Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey
Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey
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DOI：
10.1111/j.1442-2050.2011.01182.x
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发表时间：
2011-09-01
影响因子：
2.6
通讯作者：
Hamdy, S.
中科院分区：
文献类型：
--
作者：
Holland, G.;Jayasekeran, V.;Hamdy, S.
症状性吞咽困难被认为在老年人群中更常见;然而，预测年龄相关性吞咽困难的因素还不太清楚。在这里，我们描述了一个大型的，否则“健康”的社区居住在英国的老年人口中，额外的认知和抑郁相关的分数进行了评估吞咽功能障碍的调查。一项使用悉尼口咽吞咽困难问卷的邮寄调查被发送到英格兰北部的800个住宅，这是曼彻斯特大学年龄和认知表现纵向研究的一部分。该队列由老年人（平均年龄81岁[范围69-98岁]）组成，他们在其他方面健康，无既往神经系统疾病史。邮寄问卷是一个有效的自我报告清单测量口咽吞咽困难的症状，涵盖了总共17个领域的吞咽功能。可获得的最大评分为1700，评分≥ 200被任意认为指示吞咽困难。认知表现和抑郁评分采用电话访谈认知屏幕和老年抑郁量表。所有数据用SPSS软件进行统计分析。在发出的800份问卷中，有637份被退回。其中三份在对不完整的表格进行后续电话访谈后因无法使用而被丢弃，完整的回复率为79%。女性占所有答复者的77%。在人群中，11.4%报告了指示严重吞咽困难的症状。不出所料，吞咽困难的严重程度与受试者年龄直接相关（r = 0.11，P = 0.007）。当考虑到认知因素时，记忆、回忆和心理表现与吞咽困难之间没有相关性;然而，抑郁症与吞咽困难症状有强烈的独立相关性（P = 0.002）。吞咽困难症状在老年人中很普遍，影响到近九分之一的人，否则他们将在社区中独立生活。虽然认知因素，如记忆回忆，似乎不影响吞咽困难的症状，抑郁症与吞咽困难，这表明一个潜在的相互作用。这可能与生活质量或心理因素有关。
Symptomatic dysphagia is believed to be more common in the older population; however, the factors that predict age-related dysphagia are less well-understood. Here, we describe a questionnaire-based survey of swallowing dysfunction in a large, otherwise 'healthy' community dwelling older population in the UK in whom additional cognitive and depression related scores were evaluated. A postal survey using Sydney oropharyngeal dysphagia questionnaire was sent to 800 residences in the North of England that formed part of the University of Manchester Age and Cognitive Performance Longitudinal Study. This cohort was composed of older individuals (mean age 81 [range 69-98 years]) who are otherwise healthy with no history of previous neurological disease. The postal questionnaire is a validated self-report inventory measuring symptoms of oropharyngeal dysphagia covering a total of 17 domains of swallowing function. The maximal score obtainable is 1700, with a score of >= 200 arbitrarily considered to indicate swallowing difficulty. Cognitive performance and depression scores utilized the telephone interview cognitive screen and the Geriatric Depression Scale. All data were analyzed in SPSS. Of the 800 questionnaires sent out, 637 where returned. Three were later discarded as unusable after follow-up telephone interviews of incomplete forms, giving a completed response rate of 79%. Females made up 77% of the total respondents. Of the population, 11.4% reported symptoms indicative of significant dysphagia. Unsurprisingly, dysphagia severity was directly correlated with subject age (r = 0.11, P = 0.007). When cognitive factors were taken into account, there was no correlation between memory, recall, and mental performance and dysphagia; however, depression was strongly and independently associated (P = 0.002) with dysphagia symptoms. Dysphagia symptoms are prevalent in older people, affecting nearly one in nine people who are otherwise living independently in the community. While cognitive factors such as memory recall do not seem to influence dysphagia symptoms, depression is associated with dysphagia, suggesting a potential interaction. This could relate to associations with quality of life or psychological factors.