Effects of Age, Gender, Bolus Volume, and Trial on Swallowing Apnea Duration and Swallow/Respiratory Phase Relationships of Normal Adults

Hiss, Susan G.; Treole, Kathleen; Stuart, Andrew

doi:10.1007/s004550011001

Cited by 168 publications

(170 citation statements)

References 25 publications

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“…In contrast, older women demonstrated the same or greater range of motion compared to their younger counterparts. Specifically to SA, Hiss et al (2001) reported that women demonstrated significantly longer SA duration than men on saliva swallows. In contrast, men demonstrated SA ONSET 6 decreased SA durations on saliva swallows with age.…”

Section: Sa Onsetmentioning

confidence: 99%

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Effects of Age, Gender, Bolus Volume, Bolus Viscosity, and Gustation on Swallowing Apnea Onset Relative to Lingual Bolus Propulsion Onset in Normal Adults

Hiss

Strauss

Treole

et al. 2004

J Speech Lang Hear Res

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The purpose of this study was to ascertain the normal relation of swallowing apnea (SA) onset relative to lingual bolus propulsion along with factors that may alter this relation. Forty adults, composed of 10 men and 10 women in each of 2 age groups (i.e., 20–30 and 63–79 years) participated. SA onset was assessed during 5- and 20-ml bolus volumes of water and apple juice across 3 trials. The effects of age, gender, bolus volume, bolus viscosity, and gustation on SA onset relative to lingual bolus propulsion were examined. A significant interaction of Age × Gender × Volume was found. In general, older adults initiated SA onset earlier than young adults, and large boluses elicited an earlier SA onset than small boluses regardless of group. Young men demonstrated significantly later SA onset than the older men for large volumes; this difference was not observed for small volumes, nor was it found between young and older women. SA onset also was assessed during 5-ml bolus volumes of thin apple juice, thick apple juice, and applesauce across three trials. A significant main effect of viscosity was found revealing that SA onset was initiated later as bolus viscosity increased. Thus, the results of this investigation provided data on the relation of SA onset relative to lingual bolus propulsion in individuals with normal swallowing and how this relation changes as a function of age, gender, bolus volume, bolus viscosity, and gustation.

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Section: Sa Onsetmentioning

confidence: 99%

“…SA duration has been demonstrated to increase with increases in bolus volume (Hiss, Treole, & Stuart, 2001). Thus, in order for SA duration to increase, it must begin earlier and/or terminate later.…”

Section: Sa Onsetmentioning

confidence: 99%

Effects of Age, Gender, Bolus Volume, Bolus Viscosity, and Gustation on Swallowing Apnea Onset Relative to Lingual Bolus Propulsion Onset in Normal Adults

Hiss

Strauss

Treole

et al. 2004

J Speech Lang Hear Res

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“…According to the literature, women demonstrate higher oropharyngeal transit times 5,6 , longer durations of the upper oesophageal sphincter opening 26 , shorter time periods between swallows and lower food bolus volume for each swallowing 13 , longer durations of laryngeal closure during swallowing 1 , and early laryngeal closure relative to the upper esophageal sphincter opening 11 compared with men. Hiss et al 9 also reported that women present longer swallowing apnea. In contrast, studies show that men have higher pressure and muscle endurance relative to the tongue pressure in the oral cavity 28 .…”

Section: Discussionmentioning

confidence: 90%

Análise videofluoroscópica bidimensional perceptual da fase faríngea da deglutição em indivíduos acima de 50 anos

Chaves

Mangilli

Sassi

et al. 2013

ABCD, arq. bras. cir. dig.

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-Background: Videofluoroscopy is considered the "gold standard"procedure for the evaluation of swallowing by most units that treat patients with dysphagia, having a great impact in decision making, not only in therapeutic terms, but also in determining the prognosis. Aim: To propose and to verify the reproducibility of the results of a perceptual two-dimensional videofluoroscopic protocol for the analysis of the pharyngeal phase of swallowing in a population of healthy adults. Methods: Participants were 20 healthy adults, of both genders, with ages between 50 and 65 years. Videofluoroscopy was performed during the swallow of the following consistencies: 10 ml of liquid; 7 ml of paste; and half a "salt and water" biscuit. The protocol was composed by four parts: assessment of the pharyngeal transit time; assessment of the duration of the tongue base movement to the posterior pharyngeal wall; valleculae residue ratio; assessment of penetration/aspiration. Statistical analysis involved the assessment of data reproducibility between raters and analysis of the quantitative data regarding gender. Results:Comparison among raters indicated that data was highly reproducible. No significant differences were found between genders for pharyngeal transit time; for the duration of the tongue base movement to the posterior pharyngeal wall; and for the valleculae residue ratio. Conclusion: The perceptual two-dimensional videofluoroscopy analysis demonstrated to be a reproducible method. Valleculae residue was present in 40% of the study sample, suggesting that this parameter alone does not indicate alterations of the pharyngeal phase of swallowing. RESUMO -Racional:A videofluoroscopia é considerada o procedimento "padrão-ouro" para avaliação da deglutição pela maioria das unidades que atendem pacientes com disfagia, tendo grande impacto na tomada de decisão, não só em termos terapêuticos, como também na determinação do prognóstico. Objetivo: Propor e verificar a reprodutibilidade de protocolo de análise videofluoroscopica bidimensional perceptual da fase faríngea da deglutição em uma população de adultos saudáveis. Métodos: Participaram desta pesquisa 20 indivíduos saudáveis, de ambos os gêneros, com idades entre 50 e 65 anos. O exame foi realizado durante a ingestão de "alimentos" com as seguintes consistências: 10 ml de líquido; 7 ml de pastoso; e meio biscoito do tipo "água e sal". O protocolo proposto foi composto de quatro partes: avaliação do tempo de trânsito faríngeo; avaliação da duração do contato da base de língua na parede posterior da faringe; avaliação da porcentagem de resíduo alimentar em valécula; avaliação de penetração e aspiração na árvore respiratória. A análise estatística envolveu a avaliação da reprodutibilidade do método de análise entre avaliadores e a análise dos dados quantitativos, levando-se em consideração os gêneros. Resultados: Pela análise comparativa entre os avaliadores houve alta reprodutibilidade. Não foram encontradas diferenças estatisticamente significantes para o tempo de trâns...

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“…elongated apnea) called for some additional caution as far as their application in the elderly patients and in patients with heart and vessels diseases is considered. 1,4,16,17 The possibility of saliva aspiration as well as 'silent saliva aspiration' reported by Takahashi in the elderly patients discourages from creating a situation in which a patient makes decision on how to swallow on his/her own, especially when there may be other diseases co-existing with the oral cavity neoplasm which may complicate swallowing rehabilitation if the rehabilitation is not monitored. 18 The results of Colodny's research show different general diseases as the cause of desaturation, and negate the advanced age importance in low peripheral blood saturation.…”

Section: Discussionmentioning

confidence: 99%

“…In proper deglutition the larynx closure lasts from 0.4 to 0.6 s and generally does not lead to desaturation 1 , except for in older patients. [2][3][4][5] Oral neoplasm excision changes the anatomy and functions of organs responsible for swallowing, speech creation and breathing. A decrease in the organ mass, movement limitation and limited sensory efficiency disturb swallowing by preventing patients from feeding themselves orally.…”

mentioning

confidence: 99%

Peripheral blood saturation and pulse rate during swallowing in patients with oral cavity neoplasm and after its excision

Halczy-Kowalik¹,

Kowalczyk²,

Rzewuska³

et al. 2017

Dent. Med. Probl.

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We are very grateful to Barbara Zaborek, PhD for her help in thorough statistical assessment of the results. AbstractBackground. Breath holding during swallowing enables safe transport of bolus from the oral cavity to the esophagus without threat of aspiration into the lower airways. Inter-deglutition apnea elongation needed for the performance of several swallows supporting non-efficient lower pharynx emptying in the patients after oral cavity neoplasm excision, may be the cause of the peripheral blood saturation decrease.

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Effects of Age, Gender, Bolus Volume, and Trial on Swallowing Apnea Duration and Swallow/Respiratory Phase Relationships of Normal Adults

Cited by 168 publications

References 25 publications

Effects of Age, Gender, Bolus Volume, Bolus Viscosity, and Gustation on Swallowing Apnea Onset Relative to Lingual Bolus Propulsion Onset in Normal Adults

Effects of Age, Gender, Bolus Volume, Bolus Viscosity, and Gustation on Swallowing Apnea Onset Relative to Lingual Bolus Propulsion Onset in Normal Adults

Análise videofluoroscópica bidimensional perceptual da fase faríngea da deglutição em indivíduos acima de 50 anos

Peripheral blood saturation and pulse rate during swallowing in patients with oral cavity neoplasm and after its excision

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