Advertisement

Dysphagia

, Volume 19, Issue 4, pp 266–271 | Cite as

Prevalence of Dysphagia Among Community-Dwelling Elderly Individuals as Estimated Using a Questionnaire for Dysphagia Screening

  • Kei Kawashima
  • Yutaka MotohashiEmail author
  • Ichiro Fujishima
Article

Abstract

The objective of this cross-sectional study was to determine the prevalence of dysphagia among elderly persons living at home in a community using a questionnaire for dysphagia screening. As the reliability of the questionnaire had not yet been confirmed in an epidemiological study, it was also verified. The relationship between dysphagia and the level of daily living competence was also clarified. The subjects consisted of 1313 elderly persons 65 years and older (575 males and 738 females) living at home in a community. The questionnaire included questions concerning the individual’s past history of stroke, and questions for dysphagia screening, competence scoring, and perceived ill health. The reliability of the questionnaire was confirmed after calculating the Cronbach’s alpha coefficient to be 0.83. The results of a factor analysis showed that the cumulative contribution rate was 61.8%. The prevalence rate of dysphagia was 13.8%. After matching for age and sex, there were significant differences in the competence scores, history of stroke, and perceived ill health status observed between the group with dysphagia and the group without dysphagia.

Keywords

Dysphagia Questionnaire Prevalence Elderly persons Deglutition Deglutition disorders 

Notes

Acknowledgment

This study was supported by Grant-in-Aid for Scientific Research 1999–2000 (Grant 11670361) from the Japanese Ministry of Education.

References

  1. 1.
    Hayashi, S 1999Food and life of elderly peopleHealth care41755760Google Scholar
  2. 2.
    Finiels, H, Strubel, D, Jacquot, JM 2001Deglutition disorders in the elderly. Epidemiological aspectsPresse Med3016231634PubMedGoogle Scholar
  3. 3.
    Frederick, MG, Ott, DJ, Grishaw, EK, Gelfand, DW, Chen, MY 1996Functional abnormalities of the pharynx: a prospective analysis of radiographic abnormalities relative to age and symptomsAm J Roentgenol166353357PubMedGoogle Scholar
  4. 4.
    Robbins, J, Levine, R, Wood, J, Roecker, EB, Luschei, E 1995Age effects on lingual pressure generation as a risk factor for dysphagiaJ Gerontol A Biol Sci Med Sci50M257M262PubMedGoogle Scholar
  5. 5.
    Meshkinpour, H, Haghighat, P, Dutton, C 1994Clinical spectrum of esophageal aperistalsis in the elderlyAm J Gastroenterol8914801483PubMedGoogle Scholar
  6. 6.
    Shaker, R, Ren, J, Bardan, E, Easterling, C, Dua, K, Xie, P, Kern, M 2003Pharyngoglottal closure reflex: characterization in healthy young, elderly and dysphagic patients with predeglutitive aspirationGerontology491220CrossRefPubMedGoogle Scholar
  7. 7.
    Ren, J, Xie, P, Lang, IM, Bardan, E, Sui, Z, Shaker, R 2000Deterioration of the pharyngo–UES contractile reflex in the elderlyLaryngoscope11015631536CrossRefPubMedGoogle Scholar
  8. 8.
    Tamura, F, Mizukami, M, Ayano, R, Mukai, Y, Kaneko, Y, Aoyama, H, Ogura, K, Usuda, Y 1997The survey on the feeding functions of the housebound elderly: Relationship between feeding conditions and chokingJpn J Dysphagia Rehabil15768Google Scholar
  9. 9.
    Marik, PE, Kaplan, D 2003Aspiration pneumonia and dysphagia in the elderlyChest124328336CrossRefPubMedGoogle Scholar
  10. 10.
    Sekizawa, K, Ujiie, Y, Itabashi, S, Sasaki, H, Takishima, T 1990Lack of cough reflex in aspiration pneumoniaLancet33512281229CrossRefGoogle Scholar
  11. 11.
    Kamakura, Y, Sugimoto, S 1998Swallowing and its correlates in the aged living at homeSogo Rehabil26581587Google Scholar
  12. 12.
    Smith, CH, Logemann, JA, Colangelo, LA, Rademaker, AW, Pauloski, BR 1999Incidence and patient characteristics associated with silent aspiration in the acute care settingDysphagia1417PubMedGoogle Scholar
  13. 13.
    Imanishi, T 2001DysphagiaMedicina38595597Google Scholar
  14. 14.
    Futaki, T, Nagashima, J, Nakaya, C, Shiromaru, M, Inoue, T, Hayashi, Y 2002A report on feeding difficulty and swallowing in visiting-care usersJpn J Occup Ther367378Google Scholar
  15. 15.
    Domenech, E, Kelly, J 1999Swallowing disordersMed Clin North Am8397113PubMedGoogle Scholar
  16. 16.
    Shapiro, J 2000Evaluation and treatment of swallowing disordersCompr Ther26203209PubMedGoogle Scholar
  17. 17.
    Depippo, KL, Holas, MA, Reding, MJ 1994The Burke dysphagia screening test: validation of its use in patients with strokeArch Phys Med Rehabil7512841286PubMedGoogle Scholar
  18. 18.
    Fleming, SM, Weaver, AW 1987Index of dysphagia: a tool for identifying deglutition problemsDysphagia1206208Google Scholar
  19. 19.
    Linden, P, Kuhlemeier, KV, Patterson, C 1993The probability of correctly predicting subglottic penetration from clinical observationsDysphagia8170179PubMedGoogle Scholar
  20. 20.
    Layne, KA, Losinski, DS, Zenner, PM, Ament, JA 1989Using the Fleming index of dysphagia to establish prevalenceDysphagia43942PubMedGoogle Scholar
  21. 21.
    Fujishima, I, Takahashi, H, Setsu, K, Inao, A 2002Screening test for dysphagiaJ Clin Rehabil11790796Google Scholar
  22. 22.
    Wallace, KL, Middleton, S, Cook, IJ 2000Development and validation of a self-report symptom inventory to assess the severity of oral-pharyngeal dysphagiaGastroenterology118678687PubMedGoogle Scholar
  23. 23.
    Perry, L 2001Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nursesJ Clin Nurs10463473CrossRefPubMedGoogle Scholar
  24. 24.
    Logemann, JA 1997Role of the modified barium swallow in management of patients with dysphagiaOtolaryngol Head Neck Surg116335338PubMedGoogle Scholar
  25. 25.
    Logemann, JA, Veis, S, Colangelo, L 1999A screening procedure for oropharyngeal dysphagiaDysphagia144451PubMedGoogle Scholar
  26. 26.
    Ohkuma, R, Fujishima, I, Kojima, C, Hojo, K, Takehara, I, Motohashi, Y 2002Development of a questionnaire to screen dysphagiaJpn J Dysphagia Rehabil638Google Scholar
  27. 27.
    Morita, I, Nakagaki, H, Kumagai, N, Okumura, A, Kiriyama, M, Sasaki, A, Nezaki, T, Abe, Y, Saitoh, E 2003The relationship between normal swallowing functions, food ingestion and the lifestyle of users in a day service centerJpn J Public Health50456463Google Scholar
  28. 28.
    Koyano, W 1987Measurement of competence in the elderly living at homeJpn J Public Health34109114Google Scholar
  29. 29.
    Ministry of Health, Welfare and Labor: Patient Survey 1999, Kosei Tokei Kyokai, Tokyo, 2001Google Scholar
  30. 30.
    Fukada, J, Kamakura, Y, Kitaike, T 2002Factors related to swallowing function of elderly persons living at homeJpn J Dysphagia Rehabil63848Google Scholar
  31. 31.
    Logemann, JA, Rademaker, AW, Pauloski, BR, Kahrilas, PJ 1994Effects of postural change on aspiration in head and neck surgical patientsOtolaryngol Head Neck Surg110222227PubMedGoogle Scholar
  32. 32.
    Ueda, K 2000Oral health care for elderly people at homeJ Clin Rehabil9864869Google Scholar
  33. 33.
    Kikutani, T 2000The trial of the cup for the patients with dysphagiaJpn J Gerodontol14365367Google Scholar

Copyright information

© Springer 2004

Authors and Affiliations

  • Kei Kawashima
    • 1
  • Yutaka Motohashi
    • 1
    Email author
  • Ichiro Fujishima
    • 2
  1. 1.Department of Public HealthAkita University of School of MedicineAkita City, Akita PrefectureJapan
  2. 2.Department of Rehabilitation MedicineSeirei Mikatahara General HospitalHamamatsu City, Shizuoka PrefectureJapan

Personalised recommendations