Screening of dysphagia by DYMUS (Dysphagia in multiple sclerosis) and SWALQoL (Swallowing quality of life) surveys in patients with multiple sclerosis

Tahir, Emel; Kavaz, Esra; Özgür, Kemal; Şen, Sedat; Terzı, Murat

doi:10.1016/j.msard.2020.102397

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…It’s superior to other screening tests because it evaluates the effect of swallowing difficulty on quality of life. The effect of dysphagia on quality of life was evaluated in many disorders that cause dysphagia like stroke [ 37 ], idiopathic Parkinson’s Disease [ 38 ], and other neurodegenerative disorders like multiple sclerosis [ 39 ]. However, to the best of our knowledge, our study is new and unique in this manner examining the impact of dysphagia on the quality of life in patients with AD.…”

Section: Discussionmentioning

confidence: 99%

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer’s disease

et al. 2023

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Introduction Physical phenotype and the cumulative deficit model are two well-known concepts of frailty. One of the main components of frailty is loss of muscle mass and function, which may also include swallowing muscles, therefore is a risk factor for dysphagia. Since dysphagia is seen starting from the early stages of Alzheimer’s Disease (AD), in this study we aimed to reveal the relationship between frailty and dysphagia and dysphagia-related quality of life through Swallow Quality of Life (SwalQoL) tool in patients with AD and compare them with cognitively intact older adults. Methods Comprehensive geriatric assessment, dysphagia evaluation by Eating-Assessment Tool (EAT-10) and SwalQoL questionnaire, and frailty assessment via FRAIL and Clinical Frailty Scale (CFS) were performed on all 101 participants of the study. Thirty-five patients were cognitively intact, 36 patients were diagnosed with mild AD, and 30 patients were diagnosed with moderate AD. Results Sex distribution was similar between the groups, however, there was a statistically significant age difference. The prevalence of frailty increased according to both frailty indexes as the cognitive status deteriorated. All parameters of SwalQoL except fear and sleep parameters deteriorated as cognitive status impaired. In quantile regression of the total score of the SwalQoL questionnaire and multivariable logistic regression of EAT-10, frailty, as defined by CFS and FRAIL, was associated with dysphagia and poor quality of life regardless of age, presence of dementia, as well as nutritional status. Conclusion Swallowing difficulties in AD negatively affects the quality of life, and it is closely related to frailty in mild-to-moderate AD.

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Section: Discussionmentioning

confidence: 99%

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer’s disease

et al. 2023

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“…Hinzu komme bei etwa einem Drittel der Betroffenen eine deutlich verlangsamte Essgeschwindigkeit. Ähnliche Ergebnisse können Thahir und Kolleg*innen feststellen 39 , die ebenfalls mit dem SWALQOL-Fragebogen vor der Unterschätzung der psychosozialen Gesundheit bei Dysphagien warnen. Sadeghi et al können mit ihrer Auswertung (n=100) nachweisen, dass Symptome von Depressionen, Angststörungen, Emotionsregulationsstörungen, Stress und Fehlen von Stressregulationsmechanismen bei Menschen mit MS und einer Dysphagie häufiger vorkommen als bei Patient*innen mit MS und ohne Dysphagie 40 .…”

Section: Prävalenz Symptome Und Verlaufunclassified

“…Hinzu komme bei etwa einem Drittel der Betroffenen eine deutlich verlangsamte Essgeschwindigkeit. Ähnliche Ergebnisse können Thahir und Kolleg*innen feststellen[39], die ebenfalls gen, den DYMUS "for the assessment of dysphagia in multiple sclerosis", für das Englische und Italienische (und mittlerweile für viele andere Sprachen ebenfalls[43][44][45][46][47][48][49][50] validiert; siehe Kasten "DYMUS"). Dieser10-Punkte-Fragebogen ist in 2 Bereiche zur Bewertung von fester und flüssiger Nahrung aufgeteilt.…”

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Häufiger als gedacht – ein Update zu Dysphagie bei Multipler Sklerose

Eckardt,

Ulrike Vay,

Warnke

et al. 2024

neuroreha

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In Deutschland sind schätzungsweise mehr als 280 000 Menschen an Multipler Sklerose (MS) erkrankt. Neben sensiblen, motorischen, vegetativen und neuropsychologischen Funktionsstörungen ist die Dysphagie ein hochrelevantes, stark beeinträchtigendes und zugleich bislang nicht gut untersuchtes Symptom der Erkrankung. Der Artikel bietet eine Übersicht über die aktuelle Studienlage zur Dysphagie bei MS und soll die Wahrnehmung für das Symptom Schluckstörung im Kontext der MS-Erkrankung schärfen. Techniken zur weiterführenden Diagnostik und Therapie werden vorgestellt mit dem langfristigen Ziel, betroffene Menschen mit MS künftig zuverlässiger zu diagnostizieren, ihnen optimierte Hilfe zu bieten und ihre Lebensqualität zu verbessern.

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“…Dysphagia to liquids seems to be as prevalent as solid food swallowing difficulty in MS [6]. This could significantly impact the patients' quality of life [7], putting them in danger of malnutrition [8], even fatal aspiration pneumonia. The latter is the leading cause of death in MS [9].…”

Section: Multiple Sclerosismentioning

confidence: 99%

Dysphagia in Neuroinflammatory Diseases of the Central Nervous System

Ghadiri¹,

Moghadasi²

2022

Dysphagia - New Advances

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Neuroinflammatory disorders of the central nervous system (CNS) consist of a relatively heterogeneous group of diseases that share the autoimmune activity against different parts of the system. Swallowing problems could happen in many of these cases. Its effect on the patients’ quality of life is undeniable. It could be an important cause of morbidity and mortality. Detailed medical history and physical exam are important. Several questionnaires could help monitor dysphagia. Radiographic and endoscopic evaluations may be necessary to detect overlooked swallowing problems. The main treatment appears to be treating the underlying disease, besides general supplementary options like rehabilitation and speech therapy.

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Screening of dysphagia by DYMUS (Dysphagia in multiple sclerosis) and SWALQoL (Swallowing quality of life) surveys in patients with multiple sclerosis

Cited by 7 publications

References 12 publications

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer’s disease

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer’s disease

Häufiger als gedacht – ein Update zu Dysphagie bei Multipler Sklerose

Dysphagia in Neuroinflammatory Diseases of the Central Nervous System

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