Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography

Ogawa, N; Wakabayashi, Hidetaka; Mori, Takashi; Fujishima, Ichiro; Oshima, Fumiko; Itoda, Masataka; Kunieda, Kenjiro; Shigematsu, Takaaki; Nishioka, Shinta; Tohara, Haruka; Ohno, Tomohisa; Nomoto, Akiko; Shimizu, Akio; Yamada, Minoru; Ogawa, Sumito

doi:10.1111/ggi.14079

Cited by 19 publications

(5 citation statements)

References 24 publications

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“…Ultrasonography can also be applied for the evaluation of the digastric muscle (Figure 7). In 2020, Ogawa et al [68] investigated 45 elderly patients and reported smaller digastric muscle mass in patients with sarcopenic dysphagia vs. controls. The digastric muscle mass was identified as an independent factor for predicting sarcopenic dysphagia, with a sensitivity of 0.692 and a specificity of 0.737. skeletal muscle mass index and tongue pressure.…”

Section: Ultrasonographymentioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

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Sarcopenia, defined as a decline in muscle mass and function related to aging, affects both limb and swallowing-related muscles. Sarcopenic dysphagia is characterized by decreased swallowing function; therefore, early detection of subclinical dysphagia and subsequent intervention appear to be crucial in the elderly. Numerous tools have been employed to measure the function, strength, and mass of swallowing-related muscles in sarcopenic elderly. The swallowing function can be evaluated by questionnaires like Eating Assessment Tool, Functional Oral Intake Scale, and Food Intake Level Scale, and tests such as the modified water swallowing test and videofluoroscopic swallowing study. Surface electromyography and high-resolution manometry can be applied for quantifying swallowing-related muscle strength. Modalities such as ultrasonography and magnetic resonance imaging are capable of estimating the swallowing muscle mass. In patients with sarcopenic dysphagia, a thorough assessment should be given followed by an integrated intervention combining swallowing muscle strengthening, nutrition support, food texture modification, physical, and occupational therapies. This article aimed to comprehensively summarize the diagnostic criteria/tools as well as their associations/performance in sarcopenic dysphagia. The intervention strategy will also be narrated in this review.

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Section: Ultrasonographymentioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

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“…Adequate assessment of sarcopenic dysphagia is critical to the development of realistic swallow rehabilitation goals. Preliminary research has demonstrated the role of ultrasound in the assessment of sarcopenic dysphagia [ 89 – 91 ]. Rehabilitation studies into sarcopenic dysphagia in HNC are embryonic but have demonstrated encouraging results.…”

Section: Developing Areasmentioning

confidence: 99%

Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Govender,

Gilbody,

Simson

et al. 2024

Curr. Treat. Options in Oncol.

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Opinion statementDysphagia, difficulty in eating and drinking, remains the most common side effect of radiotherapy treatment for head and neck cancer (HNC) with devastating consequences for function and quality of life (QOL). Over the past decade, 5-year survival has improved due to multiple factors including treatment advances, reduction in smoking, introduction of the human papillomavirus (HPV) vaccine and more favourable prognosis of HPV-related cancers. Increased prevalence of HPV-positive disease, which tends to affect younger individuals, has led to an elevated number of people living for longer with the sequelae of cancer and its treatment. Symptoms are compounded by late effects of radiotherapy which may lead to worsening of dysphagia for some long-term survivors or new-onset dysphagia for others. Speech-language pathology (SLP) input remains core to the assessment and management of dysphagia following HNC treatment. In this article, we present current SLP management of dysphagia post-radiotherapy. We discuss conventional treatment approaches, the emergence of therapy adjuncts and current service delivery models. The impact of adherence on therapy outcomes is highlighted. Despite treatment advancements, patients continue to present with dysphagia which is resistant to existing intervention approaches. There is wide variation in treatment programmes, with a paucity of evidence to support optimal type, timing and intensity of treatment. We discuss the need for further research, including exploration of the impact of radiotherapy on the central nervous system (CNS), the link between sarcopenia and radiotherapy-induced dysphagia and the benefits of visual biofeedback in rehabilitation.

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“…Geniohyoid muscle mass was independently associated with maximum tongue pressure and tongue muscle mass [ 36 ]. Digastric muscle mass and intensity were independent factors for sarcopenic dysphagia [ 37 ]. Geniohyoid muscle mass was significantly associated with the severity of dysphagia after salvage surgery for head and neck cancer [ 38 ].…”

Section: Sarcopenic Dysphagiamentioning

confidence: 99%

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability

Mizuno

Wakabayashi

Wada

2021

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review We describe the recent advances in rehabilitation nutrition, which is especially important for disabled or frail older individuals. Recent findings Recent evidence pertaining to rehabilitation nutrition conducted in rehabilitation wards and acute care hospitals has been accumulating. The combination of rehabilitation nutrition and rehabilitation pharmacotherapy is important for eliciting higher functions. The 2020 update of the clinical practice guidelines for rehabilitation nutrition provides a weak recommendation for enhanced nutritional care for patients with cerebrovascular disease, hip fracture, cancer, or acute illness who are undergoing rehabilitation. Rehabilitation nutritional care process and the International Classification of Functioning, Disability and Health-Dietetics are used to implement high-quality rehabilitation nutrition. Aggressive nutrition therapy incorporates the daily energy expenditure plus daily energy accumulation to increase body weight and muscle mass. Preventing and treating sarcopenic dysphagia should include iatrogenic sarcopenia prevention and aggressive nutrition therapy. The diagnosis criteria for respiratory sarcopenia and sarcopenic respiratory disability have been established. Summary The International Association of Rehabilitation Nutrition and Total Nutrition Therapy Rehabilitation program may contribute to international expansion of rehabilitation nutrition. Improving evidence–practice gaps in rehabilitation nutrition and increasing national health insurance coverage of aggressive nutrition therapy and rehabilitation nutrition teams are warranted.

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Digastric muscle mass and intensity in older patients with sarcopenic dysphagia by ultrasonography

Cited by 19 publications

References 24 publications

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Post-Radiotherapy Dysphagia in Head and Neck Cancer: Current Management by Speech-Language Pathologists

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability

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