A preliminary cross-sectional study to investigate the presence of sarcopenic dysphagia in a Portuguese geriatric population
https://doi.org/10.4081/gc.2023.10972
Accepted: 15 March 2023
HTML: 14
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
The objective of this study is to investigate the presence of sarcopenia and the risk of oropharyngeal dysphagia (OD) in a geriatric population and to analyze the relationship between the factors associated with sarcopenic dysphagia. The cross-sectional study was carried out in two nursing homes. The presence of OD was screened using the gugging swallowing screen, and sarcopenia was assessed according to the European working group on sarcopenia in older people criteria. The sample (N=36; 23 women, 13 men) presents a mean age of 88.0±5.6, with 55.6% being at risk of OD, 52.8% with sarcopenia, and 36.1% with probable sarcopenic dysphagia. The score of the simple questionnaire to rapidly diagnose sarcopenia (SARC-F)≥4 was a significant predictor (odds ratio=9.0; confidence interval 95%=1.285-63.025) for the risk of having sarcopenic dysphagia. It was observed that sarcopenia was associated with higher odds of being at risk of OD. Also, an increase in age, poorly fitting prostheses, a higher level of dependence during activities of daily living, and a risk of malnutrition or malnourishment raised the potential of having probable sarcopenic dysphagia. We suggest including a speech and language therapist in the multidisciplinary geriatric teams to improve the prevention of sarcopenic dysphagia and to avoid its consequences.
Ortega O, Martín A, Clavé P. Diagnosis and management of oropharyngeal dysphagia among older persons, state of the art. J Am Med Dir Assoc 2017;18:576-82. DOI: https://doi.org/10.1016/j.jamda.2017.02.015
Chen KC, Jeng Y, Wu WT, et al. Sarcopenic dysphagia: a narrative review from diagnosis to intervention. Nutrients 2021;13:4043. DOI: https://doi.org/10.3390/nu13114043
Payne M, Morley JE. Dysphagia, dementia and frailty. J Nutr Health Aging 2018;22:562-5. DOI: https://doi.org/10.1007/s12603-018-1033-5
Zhao WT, Yang M, Wu HM, et al. Systematic review and meta-analysis of the association between sarcopenia and dysphagia. J Nutr Health Aging 2018; 22:1003-9. DOI: https://doi.org/10.1007/s12603-018-1055-z
Cha S, Kim WS, Kim KW, et al. Sarcopenia is an independent risk factor for dysphagia in community‑dwelling older adults. Dysphagia 2019;34:692-7. DOI: https://doi.org/10.1007/s00455-018-09973-6
Batsis JA, Mackenzie TA, Lopez-Jimenez F, Bartels SJ. Sarcopenia, sarcopenic obesity, and functional impairments in older adults: national health and nutrition examination surveys 1999-2004. Nutr Res 2015;35:1031-9. DOI: https://doi.org/10.1016/j.nutres.2015.09.003
Cruz-Jentoft AJ, Landi F, Schneider SM, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the international sarcopenia initiative (EWGSOP and IWGS). Age Ageing 2014;43:748-59. DOI: https://doi.org/10.1093/ageing/afu115
Bianchi L, Abete P, Bellelli G, et al. Prevalence and clinical correlates of sarcopenia, identified according to the EWGSOP definition and diagnostic algorithm, in hospitalized older people: the GLISTEN study. J Gerontol A Biol Sci Med Sci 2017;72:1575-81. DOI: https://doi.org/10.1093/gerona/glw343
Mijnarends DM, Koster A, Schols JMGA, et al. Physical activity and incidence of sarcopenia: the population-based AGES—Reykjavik Study. Age Ageing 2016;45:614-20. DOI: https://doi.org/10.1093/ageing/afw090
Senior HE, Henwood TR, Beller EM, et al. Prevalence and risk factors of sarcopenia among adults living in nursing homes. Maturitas 2015;82:418-23. DOI: https://doi.org/10.1016/j.maturitas.2015.08.006
Wakabayashi H, Takahashi R, Murakami T. The prevalence and prognosis of sarcopenic dysphagia in patients who require dysphagia rehabilitation. J Nutr Health Aging 2019;23:84-8. DOI: https://doi.org/10.1007/s12603-018-1117-2
Hara K, Tohara H, Kobayashi K, et al. Age-related declines in the swallowing muscle strength of men and women aged 20-89 years: a cross-sectional study on tongue pressure and jaw-opening force in 980 subjects. Arch Gerontol Geriatr 2018;78:64-70. DOI: https://doi.org/10.1016/j.archger.2018.05.015
Can B, İsmagulova N, Enver N, et al. Sarcopenic dysphagia following COVID-19 infection: a new danger. Nutr Clin Pract 2021;36:828-32. DOI: https://doi.org/10.1002/ncp.10731
Almeida J, Amaral C, Lucas I, et al. GUSS; 2017. Available from: https://gussgroupinternational.files.wordpress.com/2019/01/portuguese-1.pdf. Accessed July 7, 2019.
Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019;48:16-31. DOI: https://doi.org/10.1093/ageing/afy169
Faria A, Sousa-Santos AR, Mendes J, Limas de Sousa AS, Amaral TF. Development of the Portuguese versions of FRAIL Scale and SARC-F: screening tools for physical frailty and sarcopenia [Article in Portuguese]. Acta Portuguesa de Nutrição 2021;26:90-4.
Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the mini nutritional assessment short-form (MNA®-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782-8. DOI: https://doi.org/10.1007/s12603-009-0214-7
Jesus L, Marques A, Roberto M, Rosa M, Patrício B. Barthel Index (BI) – Versão Portuguesa. University of Aveiro, Portugal. In Press. Available from: MAPI Research Trust PROQOLID database http://www.proqolid.org.
Pordata. Censos 2021: conheça Portugal. Available from: https://www.pordata.pt/Portugal/Quadro+Resumo/Portugal-255606. Accessed May 20, 2022.
Du Y, Wang X, Xie H et al. Sex differences in the prevalence and adverse outcomes of sarcopenia and sarcopenic obesity in community dwelling elderly in East China using the AWGS criteria. BMC Endocr Disord 2019;19:109. DOI: https://doi.org/10.1186/s12902-019-0432-x
Lourenço A, Barros P. Cuidados de saúde oral. Nova healthcare initiative-research/ Universidade Nova de Lisboa; 2016. Available from https://www.omd.pt/content/uploads/2017/12/cuidados-saude-oral.pdf.
Espanha R, Ávila P. Health literacy survey Portugal: a contribution for the knowledge on health and communications. Procedia Computer Science 2016;100:1033-41. DOI: https://doi.org/10.1016/j.procs.2016.09.277
DGS - Direção Geral de Saúde. Programa nacional de promoção da saúde oral - iii estudo nacional de prevalência das doenças orais. Available from: https://www.dgs.pt/documentos-e-publicacoes/iii-estudo-nacional-de-prevalencia-das-doencas-orais-pdf.aspx Accessed on: February 2022
Mizuno S, Wakabayashi H, Wada F. Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability. Curr Opin Clin Nutr Metab Care 2022;25:29-36. DOI: https://doi.org/10.1097/MCO.0000000000000787
Patino-Hernandez D, Borda MG, Venegas Sanabria LC, et al. Disfagia sarcopénica. Rev Col Gastroenterol 2017;31:418-23. DOI: https://doi.org/10.22516/25007440.117
Sire A, Ferrillo M, Lippi L, et al. Sarcopenic dysphagia, malnutrition, and oral frailty in elderly: a comprehensive review. Nutrients 2022,14:982. DOI: https://doi.org/10.3390/nu14050982
Warnecke T, Dziewas R, Wirth R, et al. Dysphagia from a neurogeriatric point of view: pathogenesis, diagnosis and management. Z Gerontol Geriat 2019;52:330-5. DOI: https://doi.org/10.1007/s00391-019-01563-x
Sakai K, Nakayama E, Tohara H, et al. Diagnostic accuracy of lip force and tongue strength for sarcopenic dysphagia in older inpatients: a cross-sectional observational study. Clinical Nutrition 2019;38:303-9. DOI: https://doi.org/10.1016/j.clnu.2018.01.016
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
