Swallowing Disorders in the Elderly

Schindler, Joshua S.; Kelly, James H.

doi:10.1097/00005537-200204000-00001

Cited by 197 publications

(148 citation statements)

References 105 publications

(157 reference statements)

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“…One study found that people over the age of 65 may account for two thirds of all people with dysphagia. 19 Medical conditions predisposing patients to dysphagia include stroke, Alzheimer disease, amyotrophic lateral sclerosis, and Parkinson's disease. 3 The prevalence of all these conditions increases with increasing age.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Wilkins¹,

Gillies²,

Thomas³

et al. 2007

The Journal of the American Board of Family Medicine

147

108

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Purpose: A number of disorders cause dysphagia, which is the perception of an obstruction during swallowing. The purpose of this study was to determine the prevalence of dysphagia in primary care patients.Methods: Adults 18 years old and older were the subjects of an anonymous survey that was collected in the clinic waiting room before patients were seen by a physician. Twelve family medicine offices in HamesNet, a research network in Georgia, participated.Results: Of the 947 study participants, 214 (22.6%) reported dysphagia occurring several times per month or more frequently. Those reporting dysphagia were more likely to be women (80.8% women vs 19.2% men, P ‫؍‬ .002) and older (mean age of 48.1 in patients with dysphagia vs mean age of 45.7 in patients without dysphagia, P ‫؍‬ .001). Sixty-four percent of patients with dysphagia indicated that they were concerned about their symptoms, but 46.3% had not spoken with their doctor about their symptoms. Logistic regression analyses showed that increased frequency [odds ratio (OR) ‫؍‬ 2.15, 95% CI 1.41-3.30], duration (OR ‫؍‬ 1.91, CI 1.24 -2.94), and concern (OR ‫؍‬ 2.64, CI 1.36 -5.12) of swallowing problems as well as increased problems eating out (OR ‫؍‬ 1.72, CI 1.19 -2.49) were associated with increased odds of having talked to a physician. Conclusions: This is the first report of the prevalence of dysphagia in an unselected adult primary care population. Dysphagia occurs commonly in primary care patients but often is not discussed with a physician. (J Am Board Fam Med 2007;20:144 -150.)Swallowing is a complex motor reflex requiring coordination among the neurologic system, the oropharynx, and the esophagus. A number of disorders, both benign and malignant, interfere with the swallowing process and cause dysphagia.1 Patients with dysphagia suffer significant social and psychological burdens associated with their symptoms of difficulty with swallowing, including anxiety with meals or avoidance of eating with others. 2The diagnosis of dysphagia is important because of the associated morbidity and mortality. Untreated dysphagia can lead to dehydration, malnutrition, respiratory infections, and death.2 The elderly with symptoms of dysphagia are at increased risk of the complications of dysphagia, including aspiration pneumonia. 3 Several studies have identified the elderly as being at risk for the development of dysphagia. 4,5 The prevalence of solid-food dysphagia was found to be 7% in elderly patients (62 years old and older) in a family medicine clinic in a medical university.

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Section: Discussionmentioning

confidence: 99%

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Wilkins¹,

Gillies²,

Thomas³

et al. 2007

The Journal of the American Board of Family Medicine

147

108

View full text Add to dashboard Cite

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“…Presbydysphagien) zukünftig in den Fokus rücken [28,48]. Veränderungen in der mukosalen Sensibilität, sensorische Veränderungen von Geschmacks-und Geruchssinn, eine reduzierte Speichelproduktion, zerebral-degenerative Prozesse und Veränderungen in Qualität und Quantität neuromuskulä-rer Koordinationsprozesse beeinflussen die Schluckleistung im Alter meistens negativ [5,28].…”

Section: » Antikonvulsive Medikamente Können Ein Bestehendes Schluckdunclassified

Medikamenteninduzierte Dysphagien

Schwemmle

Jungheim

Miller

et al. 2015

HNO

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“…A literatura cita na deglutição de idosos maior ocorrência de diminuição de força, aumento do tempo e diminuição de adaptações a diferentes consistências (41,45) , mesmo em deglutições voluntárias em que o indivíduo, conscientemente, pode buscar as compensações (44) .…”

Section: Discussionunclassified

“…São inúmeros os trabalhos a respeito da anatomia e fisiologia da deglutição em idosos saudáveis, evidenciando os sinais provenientes da deglutição senescente (4,37,38,39,40,41,42,43) .…”

Section: R Re Ev VI Is Sã ãO O D Da a L Li It Te Er Ra At Tu Ur Ra A 21unclassified

“…Este fenômeno é denominado presbifagia e considerado um sintoma da população geriátrica (41,43) . A deglutição no idoso é tipicamente lentificada, havendo atraso entre o tempo da entrada do alimento na faringe e o movimento de descida do osso hióide, fator que contribui para um déficit na proteção das vias aéreas (36,42,44,45,46,47) .…”

Section: R Re Ev VI Is Sã ãO O D Da a L Li It Te Er Ra At Tu Ur Ra A 21unclassified

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Análise da fisiologia da deglutição por meio da ultra-sonografia

Lynch¹

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Swallowing Disorders in the Elderly

Cited by 197 publications

References 105 publications

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Medikamenteninduzierte Dysphagien

Análise da fisiologia da deglutição por meio da ultra-sonografia

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