Sarcopenic dysphagia and aspiration pneumonia in older people
Sarcopenic dysphagia and aspiration pneumonia in older people
复制标题
老年人的肌肉减少性吞咽困难和吸入性肺炎
DOI：
10.1111/ggi.14503
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发表时间：
2022
影响因子：
3.3
通讯作者：
Ebihara T.
中科院分区：
文献类型：
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作者：
Ebihara S;Miura T;Yoshida N;Nakazawa C;Takahashi R;Ebihara T.
我们怀着极大的兴趣阅读了永井等人最近发表的一篇文章。1在他们的研究中报告的肌肉减少性吞咽困难患者的功能恢复差与我们的日常临床经验一致。在承认永井等人研究的临床意义的同时，我们建议吸入性肺炎也应该被认为是肌肉减少性吞咽困难患者功能恢复不良的一个潜在因素。不幸的是，永井等人没有提供他们的研究样本的吸入性肺炎病史或随访期间的发病数据。吸入性肺炎和肌肉减少性吞咽困难密切相关。肌肉减少症可导致吞咽困难，吞咽困难本身是吸入性肺炎的一个强风险因素。2肌肉减少症仍然是吸入性肺炎患者的不良预后因素。3相反，吸入性肺炎可导致肌肉减少症。4，5具体而言，吸入性肺炎的发生会减缓康复，恶化营养状况，并导致身体疲惫。然而，由于肌肉减少性吞咽困难不一定会引起吸入性肺炎，因此在永井等人提供的数据集中研究吸入性肺炎的发生率有助于阐明吸入性肺炎在肌肉减少性吞咽困难功能恢复中的作用。
We read a recently published article by Nagai et al. with great interest. 1 The poor functional recovery of patients with sarcopenic dysphagia reported in their study is consistent with our day-to-day clinical experience. While acknowledging the clinical significance of Nagai et al.′ s study, we propose that aspiration pneumonia should also be considered as a factor underlying poor functional recovery in patients with sarcopenic dysphagia. Unfortunately, Nagai et al. did not provide data on the history of aspiration pneumonia for their study sample or on its onset during the follow-up period.Aspiration pneumonia and sarcopenic dysphagia are closely related. Sarcopenia can lead to dysphagia, which, itself, is a strong risk factor for aspiration pneumonia. 2 Sarcopenia also remains an adverse prognostic factor in patients with aspiration pneumonia. 3 Conversely, aspiration pneumonia can lead to sarcopenia. 4, 5 Specifically, the incidence of aspiration pneumonia can slacken rehabilitation, worsen nutritional status and lead to physical exhaustion. However, as sarcopenic dysphagia does not necessarily cause aspiration pneumonia, investigating the incidence of aspiration pneumonia in the dataset presented by Nagai et al. could help clarify the contribution of aspiration pneumonia in the functional recovery with sarcopenic dysphagia.