Dysphagia,
Journal Year:
2023,
Volume and Issue:
39(3), P. 452 - 458
Published: Nov. 18, 2023
Swallowing
disorders
in
the
elderly
represent
a
public
health
problem,
their
detections
are
medico-economic
issue.
The
acoustic
analysis
of
swallowing
has
advantages
being
non-invasive
with
no
radiation,
compared
to
videofluoroscopy
or
fiberoptic
assessments.
Acoustic
been
tested
many
studies
but
only
on
small
food
boluses.
aim
this
study
was
compare
parameters
two
groups
healthy
subjects,
before
and
after
70
years
old,
during
intake
series
3
textures.
A
laryngophone
used
record
pharyngeal
phase
swallowing.
experimental
meal
composed
100
ml
mashed
potatoes,
water,
yogurt.
Group
1
(50-70
old)
comprised
21
subjects
group
2
(over
23
subjects.
analyzed
were
number
swallows,
average
duration
swallowing,
inter-swallowing,
duration,
frequency
per
minute.
These
for
compared.
inter-swallowing
significantly
higher
older
(p
<
0.001),
mean
that
2.4
s
longer
than
younger
group.
minute
(11.3
vs
7.9;
p
0.001).
This
demonstrated
an
three
textures
generated
usable
data
In
over
age
group,
there
decrease
frequency,
indicating
slowdown
intake.
reduced
could
become
criteria
assess
presbyphagia.
Neurological Research and Practice,
Journal Year:
2024,
Volume and Issue:
6(1)
Published: May 9, 2024
Abstract
Flexible
endoscopic
evaluation
of
swallowing
(FEES)
is
one
the
most
important
methods
for
instrumental
evaluation.
The
challenging
part
examination
consists
in
interpretation
various
observations
encountered
during
endoscopy
and
deduction
clinical
consequences.
This
review
proposes
framework
an
integrated
FEES-report
that
systematically
moves
from
salient
findings
FEES
to
more
advanced
domains
such
as
dysphagia
severity,
phenotypes
impairment
pathomechanisms.
Validated
scales
scores
are
used
enhance
diagnostic
yield.
In
concluding
report,
FEES-findings
put
into
perspective
context.
potential
etiology
conceivable
differential
diagnoses
considered,
further
steps
proposed,
treatment
options
evaluated,
a
timeframe
re-assessment
suggested.
designed
be
adaptable
open
continuous
evolution.
Additional
items,
novel
protocols,
pathophysiological
observations,
advancements
disease-related
knowledge,
new
options,
can
easily
incorporated.
Moreover,
there
customizing
this
approach
report
on
structural
dysphagia.
Neurological Research and Practice,
Journal Year:
2023,
Volume and Issue:
5(1)
Published: Feb. 16, 2023
Post-stroke
dysphagia
(PSD)
is
common
and
can
lead
to
serious
complications.
Pharyngeal
sensory
impairment
assumed
contribute
PSD.
The
aim
of
this
study
was
investigate
the
relationship
between
PSD
pharyngeal
hypesthesia
compare
different
assessment
methods
for
sensation.
Annals of Rehabilitation Medicine,
Journal Year:
2023,
Volume and Issue:
47(5), P. 337 - 347
Published: Oct. 31, 2023
Sarcopenic
dysphagia
is
characterized
by
weakness
of
swallowing-related
muscles
associated
with
whole-body
sarcopenia.
As
the
number
patients
sarcopenia
increases
aging
world,
sarcopenic
also
increasing.
The
prevalence
high
in
institutionalized
older
people
and
hospitalized
for
pneumonia
acute
care
hospitals.
Prevention,
early
detection
intervention
rehabilitation
nutrition
are
essential.
diagnosis
based
on
skeletal
swallowing
muscle
strength
mass.
A
reliable
validated
diagnostic
algorithm
used.
malnutrition,
which
leads
to
mortality
Activities
Daily
Living
(ADL)
decline.
approach
improves
function,
status,
ADL.
combination
aggressive
therapy
improve
rehabilitation,
physical
therapy,
other
interventions
can
be
effective
dysphagia.
process
used
assess
problem
solve
patient's
pathology,
sarcopenia,
status.
simplified
consists
a
cycle
cycle,
each
five
steps:
assessment,
diagnosis,
goal
setting,
intervention,
monitoring.
Nutrition
professionals
teams
implement
cycle.
Rehabilitation
Both
cycles
should
done
simultaneously.
undernutrition,
overnutrition/obesity,
setting
body
weight
implemented
collaboratively.
Clinical Nutrition,
Journal Year:
2024,
Volume and Issue:
43(8), P. 1815 - 1824
Published: June 24, 2024
In
view
of
the
global
demographic
shift,
a
scientific
symposium
was
organised
by
European
Society
for
Clinical
Nutrition
and
Metabolism
(ESPEN)
to
address
nutrition-related
challenges
older
population
provide
an
overview
current
state
knowledge.
Eighteen
issues
ageing
society
were
presented
international
experts
during
summarised
in
this
report.
Anorexia
ageing,
dysphagia,
malnutrition,
frailty,
sarcopenia,
sarcopenic
obesity,
metabolic
syndrome
highlighted
as
major
geriatric
syndromes.
Great
progress
has
been
made
recent
years
through
standardised
definitions
some
but
not
all
Regarding
GLIM
approach
shown
be
suitable
also
adults,
justifying
its
continuous
implementation.
For
anorexia
consensus
definition
is
still
required.
Intervention
approaches
should
integrated
person-centered
with
aim
optimizing
intrinsic
capacity
maintaining
functional
capacity.
Landmark
studies
like
EFFORT
FINGER
have
impressively
documented
potential
individualised
multifactorial
interventions
health
benefits.
Combining
nutritional
intervention
physical
training
seems
particularly
important
whereas
restrictive
diets
drug
treatment
generally
used
caution
because
undesirable
risks.
Obesity
management
adults
take
into
account
risk
promoting
sarcopenia.
future,
even
more
precision
nutrition
may
enable
better
care.
Meanwhile
stakeholders
focus
on
implementation
currently
available
strategies
work
closely
together
improve
care
adults.
Frontiers in Aging,
Journal Year:
2025,
Volume and Issue:
6
Published: April 7, 2025
Swallowing
disorders,
which
are
generally
underdiagnosed,
affect
the
elderly,
leading
to
a
decreased
quality
of
life
and
complications,
including
aspiration
pneumonia
death.
Understanding
neurophysiology
swallowing
causes
its
dysfunction
is
fundamental
tool
for
prevention,
early
diagnosis,
treatment
dysphagia.
New
technologies
open
wide
range
possibilities
implementation
new
care
protocols
this
disorder.
CoDAS,
Journal Year:
2025,
Volume and Issue:
37(3)
Published: Jan. 1, 2025
ABSTRACT
Purpose
We
aimed
to
describe
tongue
pressure
in
sarcopenic
and
dynapenic
older
adults.
Methods
An
exploratory
observational
cross-sectional
study
was
performed.
Data
were
gathered
from
29
institutionalized
adults
(over
60
years
old)
several
methods
used
order
assess
sarcopenia
-
handgrip
strength
(dynamometer),
muscle
mass
(bioelectrical
impedance
analysis
calf
circumference);
physical
performance
(Short
Physical
Performance
Balance);
(PLL
Pró-Fono).
For
descriptive
analysis,
means
medians
described
for
quantitative
variables
absolute
relative
frequencies
qualitative
variables.
In
the
inferential
Pearson's
Spearman's
coefficients
correlation
measurements
Chi-square
Fisher’s
association,
5%
significance
level.
Results
Most
patients
female
(79.31%),
with
a
median
age
of
81
(IQR
12).
Regarding
diagnosis,
79.31%
sarcopenic,
17.24%
3.45%
did
not
present
sarcopenia.
Fifty-eight
point
six
percent
presented
low
pressure,
being
88.2%
aged
70-79
old.
Among
adults,
65.2%
showed
decline
while
40%
similar
results
group.
There
statistically
significant
positive
between
group
(p=0.03).
With
regards
women,
there
an
association
(p=0.039)
(p=0.003).
Conclusion
A
observed
two
studied
groups,
worse
outcomes
