Construction and Quality Evaluation of the Japanese Sarcopenic Dysphagia Database

Mizuno, Satoko; Wakabayashi, Hidetaka; Fujishima, Ichiro; Kishima, Masako; Itoda, Masataka; Yamakawa, M.; Wada, F.; Kato, Ryoko; Furiya, Yoshiko; Nishioka, Shinta; Momosaki, Ryo

doi:10.1007/s12603-021-1646-y

Cited by 25 publications

(18 citation statements)

References 31 publications

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“…It has been widely used in Japan to assess dysphagia from various background diseases. 22,[34][35][36][37] In a study of patients with dysphagia, primarily those with underlying cerebrovascular disease, the inter-rater and intra-rater reliability of the FILS was excellent. 22 F I G U R E 2 Survival of patients with dysphagia.…”

Section: Discussionmentioning

confidence: 99%

“…FILS is a simple and quantitative method to evaluate the severity of dysphagia based on the route of nutritional intake and the food form without using instrumental swallowing tests or questionnaires. It has been widely used in Japan to assess dysphagia from various background diseases 22,34–37 . In a study of patients with dysphagia, primarily those with underlying cerebrovascular disease, the inter‐rater and intra‐rater reliability of the FILS was excellent 22 …”

Section: Discussionmentioning

confidence: 99%

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Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

et al. 2022

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ObjectiveTo investigate the impact of dysphagia on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathy other than inclusion body myositis.MethodsWe retrospectively evaluated consecutive patients with idiopathic inflammatory myopathy other than inclusion body myositis to investigate the impact of dysphagia and its severity assessed using the Food Intake LEVEL Scale on survival and swallowing function outcomes. Time‐to‐event analyses were used, including Kaplan‐Meier curves with log‐rank (trend) test, cumulative incidence with Gray’s test, and Cox proportional hazards models.ResultsOf the 254 patients, 26 were dysphagic, including eight severe (Food Intake LEVEL Scale [FILS] score 2, 3) and six most severe (FILS score 1) cases; 210 were non‐dysphagic, and 18 were indeterminate cases. During the 5 years after myositis diagnosis, 15 (57.7%) dysphagic and 31 (14.8%) non‐dysphagic patients died, and dysphagic patients had significantly shorter survival. However, multivariate analysis showed that shorter survival was significantly associated with baseline age‐adjusted Charlson Comorbidity Index (hazard ratio [HR] 1.57, 95% confidence interval [CI] 1.36‐1.82]), but not with dysphagia (HR 1.46, 95% CI 0.69‐3.10). Dysphagia severity was significantly associated with delayed recovery of dysphagia. In 20 non‐severe or severe dysphagic cases, 19 restored swallowing function within 1 year. The most severe cases had a significantly higher cumulative probability of death before recovery from dysphagia than severe cases.ConclusionThe poor survival of dysphagic myositis patients was largely confounded by advanced age and comorbid malignancies. However, patients with the most severe dysphagia had a significantly worse swallowing function and survival prognosis than those with milder dysphagia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

et al. 2022

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“…Nearly one-fourth of patients with sarcopenic dysphagia had hoarseness. The prevalence of hoarseness in general dysphagia including sarcopenic dysphagia was 31% according to the Japanese Sarcopenic Dysphagia Database ( 19 ). The prevalence of hoarseness was higher in patients with dysphagia due to stroke and neurodegenerative diseases, because these diseases can cause hoarseness due to vocal cord paralysis.…”

Section: Discussionmentioning

confidence: 99%

“…A cohort study was performed using the Japanese sarcopenic dysphagia database, the details of which have been reported previously ( 19 ). In summary, the Rehabilitation Nutrition Database Committee of the Japanese Association of Rehabilitation Nutrition and the Japanese Working Group on Sarcopenic Dysphagia constructed the database.…”

Section: Methodsmentioning

confidence: 99%

“…The inclusion criterion was registration in the database, while the exclusion criterion was not having sarcopenic dysphagia. Patients aged less than 65 years were included, because only 13 (4.5%) patients with sarcopenic dysphagia were less than 65 years ( 19 ). Sarcopenic dysphagia was diagnosed using a reliable and validated diagnostic algorithm for the disorder ( 21 – 23 ).…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Wakabayashi

Kishima

Itoda

et al. 2022

The Journal of nutrition, health and aging

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Objectives To investigate the prevalence of hoarseness and its association with the severity of dysphagia in patients with sarcopenic dysphagia. Design Cross-sectional study using the Japanese sarcopenic dysphagia database. Setting 19 hospitals including 9 acute care hospitals, 8 rehabilitation hospitals, 2 long-term care hospitals, and 1 home visit rehabilitation team. Participants 287 patients with sarcopenic dysphagia, aged 20 years and older. Measurements Sarcopenic dysphagia was diagnosed using a reliable and validated diagnostic algorithm for the condition. The presence and characteristics of hoarseness classified as breathy, rough, asthenic, and strained were assessed. The prevalence of hoarseness and the relationship between hoarseness and Food Intake LEVEL Scale (FILS) were examined. Order logistic regression analysis adjusted for age, sex, naso-gastric tube, and handgrip strength was used to examine the relationship between hoarseness and FILS at baseline and at follow-up. Results The mean age was 83 ± 10 years. Seventy-four (26%) patients had hoarseness, while 32 (11%), 20 (7%), 22 (8%), and 0 (0%) patients had breathy, rough, asthenic, and strained hoarseness, respectively. Median FILS at the initial evaluation was 7 (interquartile range, 5–8). Hoarseness (β=0.747, 95% confidence intervals= 0.229, 1.265, p=0.005), age, sex, naso-gastric tube, and handgrip strength were associated independently with baseline FILS, while hoarseness (β=0.213, 95% confidence intervals= −0.324, 0.750, p=0.438) was not associated independently with the FILS at follow-up. Conclusions Hoarseness was associated with the severity of dysphagia at baseline, however not a prognostic factor for sarcopenic dysphagia. Resistance training of swallowing and respiratory muscles and voice training as part of rehabilitation nutrition might be useful for treating sarcopenic dysphagia.

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Impact of Presarcopenic Dysphagia on 1-Year Mortality After Videofluoroscopic Swallowing Study in Patients with Cancer

Moriyama,

Hachisuka,

Matsusihima

et al. 2024

Dysphagia

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Sarcopenic dysphagia is dysphagia due to low skeletal muscle mass and leads to increased pharyngeal residues. Presarcopenia is typi ed by low muscle mass without decreased muscle strength and physical function, unlike sarcopenia, and can also develop into dysphagia due to low skeletal muscle mass. This retrospective study aimed to investigate the impact of presarcopenic dysphagia on one-year mortality in patients with cancer who underwent a video uoroscopic swallowing study because of dysphagia. MethodsAn operational de nition of presarcopenic dysphagia based on presarcopenia and pharyngeal residues was adopted. The psoas muscle mass index (cm 2 /height 2 (m 2 )), calculated by the psoas muscle area at the L3 vertebra via abdominal computed tomography and related to height, was used to assess presarcopenia with cut-off levels of 4.62 for males and 2.66 for females. Pharyngeal residues were assessed using a video uoroscopic swallowing study. Patients' medical charts were analyzed to investigate one-year mortality after a video uoroscopic swallowing study. ResultsOut of 111 consecutive cancer patients, 53 (47.7%) were de ned as having presarcopenic dysphagia. In a forward-stepwise Cox proportional regression analysis, presarcopenic dysphagia (HR 2.599; 95% CI 1.158-5.834) was signi cantly associated with one-year mortality after a video uoroscopic swallowing study, even after adjusting for the factors of operation, Functional Oral Intake Scale at discharge, and modi ed Barthel Index scores at discharge. ConclusionPresarcopenic dysphagia, de ned as computed tomography-based presarcopenia and pharyngeal residues observed during a video uoroscopic swallowing study, is associated with increased one-year mortality in patients with cancer and dysphagia.Patients with CT-based presarcopenia and pharyngeal residues who underwent VFSS were de ned as patients with PSD. Assessment of skeletal muscle mass and presarcopeniaThe psoas muscle mass index was calculated by measuring the cross-sectional area of the left and right psoas muscles at the third lumbar vertebra via abdominal CT performed closest to the VFSS date. Muscle was quanti ed by Houns eld unit range between − 29 and + 150. The psoas muscle area was automatically measured by dragging on the target muscle using the ShadeQuest software (ViewRV1.29; FUJIFILM Medical Solution Corporation, Tokyo, Japan) (Fig. 2). The cut-off levels of the psoas muscle mass index for low skeletal muscle mass were 4.62 cm 2 /m 2 for males and 2.66 cm 2 /m 2 for females, according to a previous report [12]. Low skeletal muscle mass was de ned as presarcopenia. Video uoroscopic swallowing study ndingsThe objective of VFSS, performed by physiatrists, was to assess the detailed swallowing function of patients diagnosed with dysphagia based on abnormal ndings from screening tests and other symptoms such as choking during meals or discontinuation of eating or drinking. Patients' swallowing movements were observed during VFSS. At the same time, they consumed food containing barium under uoroscopy ...

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Construction and Quality Evaluation of the Japanese Sarcopenic Dysphagia Database

Cited by 25 publications

References 31 publications

Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Impact of Presarcopenic Dysphagia on 1-Year Mortality After Videofluoroscopic Swallowing Study in Patients with Cancer

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