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Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults

  • Seungwoo Cha
  • Won-Seok Kim
  • Ki Woong Kim
  • Ji Won Han
  • Hak Chul Jang
  • Soo Lim
  • Nam-Jong PaikEmail author
Original Article


Dysphagia is common in older adults and associated with increased socioeconomic burdens. Recently, sarcopenia is considered to be a possible contributor for dysphagia. The purpose of this study is to investigate the association of dysphagia with sarcopenia in a geriatric population in Korea. This is a cross-sectional study using data from the Korean Longitudinal Study on Health and Aging (KLoSHA). Community-dwelling men and women aged 65 years and older without common causes of dysphagia in Seongnam City, Korea were included (N = 236). Dysphagia was screened using Standardized Swallowing Assessment. Appendicular skeletal muscle mass was calculated by dual-energy X-ray absorptiometry. Grip strength and long-distance corridor walk were assessed. Of 236 subjects, 54 (22.9%) showed dysphagia and 38 (16.1%) showed sarcopenia. Fourteen (5.9%) participants were diagnosed with sarcopenic dysphagia. In multiple logistic regression analysis for dysphagia, sarcopenia was the only significant variable with odds ratio of 2.738 (95% confidence interval 1.160–6.466). Sarcopenia was associated with increased risk of dysphagia in community-dwelling older adults having no common causes of dysphagia even after adjusting for possible confounders. A prospective study with a larger sample size is needed to reveal their causal relationship in the future.


Sarcopenia Deglutition Deglutition disorders Aged Older adults 



Ki Woong Kim received a Grant from the Korean Health Technology R&D project funded by the Ministry of Health and Welfare, Republic of Korea (Grant No. HI09C1379 [A092077]). Nam-Jong Paik received a grant from the Seoul National University Bundang Hospital (Grant No. 12-2013-007).

Compliance with Ethical Standards

Conflict of interest

There is no other conflict of interest except for the grants mentioned above.

Informed Consent

Written informed consent was obtained from all study volunteers.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Seungwoo Cha
    • 1
  • Won-Seok Kim
    • 1
  • Ki Woong Kim
    • 2
    • 3
    • 4
  • Ji Won Han
    • 3
    • 4
  • Hak Chul Jang
    • 5
  • Soo Lim
    • 5
  • Nam-Jong Paik
    • 1
    Email author
  1. 1.Department of Rehabilitation Medicine, Seoul National University College of MedicineSeoul National University Bundang HospitalSeongnam-siKorea
  2. 2.Department of Brain and Cognitive ScienceSeoul National University College of Natural SciencesSeoulKorea
  3. 3.Department of PsychiatrySeoul National University College of MedicineSeoulKorea
  4. 4.Department of NeuropsychiatrySeoul National University Bundang HospitalSeongnamKorea
  5. 5.Department of Internal Medicine, Seoul National University College of MedicineSeoul National University Bundang HospitalSeongnamKorea

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