Sintomas indicativos de disfagia em portadores de DPOC

Abstract

Objective: To identify symptoms of dysphagia in individuals with COPD, based on their responses on a selfperception questionnaire. Methods: The study comprised 35 individuals with COPD and 35 healthy individuals, matched for age and gender. The study group was assessed regarding COPD severity; sensation of dyspnea; body mass index (BMI); and symptoms of dysphagia. The control group was assessed regarding BMI and symptoms of dysphagia. Results: The most common symptoms of dysphagia in the study group were pharyngeal symptoms/ airway protection (p < 0.001); esophageal symptoms/history of pneumonia (p < 0.001); and nutritional symptoms (p < 0.001). Positive correlations were found between the following pairs of variables: FEV 1 and BMI (r = 0.567; p < 0.001); pharyngeal symptoms/airway protection and dyspnea (r = 0.408; p = 0.015); and esophageal symptoms/ history of pneumonia and pharyngeal symptoms/airway protection (r = 0.531; p = 0.001). There was a negative correlation between nutritional symptoms and BMI (r = −0.046; p < 0.008). Conclusions: Our results show that the individuals with COPD presented with symptoms of dysphagia that were associated with the pharyngeal and esophageal phases of swallowing, as well as with the mechanism of airway protection, a history of pneumonia, and nutritional symptoms.Keywords: Deglutition disorders; Pulmonary disease, chronic obstructive; Pathological conditions, signs and symptoms. ResumoObjetivo: Identificar os sintomas indicativos de disfagia em indivíduos portadores de DPOC a partir de um questionário de autopercepção. Métodos: Foram avaliados 35 indivíduos portadores de DPOC e 35 indivíduos sem a doença pareados por gênero e idade. O grupo de estudo foi avaliado quanto a gravidade da doença, sensação de dispneia, índice de massa corpórea (IMC) e sintomas de disfagia. O grupo controle foi avaliado quanto a IMC e sintomas de disfagia. Resultados: Os sintomas mais frequentes de disfagia apresentados pelos participantes do grupo de estudo foram sintomas faríngeos/proteção de vias aéreas (p < 0,001), sintomas esofágicos/histórico de pneumonia (p < 0,001) e sintomas alimentares (p < 0,001). As seguintes variáveis apresentaram correlações positivas: VEF 1 e IMC (r = 0,567; p < 0,001); sintomas faríngeos/proteção de vias aéreas e dispneia (r = 0,408; p = 0,015); e sintomas esofágicos/histórico de pneumonia e sintomas faríngeos/proteção de vias aéreas (r = 0,531; p = 0,001). Houve correlação negativa entre sintomas alimentares e IMC (r = −0,046; p < 0,008). Conclusões: Os resultados mostraram que os participantes com DPOC apresentaram sintomas de disfagia relacionados à fase faríngea e esofágica da deglutição; ao mecanismo de proteção das vias aéreas; ao histórico de pneumonia e aos sintomas alimentares. Descritores: Transtornos de deglutição; Doença pulmonar obstrutiva crônica; Condições patológicas, sinais e sintomas.* Study carried out at

Oropharyngeal swallow physiology and swallowing-related quality of life in underweight patients with concomitant advanced chronic obstructive pulmonary disease

“…This is the only investigation known to the authors that attempts to define dysphagia in a population of COPD patients who were also underweight. Prior research has reported on BMI but not limited inclusion to those patients presenting with low BMI 9,16. Further, we detailed oral intake, patient-reported symptoms of swallowing impairment, and the impact of dysphagia on quality of life.…”

Swallowing transit times and valleculae residue in stable chronic obstructive pulmonary disease

“…Malnutrition is due to decreased food intake, but mostly to a higher resting metabolic rate [6]. Dysphagia is usually a precipitating factor for malnutrition [7-10]. To date, little attention has been given to the investigation of swallowing disorders in patients with COPD.…”

Efeitos do exercício muscular respiratório na biomecânica da deglutição de indivíduos normais

“…João Rafael Sauzem Machado (1) , Eduardo Matias dos Santos Steidl (1) , Diego Fernando Dorneles Bilheri (1) , Mateus Trindade (2) , Guilherme Lopes Weis (2) , Paulo Roberto Oliveira de Jesus (3) , Marisa Bastos Pereira (4) , Renata Mancopes (5) (1) Universidade Federal de Santa Maria, RS -Brasil. 2) Serviço de Radiologia do Hospital Universitário de Santa Maria, RS -Brasil.…”

“…Besides being the act of conducting food or substances in the oral cavity to the stomach, in a safe way (by protecting the airway against aspiration), it represents a temporal integration of events associated with normal breathing 1 . In healthy subjects, breathing is interrupted during swallowing.…”