Swallowing Changes in Community-Dwelling Older Adults

Rachel W. Mulheren; Alba M. Azola; Stephanie Kwiatkowski; Eleni Karagiorgos; Ianessa Humbert; Jeffrey B. Palmer; Marlís González-Fernández

doi:10.1007/s00455-018-9911-x

Swallowing Changes in Community-Dwelling Older Adults

Rachel W. Mulheren, Alba M. Azola, Stephanie Kwiatkowski, Eleni Karagiorgos, Ianessa Humbert, Jeffrey B. Palmer, Marlís González-Fernández

School of Medicine

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

Older adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3 oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by paired t tests, and multivariate logistic regression models were generated to determine whether these ratings and VFSS analysis of swallowing function were associated with failure of one or both swallow screen trials. Archived VFSS of 33 younger adults were compared to older adults with Wilcoxon rank-sum tests. The DHI scores of older adults were higher than published non-dysphagic adults but lower than dysphagic adults. Older participants with greater Oral Residue scores were more likely to fail both swallow screen trials. Older adults received higher median MBSImP™

Original language	English (US)
Pages (from-to)	848-856
Number of pages	9
Journal	Dysphagia
Volume	33
Issue number	6
DOIs	https://doi.org/10.1007/s00455-018-9911-x
State	Published - Dec 1 2018

Keywords

Aging swallow
Dysphagia
Dysphagia Handicap Index
MBSImP
Presbyphagia
Swallow screen

ASJC Scopus subject areas

Otorhinolaryngology
Gastroenterology
Speech and Hearing

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10.1007/s00455-018-9911-x

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abstract = "Older adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3 oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by paired t tests, and multivariate logistic regression models were generated to determine whether these ratings and VFSS analysis of swallowing function were associated with failure of one or both swallow screen trials. Archived VFSS of 33 younger adults were compared to older adults with Wilcoxon rank-sum tests. The DHI scores of older adults were higher than published non-dysphagic adults but lower than dysphagic adults. Older participants with greater Oral Residue scores were more likely to fail both swallow screen trials. Older adults received higher median MBSImP{\texttrademark}",

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Swallowing Changes in Community-Dwelling Older Adults

Abstract

Keywords

ASJC Scopus subject areas

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