Swallowing Changes in Community-Dwelling Older Adults

被引:0
|
作者
Rachel W. Mulheren
Alba M. Azola
Stephanie Kwiatkowski
Eleni Karagiorgos
Ianessa Humbert
Jeffrey B. Palmer
Marlís González-Fernández
机构
[1] Johns Hopkins University School of Medicine,Department of Physical Medicine and Rehabilitation
[2] Johns Hopkins University School of Medicine,Department of Neuroscience
[3] Kennedy Krieger Institute,Swallowing Systems Core, Department of Speech, Language, Hearing Sciences
[4] University of Florida,Department of Neurology
[5] University of Florida,Rehabilitation Sciences, College of Health and Health Professions
[6] University of Florida,undefined
来源
Dysphagia | 2018年 / 33卷
关键词
Dysphagia; Presbyphagia; Aging swallow; MBSImP; Swallow screen; Dysphagia Handicap Index;
D O I
暂无
中图分类号
学科分类号
摘要
Older adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3 oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by paired t tests, and multivariate logistic regression models were generated to determine whether these ratings and VFSS analysis of swallowing function were associated with failure of one or both swallow screen trials. Archived VFSS of 33 younger adults were compared to older adults with Wilcoxon rank-sum tests. The DHI scores of older adults were higher than published non-dysphagic adults but lower than dysphagic adults. Older participants with greater Oral Residue scores were more likely to fail both swallow screen trials. Older adults received higher median MBSImP™© scores for select pharyngeal components than younger adults. The two age groups did not differ on Penetration-Aspiration Scale scores, and no aspiration was observed. Measures of swallowing in older individuals may reflect age-related sensory and motor changes in the context of functional swallowing and adequate airway protection.
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页码:848 / 856
页数:8
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