Effects of Presbyphagia on Oropharyngeal Swallowing Observed during Modified Barium Swallow Studies.
J Nutr Health Aging
; 26(11): 973-980, 2022.
Article
em En
| MEDLINE
| ID: mdl-36437764
ABSTRACT
OBJECTIVES:
Understanding how aging impacts swallowing can help differentiate typical from atypical behaviors. This study aimed to quantify age-related swallowing alterations observed during a modified barium swallow study.DESIGN:
Cross-sectional study.SETTING:
Adult fluoroscopy suite in a metropolitan hospital at an academic center.PARTICIPANTS:
195 healthy adults distributed across 3 age categories 21-39; 40-59; 60+ years. MEASUREMENTS 17 physiologic components of swallowing across three functional domains (oral, pharyngeal, esophageal), including summed composite scores (Oral Total [OT] and Pharyngeal Total [PT]), from the validated and standardized Modified Barium Swallow Impairment Profile.RESULTS:
Most components (65%) demonstrated no impairment (scores of "0"). The odds of a worse (higher) score increased significantly with age for Tongue Control during Bolus Hold, Hyolaryngeal Movement, Laryngeal Closure, Pharyngeal Contraction, and Pharyngoesophageal Segment Opening. OT and PT scores for 40-59-year-olds were worse than the youngest group (p=.01 and p <.001, respectively). Adults 60+ years had significantly worse PT scores among all groups (p-values <.01).CONCLUSION:
Oropharyngeal swallowing physiology evolves as healthy adults age and should be considered during clinical decision-making.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Deglutição
/
Deglutição
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
J Nutr Health Aging
Assunto da revista:
CIENCIAS DA NUTRICAO
/
GERIATRIA
Ano de publicação:
2022
Tipo de documento:
Article