老年肌少症住院病人合并吞咽功能障碍的影响因素分析

doi:10.3969/j.issn.1003-9198.2022.06.021

Abstract

Abstract: Objective To investigate the status and the related influencing factors of dysphagia in the elderly inpatients with sarcopenia. Methods A total of 86 elderly patients with sarcopenia hospitalized in Jiangsu Province Geriatric Hospital from November 2019 to October 2021 were selected. According to the result of water swallow test, the patients were divided into sarcopenia only group (n=29) and sarcopenia combined with dysphagia group (n=57). The general data of the two groups were collected and compared; The influencing factors of dysphagia in the elderly inpatients with sarcopenia were analyzed by binary Logistic regression analysis. Results The detection rate of dysphagia in the elderly inpatients with sarcopenia was 66.28%. There were statistically significant differences in age, marital status, residential status, smoking history, drinking history, exercise habit, activity of daily living and the prevalence of severe sarcopenia between the two groups (P<0.05 or 0.01). Binary Logistic regression analysis showed that exercise habit was an independent factor for dysphagia in the elderly inpatients with sarcopenia. Conclusions Exercise has a positive effect on swallowing function, so we should pay attention to the elderly’s daily exercise, and reduce the risk of sarcopenia combined with dysphagia.

Key words: sarcopenia, dysphagia, elderly inpatient, risk factor

CLC Number:

R 746

BO Ying-ying, MO Yong-zhen, OUYANG Xiao-jun, SHEN Xiao-xing, ZHU Hai-qiong, WANG Jie, LIU Xiao-qin, LIU Mei-li, LIU Huan, XU Jia-ren. Analysis of influencing factors of dysphagia in hospitalized elderly patients with sarcopenia[J]. Practical Geriatrics, 2022, 36(6): 632-635.

References

[1] CRUZ-JENTOFT A J, BAHAT G, BAUER J, et al. Sarcopenia: revised European consensus on definition and diagnosis[J]. Age Ageing, 2019, 48(1):16-31.
[2] CHEN L K, WOO J, ASSANTACHAI P, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment[J]. J Am Med Dir Assoc, 2020, 21(3):300-307.
[3] 中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J]. 中华物理医学与康复杂志, 2017, 39(12):881-892.
[4] KURODA Y, KURODA R. Relationship between thinness and swallowing function in Japanese older adults: implications for sarcopenic dysphagia[J]. J Am Geriatr Soc, 2012, 60(9):1785-1786.
[5] KOREN-HAKIM T, WEISS A, HERSHKOVITZ A, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients[J]. Clin Nutr, 2016, 35(5):1053-1058.
[6] CLARK D O, STUMP T E, TU W, et al. A comparison and cross-validation of models to predict basic activity of daily living dependency in older adults[J]. Med Care, 2012, 50(6):534-539.
[7] LUO N, LIU G, LI M, et al. Estimating an EQ-5D-5L value set for China[J]. Value Health, 2017, 20(4):662-669.
[8] ROFFMAN C E, BUCHANAN J, ALLISON G T. Charlson comorbidities index[J]. J Physiother, 2016, 62(3):171.
[9] FIELDING R A, VELLAS B, EVANS W J, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences[J]. J Am Med Dir Assoc, 2011, 12(4):249-256.
[10] WAKABAYASHI H. Presbyphagia and sarcopenic dysphagia: association between aging, sarcopenia, and deglutition disorders[J]. J Frailty Aging, 2014, 3(2):97-103.
[11] HUMBERT I A, ROBBINS J. Dysphagia in the elderly[J]. Phys Med Rehabil Clin N Am, 2008, 19(4):853-866.
[12] DZIEWAS R, BECK A M, CLAVE P, et al. Recognizing the importance of dysphagia: stumbling blocks and stepping stones in the twenty-first century[J]. Dysphagia, 2017, 32(1):78-82.
[13] ZHAO W T, YANG M, WU H M, et al. Systematic review and meta-analysis of the association between sarcopenia and dysphagia[J]. J Nutr Health Aging, 2018, 22(8):1003-1009.
[14] FUJISHIMA I, FUJIU-KURACHI M, ARAI H, et al. Sarcopenia and dysphagia: position paper by four professional organizations[J]. Geriatr Gerontol Int, 2019, 19(2):91-97.
[15] VELDEE M S, PETH L D. Can protein-calorie malnutrition cause dysphagia?[J]. Dysphagia, 1992, 7(2):86-101.
[16] 王剑, 李五一, 张竹花, 等. 吞咽障碍的临床评估[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(11):889-893.
[17] MAEDA K, AKAGI J. Treatment of sarcopenic dysphagia with rehabilitation and nutritional support: A Comprehensive Approach[J]. J Acad Nutr Diet, 2016, 116(4):573-577.
[18] WAKABAYASHI H, UWANO R. Rehabilitation nutrition for possible sarcopenic dysphagia after lung cancer surgery: A Case Report[J]. Am J Phys Med Rehabil, 2016, 95(6):e84-e89.
[19] CLAVE P, SHAKER R. Dysphagia: current reality and scope of the problem[J]. Nat Rev Gastroenterol Hepatol, 2015, 12(5):259-270.
[20] WAKABAYASHI H, SAKUMA K. Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management[J]. J Cachexia Sarcopenia Muscle, 2014, 5(4):269-277.

Analysis of influencing factors of dysphagia in hospitalized elderly patients with sarcopenia

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	WANG Zhenyu, YUAN Ying, XIANG Ying, LIU Jinyan, WU Hai, WANG Meng, XU Guifang. Risk factors of lymph node metastasis in elderly patients with mixed-type early gastric cancer [J]. Practical Geriatrics, 2024, 38(9): 901-904.
[2]	QI Jiaying, YIN Tongtong, WANG Fangfang, ZHANG Hui, WANG Li. A dose-response Meta-analysis of the association between physical activity and the risk of sarcopenia in the elderly [J]. Practical Geriatrics, 2024, 38(9): 905-910.
[3]	LIANG Shanshan, LIANG Huan, YANG Shan, LIU Jianfeng. Relationship between sarcopenia and carotid atherosclerosis in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(8): 826-830.
[4]	DONG Fengming, HUANG Bikun, CAO Jingyuan, CHEN Huimin, ZHANG Yu, ZHANG Liuping, ZhANG Wei. Analysis of risk factors of left ventricular diastolic dysfunction in elderly patients with maintenance hemodialysis [J]. Practical Geriatrics, 2024, 38(7): 658-661.
[5]	DU Yutian, LIAO Xinyi, ZHANG Suqiong, SHI Lei, CHENG Daomei. Prevalence and influencing factors of sarcopenia in elderly patients with H-type hypertension [J]. Practical Geriatrics, 2024, 38(7): 665-668.
[6]	XIE Yuanyuan, CHEN Jingmian, DENG Ting, GAO Lei. Risk factors for secondary hyperkalemia after potassium supplement in elderly patients with hypokalemia [J]. Practical Geriatrics, 2024, 38(7): 701-704.
[7]	YAN Xiaohong, XIE Qinglei, WANG Yue, ZHOU Hongyun. Study on risk factors of intra-dialytic hypotension in elderly patients undergoing maintenance hemodialysis [J]. Practical Geriatrics, 2024, 38(6): 549-552.
[8]	TANG Fang, ZHANG Kaidi, LI Zuolin, ZHANG Liuping, LI Mengting. Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis [J]. Practical Geriatrics, 2024, 38(6): 553-556.
[9]	LI Qingyang, WANG Chanjuan, WANG Zheng. Study on the correlation of cognitive function with swallowing function and nutritional status in the elderly patients with Alzheimer’s disease [J]. Practical Geriatrics, 2024, 38(6): 577-581.
[10]	CHANG Xinxin, PAN Bei, KUANG Wen, DU Wenjin, LIU Wei, LI Yumeng, GUO Xiumin, CHEN Dawei. Reliability and validity of the Chinese version of Assessment of Swallowing Ability for Pneumonia in Chinese elderly patients with central nervous system diseases [J]. Practical Geriatrics, 2024, 38(6): 612-616.
[11]	XU Jinyan, XIA Congcong, YANG Hongmei. Establishment and validation of a Nomogram to predict the risk of pulmonary infection in elderly patients with stroke [J]. Practical Geriatrics, 2024, 38(5): 452-437.
[12]	GUO Jinhua, SHEN Tiemei, CHEN Ling, CUI Hong, WANG Xiaoxia, HUANG Qiao, HUANG Fang, LI Yun, YANG Manqing. Prevalence and risk factors of cognitive function in elderly inrural areas of Guangdong Province [J]. Practical Geriatrics, 2024, 38(5): 456-437.
[13]	ZHOU Lingshan, ZHANG Haiyan, LUO Yin, AO Xiaojun, LIU Rong, YANG Yuan, QIAO Chengdong. Clinical analysis of the plasma level of melatonin in the elderly patients with sarcopenia [J]. Practical Geriatrics, 2024, 38(5): 465-437.
[14]	WANG Qi, XU Huiping, SHI Muhua, ZHANG Min, ZHU Jinyu, BO Yun. Preliminary construction of modified Otago exercise programme for elderly patients with hip fracture combined with sarcopenia [J]. Practical Geriatrics, 2024, 38(4): 422-426.
[15]	CHU Limin, HUANG Qin, WEI Wei, WANG Huanhuan, MA Lixia. Correlation between postoperative recovery level and sarcopenia in elderly patients with hip fractures [J]. Practical Geriatrics, 2024, 38(3): 270-272.