Utility of the Eating Assessment Tool-10 (EAT-10) in Evaluating Self-Reported Dysphagia Associated with Oral Frailty in Japanese Community-Dwelling Older People

Nishida, Takahiro; Yamabe, Kazumi; Ide, Yoshihiko; Honda, Sumihisa

doi:10.1007/s12603-019-1256-0

Cited by 33 publications

(21 citation statements)

References 25 publications

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“…In this study, we did not include individuals with a disability stage such as non-ambulatory (i.e., all study participants could walk without assistance or the need for a wheelchair). The frail and prefrail stages are considered reversible, and receiving appropriate treatment has been reported to slow the progression to the disability stage [1,8,15]. This study enrolled communitydwelling older adults aged ≥65 years, among whom, the rates of frailty, dysphagia, and malnutrition were relatively high, at 14%, 12%, and 29%, respectively; however, these figures are consistent with previous studies [7,9,24].…”

Section: Discussionsupporting

confidence: 80%

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The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults

Nishida

Yamabe²,

Honda

2021

Nutrients

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Malnutrition is a core symptom of the frailty cycle in older adults. The purpose of this study was to investigate whether dysphagia influences nutrition or frailty status in community-dwelling older adults. The study participants were 320 Japanese community-dwelling older adults aged ≥65 years. All participants completed a questionnaire survey that included items on age, sex, family structure, self-rated health, nutritional and frailty status, and swallowing function. Nutritional status was categorized as malnourished, at risk of malnutrition, and well-nourished based on the Mini Nutrition Assessment-Short Form. The participants were then classified into a malnutrition (malnourished/at risk) or a well-nourished group (well-nourished). Frailty was assessed using the Cardiovascular Health Study criteria. The participants were then divided into a frailty (frail/pre-frail) or a non-frailty group (robust). Dysphagia was screened using the 10-item Eating Assessment Tool. Multiple logistic regression analysis was conducted to determine whether dysphagia was associated with nutritional or frailty status. The results revealed that dysphagia influenced both nutrition (odds ratio [OR]: 4.0; 95% confidence interval [CI]: 1.9–8.2) and frailty status (OR: 2.3; 95% CI: 1.0–5.2); therefore, the swallowing function would be an important factor for community-dwelling older adults on frailty prevention programs.

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Section: Discussionsupporting

confidence: 80%

“…Swallowing ability is a crucial oral function because it is a major risk factor for aspiration pneumonia in older people [12,13]. Moreover, the prevalence of dysphagia among community-dwelling older people has increased by approximately 25% [14,15].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults

Nishida

Yamabe²,

Honda

2021

Nutrients

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“…First, we investigated only the swallowing capacity and did not use other parameters, such as the volume of water and time per swallow. A previous study indicated that the volume of water and time per swallow are related to dysphagia [11]; thus, these parameters may be related to sarcopenia. Second, we enrolled only community-dwelling older women.…”

Section: Discussionmentioning

confidence: 99%

“…Although the gold standard assessment tool for swallowing function is videofluoroscopic examination, it requires special medical equipment and skills. The 100-mL swallowing test involves a simple measurement and was used in previous studies to assess the swallowing function in older adults without dysphagia [10, 11]. Thus, we adopted the swallowing speed as the main outcome.…”

Section: Methodsmentioning

confidence: 99%

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

Suzuki¹,

Kimura²,

Otobe³

et al. 2020

Gerontology

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Background: Swallowing disorders are a serious health concern among older adults. Previous studies reported that sarcopenia may affect swallowing disorders; however, whether sarcopenia is related to the capacity to swallow (measured according to swallowing speed) in community-dwelling older adults is unclear. Objectives: The aim of this study was to investigate the relationship between sarcopenia and swallowing capacity in community-dwelling older women. Methods: This cross-sectional observational study was conducted among community-dwelling older women in Japan. The inclusion criteria were as follows: women aged ≥65 years, with the ability to walk independently, and without dysphagia. The exclusion criterion was a history of stroke or Parkinson’s disease that directly caused dysphagia. The participants were divided into a sarcopenia and a healthy group based on the criteria of the Asian Working Group for Sarcopenia 2019. We measured swallowing speed (mL/s) as the swallowing capacity by conducting a 100-mL water-swallowing test. To assess the relationship between sarcopenia and swallowing capacity, we performed a multiple regression analysis. Results: Two-hundred and sixty participants were enrolled in the study. Their mean age was 82.3 ± 6.9 years, and 61 (23.5%) of them displayed sarcopenia. The mean swallowing speed was 11.5 ± 4.9 mL/s, and 17 women (6.5%) exhibited choking or a wet-hoarse voice. Multiple regression analysis revealed that sarcopenia was related to the swallowing capacity after adjusting for age, the Mini-Mental State Examination, and the number of comorbidities (β = –0.20, 95% CI –3.78 to –0.86, p = 0.002). Conclusions: We found that sarcopenia was related to the swallowing capacity in older women in this study. Future research should clarify whether a similar relationship exists in older men as well as the effect of sarcopenia on the swallowing capacity in older adults over a period of time.

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“…"Oral frailty" can be defined as difficulty in chewing associated with age related changes in swallowing (presbyphagia) (15,16). The Eating Assessment Tool -10 (EAT-10) has been demonstrated to be an excellent screening tool for Oral Frailty (17,18). Older persons with sarcopenia have been commonly shown to have swallowing disorders (19)(20)(21).…”

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confidence: 99%

Oral Frailty

Morley

2020

The Journal of nutrition, health and aging

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Utility of the Eating Assessment Tool-10 (EAT-10) in Evaluating Self-Reported Dysphagia Associated with Oral Frailty in Japanese Community-Dwelling Older People

Cited by 33 publications

References 25 publications

The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults

The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults

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

Oral Frailty

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