The effects of sarcopenic dysphagia on the dynamics of swallowing organs observed on videofluoroscopic swallowing studies

Miyashita, Taishi; Kikutani, Takeshi; Nagashima, Keigo; Igarashi, Kumi; Tamura, Fumio

doi:10.1111/joor.12936

Cited by 22 publications

(15 citation statements)

References 22 publications

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Section: Discussionmentioning

confidence: 95%

“…However, this study found no significant association between these disorders and the recovery of oral intake. Recent studies have reported that pharyngeal clearance is likely to decrease in patients with sarcopenia due to the enlarged pharyngeal cavity, 11 weaker pharyngeal contractility and upper oesophageal sphincter TA B L E 2 Comparison between the oral feeding group and the tube feeding group 12 However, we did not take the data of sarcopenia-related items in this study. Therefore, it is necessary to further investigate the association between sarcopenia and oral intake recovery in patients with aspiration pneumonia in the future.…”

Section: Oba Et Al Reported That the Glasgow Coma Scale And Repetitivementioning

confidence: 95%

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Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo‐Komagane score in Japan

Kimura

Nakayama

Ogawa

et al. 2020

J of Oral Rehabilitation

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Objective: To verify the validity of the prediction of oral intake recovery for inpatients with aspiration pneumonia using the Hyodo-Komagane score. Background: Patients admitted for treatment of aspiration pneumonia sometimes have difficulty in resuming oral intake due to decreased swallowing function. Predicting whether the swallowing function will recover enough to achieve oral ingestion at discharge is an important factor in developing a treatment strategy. No studies have investigated the prediction of oral intake recovery using videoendoscopic examination. Methods: Subjects were 65 patients who were admitted to an acute care hospital for the treatment of aspiration pneumonia. The patients were divided into two groups, the oral feeding group and the tube feeding group, according to their oral intake status at discharge or transfer. Logistic regression analysis was performed using the condition that tube feeding was not required as an objective variable and the items with significant differences between the two groups as explanatory variables. Additionally, the receiver operating characteristic curve was used to identify patients who could take food orally at discharge. Results: The odds ratios for the Hyodo-Komagane score and the pharyngeal clearance score were 1.485 and 3.379, respectively. When the cutoff values of the Hyodo-Komagane score and the pharyngeal clearance score were 6 and 1, the sensitivity was 0.88 and 0.91, and the specificity was 0.64 and 0.70, respectively. Conclusion: The Hyodo-Komagane score and especially the pharyngeal clearance score are useful indices to predict oral intake recovery for inpatients with aspiration pneumonia. K E Y W O R D S aspiration pneumonia, dysphagia, oral intake, oral rehabilitation, predict, videoendoscopic How to cite this article: Kimura M, Nakayama E, Ogawa Y, et al. Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo-Komagane score in Japan.

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Section: Discussionmentioning

confidence: 95%

Section: Oba Et Al Reported That the Glasgow Coma Scale And Repetitivementioning

confidence: 95%

Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo‐Komagane score in Japan

Kimura

Nakayama

Ogawa

et al. 2020

J of Oral Rehabilitation

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“…Previous studies have reported the swallowing characteristics of older adults with sarcopenia. For example, patients with sarcopenic dysphagia had low pharyngeal muscle mass, weaker pharyngeal contractility, and upper esophageal sphincter dysfunction [12, 13]. Although the participants in this study were community-dwelling older women without dysphagia, the similar decline in swallowing function in patients with dysphagia could be due to sarcopenia.…”

Section: Discussionmentioning

confidence: 97%

Relationship between Sarcopenia and Swallowing Capacity in Community-Dwelling Older Women

Suzuki¹,

Kimura²,

Otobe³

et al. 2020

Gerontology

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Background: Swallowing disorders are a serious health concern among older adults. Previous studies reported that sarcopenia may affect swallowing disorders; however, whether sarcopenia is related to the capacity to swallow (measured according to swallowing speed) in community-dwelling older adults is unclear. Objectives: The aim of this study was to investigate the relationship between sarcopenia and swallowing capacity in community-dwelling older women. Methods: This cross-sectional observational study was conducted among community-dwelling older women in Japan. The inclusion criteria were as follows: women aged ≥65 years, with the ability to walk independently, and without dysphagia. The exclusion criterion was a history of stroke or Parkinson’s disease that directly caused dysphagia. The participants were divided into a sarcopenia and a healthy group based on the criteria of the Asian Working Group for Sarcopenia 2019. We measured swallowing speed (mL/s) as the swallowing capacity by conducting a 100-mL water-swallowing test. To assess the relationship between sarcopenia and swallowing capacity, we performed a multiple regression analysis. Results: Two-hundred and sixty participants were enrolled in the study. Their mean age was 82.3 ± 6.9 years, and 61 (23.5%) of them displayed sarcopenia. The mean swallowing speed was 11.5 ± 4.9 mL/s, and 17 women (6.5%) exhibited choking or a wet-hoarse voice. Multiple regression analysis revealed that sarcopenia was related to the swallowing capacity after adjusting for age, the Mini-Mental State Examination, and the number of comorbidities (β = –0.20, 95% CI –3.78 to –0.86, p = 0.002). Conclusions: We found that sarcopenia was related to the swallowing capacity in older women in this study. Future research should clarify whether a similar relationship exists in older men as well as the effect of sarcopenia on the swallowing capacity in older adults over a period of time.

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“…Dysphagia in older adults is a frequent and serious condition that impairs swallowing efficiency and safety with increased risk of diminished nutritional intake and aspiration of foods and liquids [ 1 , 2 ]. Consequently, dysphagia is associated with aspiration pneumonia, malnutrition, weight loss, frequent hospital admissions with prolonged length of stay (LOS), increased mortality, decreased quality of life, as well as increased healthcare costs [ 1 , 3 , 4 , 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Dysphagia Prevalence, Time Course, and Association with Probable Sarcopenia, Inactivity, Malnutrition, and Disease Status in Older Patients Admitted to an Emergency Department: A Secondary Analysis of Cohort Study Data

et al. 2021

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There is evolving evidence for an association between dysphagia and sarcopenia in older adults. For optimizing the acute health care initiative across health care settings, this study investigated prevalence and time-course of dysphagia in older patients admitted to an emergency department (ED) as well as its association with parameters for probable sarcopenia, inactivity, malnutrition, disease status, and systemic inflammation. A secondary analysis of data from the FAM-CPH cohort study on acutely admitted older medical patients (n = 125). Data were collected upon ED admission as well as four and 56 weeks after discharge. Using the Eating Assessment Tool cut-off score ≥ 2, signs of dysphagia were present in 34% of the patients at ED admission and persisted in 25% of the patients 56 weeks after discharge. Signs of dysphagia at 56-week follow-up were significantly (p < 0.05) associated with probable sarcopenia (low handgrip strength (OR = 3.79), low leg muscle strength (OR = 8.14), and low physical performance (OR = 5.68)) and with baseline swallowing inactivity (OR = 5.61), malnutrition (OR = 4.35), and systemic inflammation (OR = 1.33). Signs of dysphagia in older patients admitted to an ED was prevalent, persisted 56 weeks after discharge, and was associated with probable sarcopenia and related conditions; all modifiable targets for management of dysphagia in older patients.

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The effects of sarcopenic dysphagia on the dynamics of swallowing organs observed on videofluoroscopic swallowing studies

Cited by 22 publications

References 22 publications

Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo‐Komagane score in Japan

Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo‐Komagane score in Japan

Relationship between Sarcopenia and Swallowing Capacity in Community-Dwelling Older Women

Dysphagia Prevalence, Time Course, and Association with Probable Sarcopenia, Inactivity, Malnutrition, and Disease Status in Older Patients Admitted to an Emergency Department: A Secondary Analysis of Cohort Study Data

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