Decreased swallowing function in the sarcopenic elderly without clinical dysphagia: a cross-sectional study.
Decreased swallowing function in the sarcopenic elderly without clinical dysphagia: a cross-sectional study.
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DOI：
10.1186/s12877-020-01832-0
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发表时间：
2020-10-21
期刊：
影响因子：
4.1
通讯作者：
Han DS
中科院分区：
文献类型：
--
作者：
Chen YC;Chen PY;Wang YC;Wang TG;Han DS
随着老年人口的持续增长，石棺减少和吞咽困难是普遍的健康问题。然而，由握力下降或步速降低定义的骨量减少是否会导致吞咽功能的病理影响仍是一个有争议的问题。针对骨质疏松症老年人吞咽功能亚临床变化的研究尚不多见。本研究对无吞咽困难的骨质疏松性老年人的吞咽功能进行了评估。方法：横断面研究包括从社区招募的受试者。94名年龄在65岁及以上且无吞咽困难的受试者被分成两组：骨质疏松症和非骨质疏松症。吞咽评估包括舌压、舌骨移位(HD)、舌骨血流速度(HV)、100ml吞水试验和10项进食评估工具(EAT-10)。石膏组和非石膏组平均舌压分别为47.0 ± 13.7 和48.6 ± 11.5 kpa(P= 0.55)，吞咽时平均舌压分别为15.3 ± 4.4 和13.0 ± 4.2 mm(P<0.05)。两组吞咽时HV的中位数分别为19.5(6.41~45.86)mm/S和15.9(3.7~39.7)mm/S(P<0.0 5)。石膏组和非石膏组消耗100 ml水所需时间的中位数分别为12.43(3.56-49.34)秒和5.66(2.07-19.13)秒(p<0.05)。骨质疏松组和非骨质疏松组的EAT-10评分中位数分别为0(0~2)和0(0~1)(P<0.0 5； )。在老年人中，在临床症状变得明显之前，石棺减少会显著损害吞咽功能。然而，舌肌表现出对石棺减少症的抵抗力。我们观察了石棺减少患者的代偿策略，如吞咽速度减慢和舌骨移动增加。
Sarcopenia and dysphagia are prevalent health issues as the elderly population continues to grow. However, whether sarcopenia, defined by either reduced handgrip strength or gait speed, would lead to pathological effects on swallowing function is still a matter of debate. Studies focusing on subclinical changes in the swallowing function in the sarcopenic elderly are lacking. This study evaluates the swallowing function in the sarcopenic elderly without dysphagia. Methods: A cross-sectional study was conducted including subjects recruited from the community. Ninety-four individuals aged 65 and older without dysphagia were divided into two groups: sarcopenia and nonsarcopenia. The swallowing assessment included tongue pressure measurement, hyoid displacement (HD), hyoid velocity (HV) measurement with submental ultrasonography, 100-ml water-swallowing test, and the 10-item Eating Assessment Tool (EAT-10). The average tongue pressure was 47.0 ± 13.7 and 48.6 ± 11.5 kPa in the sarcopenia and nonsarcopenia groups, respectively (p = 0.55), whereas the average HD during swallowing was 15.3 ± 4.4 and 13.0 ± 4.2 mm in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of HV during swallowing was 19.5 (6.41–45.86) and 15.9 (3.7–39.7) mm/s in the sarcopenia and nonsarcopenia group (p < 0.05). The median of time needed for consuming 100 ml water was 12.43 (3.56–49.34) and 5.66 (2.07–19.13) seconds in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of the EAT-10 score was 0 (0–2) and 0 (0–1) in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). In elderly individuals, swallowing function was significantly impaired with sarcopenia before clinical symptoms become clear. However, tongue muscles exhibited resistance to sarcopenia. We observed compensative strategies in patients with sarcopenia, such as reduced swallowing speed and increased hyoid bone movement.
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影响因子：
1.1
作者：
Chen YC;Hsiao MY;Wang YC;Fu CP;Wang TG
通讯作者：
Wang TG
影响因子：
3.3
作者：
Machida, Nami;Tohara, Haruka;Minakuchi, Shunsuke
通讯作者：
Minakuchi, Shunsuke
影响因子：
2.6
作者：
Kim, Youngsun;McCullough, Gary H.
通讯作者：
McCullough, Gary H.
DOI：
10.1001/archotol.127.10.1224
发表时间：
2001-10-01
影响因子：
--
作者：
Kendall, KA;Leonard, RJ
通讯作者：
Leonard, RJ
影响因子：
3.3
作者：
Fujishima, Ichiro;Fujiu-Kurachi, Masako;Yoshimura, Yoshihiro
通讯作者：
Yoshimura, Yoshihiro