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

Suzuki, Mizue; Kimura, Yosuke; Otobe, Yuhei; Kikuchi, Tomoe; Masuda, Hiroaki; Taguchi, Ryota; Tanaka, Shu; Narita, Yuya; Shino, Shuhei; Kusumi, Haruhiko; Yamada, Minoru

doi:10.1159/000511359

Cited by 8 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The modified water swallowing test (MWST) is a simple measurement to detect aspiration by swallowing water [42]. A total of 3 mL cold water is poured over the floor of the mouth by using a 5 mL syringe, and then the patients are instructed to swallow [43].…”

Section: Jaw-opening Force Not Availablementioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

View full text Add to dashboard Cite

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.

show abstract

Section: Jaw-opening Force Not Availablementioning

confidence: 99%

Sarcopenic Dysphagia: A Narrative Review from Diagnosis to Intervention

Chen

Jeng

et al. 2021

Nutrients

View full text Add to dashboard Cite

show abstract

“…Tongue strength measurement has been proposed as a diagnostic tool for sarcopenic dysphagia ( 19 ). The modified water swallowing test (MWST) has been widely used by medical practitioners to screen for dysphagia ( 20 ). However, it puts the examinees at risk of choking.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Tongue Strength in Sarcopenia and Sarcopenic Dysphagia: A Systematic Review and Meta-Analysis

Chen

Lee

et al. 2021

Front. Nutr.

View full text Add to dashboard Cite

Sarcopenic dysphagia is defined as difficulty in swallowing due to sarcopenia, which may be related to weakness of the tongue muscles. This meta-analysis aimed to explore the association between tongue strength and sarcopenia and to determine whether tongue strength measurement could be a specific indicator of sarcopenic dysphagia. We conducted a systematic search of electronic databases from their inception to February 2021 for clinical studies that investigated tongue strength in participants with and without sarcopenia. The primary outcome was the weighted mean difference (WMD) and standardized mean difference (SMD) of tongue pressure between the different groups. The secondary outcome was the correlation of tongue pressure with the subcomponents that defined sarcopenia. Ten studies that involved 1,513 participants were included in the meta-analysis. Compared with those without sarcopenia, patients with sarcopenia had significantly less tongue pressure, with a WMD of −4.353 kPa (95% CI, −7.257 to −1.450) and an SMD of −0.581 (95% CI, −0.715 to −0.446). There was no significant difference in tongue pressure between patients with sarcopenic dysphagia and those with non-sarcopenic dysphagia, with a WMD of −1.262 kPa (95% CI, −8.442 to 5.918) and an SMD of −0.187 (95% CI, −1.059 to 0.686). Significant positive associations were identified between tongue pressure and grip strength and between tongue pressure and gait speed, with correlation coefficients of 0.396 (95% CI, 0.191 to 0.567) and 0.269 (95% CI, 0.015 to 0.490), respectively. Reduced tongue strength is associated with sarcopenia but is not an exclusive marker for sarcopenic dysphagia. Tongue strength correlates with the values of subcomponents that define sarcopenia. In patients with low performance of sarcopenia subcomponent, tongue pressure must be examined to diagnose subclinical dysphagia.Protocol registration: This meta-analysis was registered on INPLASY (registration number INPLASY202120060).

show abstract

“…Therefore, the clinical importance of sarcopenia gradually increases with growing interest in the elderly's quality of life and healthcare costs 10 . Not enough research has been conducted on the association between sarcopenia and laryngeal function, which is vital for vocalisation; however, one study has reported that sarcopenia is related to the swallowing ability of older women 11 . Many factors contribute to changes in voice with age, and it has been reported that the larynx muscles, such as the thyroarytenoid (TA) muscle, play an important role 12 …”

Section: Introductionmentioning

confidence: 99%

“…10 Not enough research has been conducted on the association between sarcopenia and laryngeal function, which is vital for vocalisation; however, one study has reported that sarcopenia is related to the swallowing ability of older women. 11 Many factors contribute to changes in voice with age, and it has been reported that the larynx muscles, such as the thyroarytenoid (TA) muscle, play an important role. 12 Several muscles of the larynx, which are essential for vocalisation, are thought to be associated with appendicular skeletal muscles, like other muscles of the body.…”

Section: Introductionmentioning

confidence: 99%