Decreased Tongue Pressure is Associated with Sarcopenia and Sarcopenic Dysphagia in the Elderly
Decreased Tongue Pressure is Associated with Sarcopenia and Sarcopenic Dysphagia in the Elderly
复制标题
DOI：
10.1007/s00455-014-9577-y
复制
发表时间：
2015-02-01
期刊：
影响因子：
2.6
通讯作者：
Akagi, Junji
中科院分区：
文献类型：
--
作者：
Maeda, Keisuke;Akagi, Junji
本研究的目的是阐明舌压与肌肉减少症相关因素（如年龄、日常生活活动、营养状态和吞咽困难）之间的关系。本研究纳入了2013年5月至2013年6月期间住院的104例无卒中治疗史且未诊断为神经退行性疾病的患者（36例男性和68例女性），平均年龄为84.1 ± 5.6岁。最大自愿舌压力对腭（MTP）的测量由一个装置组成的一次性口腔球囊探头。分析营养和人体测量参数，如血清白蛋白浓度，微型营养评估简表（MNA-SF），体重指数，手臂肌肉面积（AMA）等，以及肌肉减少症和吞咽困难的存在，以评估它们之间的关系。相关分析和单因素或多因素分析。简单相关分析显示MTP与Barthel指数、MNA-SF、血清白蛋白浓度、体重指数、AMA相关。单变量和多变量分析表明，肌肉减少症，BI，MNA-SF和年龄是MTP降低的独立解释因素，吞咽困难的倾向评分，包括原发性或继发性肌肉减少症的原因，以及肌肉减少症的存在与吞咽困难的存在显著相关。在研究人群中，MTP降低和吞咽困难与肌肉减少症或肌肉减少症的原因有关。此外，肌肉减少性吞咽困难的临床状况可部分解释为肌肉减少症的存在和肌肉减少症的因果因素。
The aim of this study was to clarify the association between tongue pressure and factors related to sarcopenia such as aging, activities of daily living, nutritional state, and dysphagia. One-hundred-and-four patients without a history of treatment of stroke and without a diagnosis of neurodegenerative disease (36 men and 68 women), with a mean age of 84.1 +/- A 5.6 years, hospitalized from May 2013 to June 2013 were included in this study. Maximum voluntary tongue pressure against the palate (MTP) was measured by a device consisting of a disposable oral balloon probe. Nutritional and anthropometric parameters such as serum albumin concentration, Mini-Nutritional Assessment short form (MNA-SF), body mass index, arm muscle area (AMA), and others and presence of sarcopenia and dysphagia were analyzed to evaluate their relationships. Correlation analysis and univariate or multivariate analysis were performed. Simple correlation analysis showed that MTP correlated with Barthel index (BI), MNA-SF, serum albumin concentration, body mass index, and AMA. Univariate and multivariate analysis showed that sarcopenia, BI, MNA-SF, and age were the independent explanatory factors for decreased MTP, and the propensity score for dysphagia, including causes of primary or secondary sarcopenia, and the presence of sarcopenia were significantly associated with the presence of dysphagia. Decreased MTP and dysphagia were related to sarcopenia or the causes of sarcopenia in the studied population. Furthermore, the clinical condition of sarcopenic dysphagia may be partially interpreted as the presence of sarcopenia and causal factors for sarcopenia.