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Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening

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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 differneces in the competence scores, history of stroke, and perceived ill health status observed between the group with dysphagia and the group without dysphagia.

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References

  1. Hayashi S: Food and life of elderly people.Health care 41:755–760, 1999

    Google Scholar 

  2. Finiels H, Strubel D, Jacquot JM: Deglutition disorders in the elderly. Epidemiological aspects.Presse Med 30:1623–1634, 2001

    PubMed  CAS  Google Scholar 

  3. Frederick MG, Ott DJ, Grishaw EK, Gelfand DW, Chen MY: Functional abnormalities of the pharynx: a prospective analysis of radiographic abnormalities relative to age and symptoms.Am J Roentgenol 166:353–357, 1996

    CAS  Google Scholar 

  4. Robbins J, Levine R, Wood J, Roecker EB, Luschei E: Age effects on lingual pressure generation as a risk factor for dysphagia.J Gerontol A Biol Sci Med Sci 50:M257-M262, 1995

    PubMed  CAS  Google Scholar 

  5. Meshkinpour H, Haghighat P, Dutton C: Clinical spectrum of esophageal aperistalisis in the elderly.Am J Gastroenterol 89:1480–1483, 1994

    PubMed  CAS  Google Scholar 

  6. Shaker R, Ren J, Bardan E, Easterling C, Dua K, Xie P, Kern M: Pharyngoglottal closure reflex: characterization in healthy young, elderly and dysphagic patients with predeglutitive aspiration.Gerontology 49:12–20, 2003

    Article  PubMed  Google Scholar 

  7. Ren J, Xie P, Lang IM, Bardan E, Sui Z, Shaker R: Deterioration of the pharyngo-UES contractile reflex in the elderly.Laryngoscope 110:1563–1536, 2000

    Article  PubMed  CAS  Google Scholar 

  8. Tamura F, Mizukami M, Ayano R, Mukai Y, Kaneko Y, Aoyama H, Ogura K, Usuda Y: The survey on the feeding functions of the housebound elderly: Relationship between feeding conditions and choking.Jpn J Dysphagia Rehabil 1:57–68, 1997

    Google Scholar 

  9. Marik PE, Kaplan D: Aspiration pneumonia and dysphagia in the elderly.Chest 124:328–336, 2003

    Article  PubMed  Google Scholar 

  10. Sekizawa K, Ujiie Y, Itabashi S, Sasaki H, Takishima T: Lack of cough reflex in aspiration pneumonia.Lancet 335:1228–1229, 1990

    Article  PubMed  CAS  Google Scholar 

  11. Kamakura Y, Sugimoto S: Swallowing and its correlates in the aged living at home.Sogo Rehabil 26:581–587, 1998

    Google Scholar 

  12. Smith CH, Logemann JA, Colangelo LA, Rademaker AW, Pauloski BR. Incidence and patient characteristics associated with silent aspiration in the acute care setting.Dysphagia 14:1–7, 1999

    Article  PubMed  CAS  Google Scholar 

  13. Imanishi T: Dysphagia.Medicina 38:595–597, 2001

    Google Scholar 

  14. Futaki T, Nagashima J, Nakaya C, Shiromaru M, Inoue T, Hayashi Y: A report on feeding difficulty and swallowing in visiting-care users.Jpn J Occup Ther 36:73–78, 2002

    Google Scholar 

  15. Domenech E, Kelly J: Swallowing disorders.Med Clin North Am 83:97–113, 1999

    Article  PubMed  CAS  Google Scholar 

  16. Shapiro J: Evaluation and treatment of swallowing disorders.Compr Ther 26:203–209, 2000

    PubMed  CAS  Google Scholar 

  17. Depippo KL, Holas MA, Reding MJ: The Burke dysphagia screening test: validation of its use in patients with stroke.Arch Phys Med Rehabil 75:1284–1286, 1994

    PubMed  CAS  Google Scholar 

  18. Fleming SM, Weaver AW: Index of dysphagia: a tool for identifying deglutition problems.Dysphagia 1:206–208, 1987

    Article  Google Scholar 

  19. Linden P, Kuhlemeier KV, Patterson C: The probability of correctly predicting subglottic penetration from clinical observations.Dysphagia 8:170–179, 1993

    Article  PubMed  CAS  Google Scholar 

  20. Layne KA, Losinski DS, Zenner PM, Ament JA: Using the Fleming index of dysphagia to establish prevalence.Dysphagia 4:39–42, 1989

    Article  PubMed  CAS  Google Scholar 

  21. Fujishima I, Takahashi H, Setsu K, Inao A: Screening test for dysphagia.J Clin Rehabil 11:790–796, 2002

    Google Scholar 

  22. Wallace KL, Middleton S, Cook IJ: Development and validation of a self-report symptom inventory to assess the severity of oral-pharyngeal dysphagia.Gastroenterology 118:678–687 2000

    Article  PubMed  CAS  Google Scholar 

  23. Perry L: Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses.J Clin Nurs 10:463–473, 2001

    Article  PubMed  CAS  Google Scholar 

  24. Logemann JA: Role of the modified barium swallow in management of patients with dysphagia.Otolaryngol Head Neck Surg 116:335–338, 1997

    Article  PubMed  CAS  Google Scholar 

  25. Logemann JA, Veis S, Colangelo L: A screening procedure for oropharyngeal dysphagia.Dysphagia 14:44–51, 1999

    Article  PubMed  CAS  Google Scholar 

  26. Ohkuma R, Fujishima I, Kojima C, Hojo K, Takehara I, Motohashi Y: Development of a questionnaire to screen dysphagia.Jpn J Dysphagia Rehabil 6:3–8, 2002

    Google Scholar 

  27. Morita I, Nakagaki H, Kumagai N, Okumura A, Kiriyama M, Sasaki A, Nezaki T, Abe T, Saitoh E: The relationship between normal swallowing functions, food ingestion and the lifestyle of users in a day service center.Jpn J Public Health 50:456–463, 2003

    Google Scholar 

  28. Koyano W: Measurement of competence in the elderly living at home.Jpn J Public Health 34:109–114, 1987

    Google Scholar 

  29. Ministry of Health, Welfare and Labor. Patient Survey 1999, Kosei Tokei Kyokai, Tokyo, 2001

    Google Scholar 

  30. Fukada J, Kamakura Y, Kitaike T: Factors related to swallowing function of elderly persons living at home.Jpn J Dysphagia Rehabil 6:38–48, 2002

    Google Scholar 

  31. Logemann JA, Rademaker AW, Pauloski BR, Kahrilas PJ: Effects of postural change on aspiration in head and neck surgical patients.Otolaryngol Head Neck Surg 110:222–227, 1994

    PubMed  CAS  Google Scholar 

  32. Ueda K: Oral health care for elderly people at home.J Clin Rehabil 9:864–869, 2000

    Google Scholar 

  33. Kikutani T: The trial of the cup for the patients with dysphagia.Jpn J Gerodontol 14:365–367, 2000

    Google Scholar 

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Correspondence to Yutaka Motohashi MD, PhD.

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Kawashima, K., Motohashi, Y. & Fujishima, I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia 19, 266–271 (2004). https://doi.org/10.1007/BF02638594

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