Document Detail


Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study.
MedLine Citation:
PMID:  22311895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to assess the role of oropharyngeal dysphagia (OD) as a risk factor for malnutrition and/or lower respiratory tract infection (LRTI) in the independently-living population of 70 years and over.
DESIGN: a population-based cohort study.
SUBJECTS AND SETTING: persons 70 years and over in the community (non-institutionalised) were randomly selected from primary care databases.
MEASUREMENTS: the volume-viscosity swallow test (V-VST) was administered by trained physicians at baseline to identify subjects with clinical signs of OD and impaired safety or efficacy of swallow. At the one year follow-up visit, hand grip, functional capacity (Barthel score), nutritional status (mini nutritional assessment, MNA) and LRTI (clinical notes) were assessed.
RESULTS: two hundred and fifty-four subjects were recruited (46.5% female; mean age, 78 years) and 90% of them (227) were re-evaluated one year later. Annual incidence of 'malnutrition or at risk of malnutrition' (MNA <23.5) was 18.6% in those with basal signs of OD and 12.3% in those without basal signs of OD (P = 0.296). However, prevalent cases of 'malnutrition or at risk of malnutrition' at follow up were associated with basal OD (OR = 2.72; P = 0.010), as well as with basal signs of impaired efficacy of swallow (OR = 2.73; P = 0.015). Otherwise, LRTI's annual incidence was higher in subjects with basal signs of impaired safety of swallow in comparison with subjects without such signs (40.0 versus 21.8%; P = 0.030; OR = 2.39).
CONCLUSIONS: OD is a risk factor for malnutrition and LRTI in independently living older subjects. These results suggest that older persons should be routinely screened and treated for OD to avoid nutritional and respiratory complications.
Authors:
Mateu Serra-Prat; Mercè Palomera; Carlos Gomez; David Sar-Shalom; Adoración Saiz; Jorge G Montoya; Mario Navajas; Elisabet Palomera; Pere Clavé
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-02-05
Journal Detail:
Title:  Age and ageing     Volume:  41     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-25     Completed Date:  2012-08-20     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  376-81     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Aging*
Chi-Square Distribution
Comorbidity
Deglutition
Deglutition Disorders / diagnosis,  epidemiology*,  physiopathology
Female
Geriatric Assessment
Hand Strength
Humans
Incidence
Independent Living*
Logistic Models
Male
Malnutrition / diagnosis,  epidemiology*,  physiopathology
Nutrition Assessment
Nutritional Status
Odds Ratio
Prevalence
Prospective Studies
Respiratory Tract Infections / diagnosis,  epidemiology*,  physiopathology
Risk Assessment
Risk Factors
Spain / epidemiology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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