that can lead to a complication while swallowing the capsule device.…”

Section: Case Reportmentioning

confidence: 99%