Swallowing difficulties among healthy elderly: prevalence and aetiology

Khader, Fathima Abdul; Somayaji, Krishnaraj; Mubeena,

doi:10.18203/issn.2454-5929.ijohns20180713

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…Further, Roy et al 13 found 37.6% of community living elder had swallowing problems during their lifetime. The lower prevalence in our study than previous studies, 8 , 9 , 12 , 14 , 15 may have been due to elders who had chronic disease such as stroke or cancer being excluded from our this study. The average age in this study was also lower than in other studies, and the swallowing screening tool for each study was different.…”

Section: Discussioncontrasting

confidence: 68%

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Swallowing Problems among Community-Dwelling Elderly in Northeastern Thailand

Chaleekrua

Janpol

Wattanapan

2021

J Prim Care Community Health

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Introduction/objectives Aging brings deterioration in many organs involving in swallowing, such as, oropharyngeal muscle weakness, decreased salivation, multiple teeth loss, decreased oral sensation, and delayed swallowing response. There are no official statistics and systematic records of swallowing problems in Thailand’s healthy elder populations. Therefore, this study aimed to determine the prevalence of swallowing problems among a Thai healthy elder population. Methods A survey of 874 elders was conducted at Community Hospitals in region 7 of the Thai National Health Security Office from September to November 2019. All participants were interviewed using a questionnaire focused on, screening for swallowing problems using a 10-item Eating Assessment Tool (EAT-10) and questions about participants’ physical and oral health behaviors. Results Sixty-six percent of the participants were women and 34% were males, with mean age 69.70 ± 6.79 years. Of these, 11.4% had swallowing problems. The most common swallowing problems were food sticking in the throat, effort on swallowing and choking. Age and having an underlying disease were found to be statistically significantly associated with dysphagia, whereas gender was not associated with dysphagia. Conclusions The prevalence of swallowing problems among Thai healthy community-dwelling elders was assessed as about 11%. Early identification and early intervention for swallowing problem is necessary for promoting health and quality of life of our growing elderly population.

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Section: Discussioncontrasting

confidence: 68%

“…However, there was no correlation between gender and dysphagia in the present study, similar to the study of Abdul Khader and Mubeena. 15 …”

Section: Discussionmentioning

confidence: 99%

Swallowing Problems among Community-Dwelling Elderly in Northeastern Thailand

Chaleekrua

Janpol

Wattanapan

2021

J Prim Care Community Health

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“…181 Of the 32 included studies, none of them recruited a nationally-representative 182 sample, twelve studies were from Europe and North America [34][35][36][37][38][39][40][41][42][43][44][45] seventeen from Asia 183 [46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] two from Oceania [63,64] and one from South America [65]. Two studies recruited 184 participants aged 80 years or older [34,41], reporting too high prevalences of dysphagia to 185 be representative for the purpose of the present study.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis

Doan

Wang

et al. 2022

JCM

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Background: This systematic review and meta-analysis aimed to estimate the pooled prevalence of dysphagia in older adults, subgrouping by recruitment settings and varying dysphagia assessment methods. Methods: Five major databases were systematically searched through January 2022. A random-effects model for meta-analysis was conducted to obtain the pooled prevalence. Results: Prevalence of dysphagia in the community-dwelling elderly screened by water swallow test was 12.14% (95% CI: 6.48% to 19.25%, I2 = 0%), which was significantly lower than the combined prevalence of 30.52% (95% CI: 21.75% to 40.07%, I2 = 68%) assessed by Standardized Swallowing Assessment (SSA) and volume-viscosity swallow test (V−VST). The dysphagia prevalence among elderly nursing home residents evaluated by SSA was 58.69% (95% CI: 47.71% to 69.25%, I2 = 0%) and by the Gugging Swallowing Screen test (GUSS) test was 53.60% (95% CI: 41.20% to 65.79%, I2 = 0%). The prevalence of dysphagia in hospitalized older adults screened by the 10-item Eating Assessment Tool was 24.10% (95% CI: 16.64% to 32.44%, I2 = 0%), which was significantly lower than those assessed by V-VST or GUSS tests of 47.18% (95% CI: 38.30% to 56.14%, I2 = 0%). Conclusions: Dysphagia is prevalent in the elderly, affecting approximately one in three community-dwelling elderly, almost half of the geriatric patients, and even more than half of elderly nursing home residents. The use of non-validated screening tools to report dysphagia underestimates its actual prevalence.

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Identifying Dysphagia and Demographic Associations in Older Adults Using Electronic Health Records: A National Longitudinal Observational Study in Wales (United Kingdom) 2008–2018

Hollinghurst

Smithard

2022

Dysphagia

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Dysphagia is increasingly being recognised as a geriatric syndrome (giant). There is limited research on the prevalence of dysphagia using electronic health records. To investigate associations between dysphagia, as recorded in electronic health records and age, frailty using the electronic frailty index, gender and deprivation (Welsh index of multiple deprivation). A Cross-sectional longitudinal cohort study in over 400,000 older adults was undertaken (65 +) in Wales (United Kingdom) per year from 2008 to 2018. We used the secure anonymised information linkage databank to identify dysphagia diagnoses in primary and secondary care. We used chi-squared tests and multivariate logistic regression to investigate associations between dysphagia diagnosis and age, frailty (using the electronic Frailty index), gender and deprivation. Data indicated < 1% of individuals were recorded as having a dysphagia diagnosis per year. We found dysphagia to be statistically significantly associated with older age, more severe frailty and individuals from more deprived areas. Multivariate analyses indicated increased odds ratios [OR (95% confidence intervals)] for a dysphagia diagnosis with increased age [reference 65–74: aged 75–84 OR 1.09 (1.07, 1.12), 85 + OR 1.23 (1.20, 1.27)], frailty (reference fit: mild frailty 2.45 (2.38, 2.53), moderate frailty 4.64 (4.49, 4.79) and severe frailty 7.87 (7.55, 8.21)] and individuals from most deprived areas [reference 5. Least deprived, 1. Most deprived: 1.10 (1.06, 1.14)]. The study has identified that prevalence of diagnosed dysphagia is lower than previously reported. This study has confirmed the association of dysphagia with increasing age and frailty. A previously unreported association with deprivation has been identified. Deprivation is a multifactorial problem that is known to affect health outcomes, and the association with dysphagia should not be a surprise. Research in to this relationship is indicated.

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Swallowing difficulties among healthy elderly: prevalence and aetiology

Cited by 7 publications

References 11 publications

Swallowing Problems among Community-Dwelling Elderly in Northeastern Thailand

Swallowing Problems among Community-Dwelling Elderly in Northeastern Thailand

Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis

Identifying Dysphagia and Demographic Associations in Older Adults Using Electronic Health Records: A National Longitudinal Observational Study in Wales (United Kingdom) 2008–2018

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