Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients
Oropharyngeal dysphagia (OD) is a frequent finding in older patients with potentially lethal complications such as aspiration pneumonia, malnutrition, and dehydration. Recent studies describe sarcopenia as a causative factor for OD, which is occasionally referred to as “sarcopenic dysphagia” in the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/12/2662 |
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| author | Marcel Calles Rainer Wirth Bendix Labeit Paul Muhle Sonja Suntrup-Krueger Rainer Dziewas Gero Lueg Ulrike Sonja Trampisch |
| author_facet | Marcel Calles Rainer Wirth Bendix Labeit Paul Muhle Sonja Suntrup-Krueger Rainer Dziewas Gero Lueg Ulrike Sonja Trampisch |
| author_sort | Marcel Calles |
| collection | DOAJ |
| description | Oropharyngeal dysphagia (OD) is a frequent finding in older patients with potentially lethal complications such as aspiration pneumonia, malnutrition, and dehydration. Recent studies describe sarcopenia as a causative factor for OD, which is occasionally referred to as “sarcopenic dysphagia” in the absence of a neurogenic etiology. In most of the previous studies on sarcopenic dysphagia, the diagnosis was based only on clinical assessment. In this study, flexible endoscopic evaluation of swallowing (FEES) was used as an objective method to evaluate the presence of OD, its association with sarcopenia, and the presence of pure sarcopenic dysphagia. In this retrospective cross-sectional study, 109 acute care geriatric hospital patients with suspected OD received FEES examination and bioimpedance analysis (BIA) in clinical routine. 95% of patients had at least one neurological disease, 70% fulfilled the criteria for sarcopenia, and 45% displayed moderate or severe OD. Although the prevalence of sarcopenia and OD was high, there was no significant association between OD and sarcopenia. Considering these results, both the association between sarcopenia and OD and pure sarcopenic dysphagia appear questionable. Further prospective studies are needed to elucidate if sarcopenia is merely an epiphenomenon of severe disease or whether it plays a causative role in the development of OD. |
| first_indexed | 2024-03-11T02:05:04Z |
| format | Article |
| id | doaj.art-360aa43277484f7dbcadede4f0219a65 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T02:05:04Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-360aa43277484f7dbcadede4f0219a652023-11-18T11:55:50ZengMDPI AGNutrients2072-66432023-06-011512266210.3390/nu15122662Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric PatientsMarcel Calles0Rainer Wirth1Bendix Labeit2Paul Muhle3Sonja Suntrup-Krueger4Rainer Dziewas5Gero Lueg6Ulrike Sonja Trampisch7Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, GermanyDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, GermanyDepartment of Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück, 49076 Osnabrück, GermanyDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, GermanyDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, GermanyOropharyngeal dysphagia (OD) is a frequent finding in older patients with potentially lethal complications such as aspiration pneumonia, malnutrition, and dehydration. Recent studies describe sarcopenia as a causative factor for OD, which is occasionally referred to as “sarcopenic dysphagia” in the absence of a neurogenic etiology. In most of the previous studies on sarcopenic dysphagia, the diagnosis was based only on clinical assessment. In this study, flexible endoscopic evaluation of swallowing (FEES) was used as an objective method to evaluate the presence of OD, its association with sarcopenia, and the presence of pure sarcopenic dysphagia. In this retrospective cross-sectional study, 109 acute care geriatric hospital patients with suspected OD received FEES examination and bioimpedance analysis (BIA) in clinical routine. 95% of patients had at least one neurological disease, 70% fulfilled the criteria for sarcopenia, and 45% displayed moderate or severe OD. Although the prevalence of sarcopenia and OD was high, there was no significant association between OD and sarcopenia. Considering these results, both the association between sarcopenia and OD and pure sarcopenic dysphagia appear questionable. Further prospective studies are needed to elucidate if sarcopenia is merely an epiphenomenon of severe disease or whether it plays a causative role in the development of OD.https://www.mdpi.com/2072-6643/15/12/2662oropharyngeal dysphagiamuscleneurogenic dysphagiasarcopeniaswallowing disorderolder |
| spellingShingle | Marcel Calles Rainer Wirth Bendix Labeit Paul Muhle Sonja Suntrup-Krueger Rainer Dziewas Gero Lueg Ulrike Sonja Trampisch Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients Nutrients oropharyngeal dysphagia muscle neurogenic dysphagia sarcopenia swallowing disorder older |
| title | Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients |
| title_full | Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients |
| title_fullStr | Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients |
| title_full_unstemmed | Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients |
| title_short | Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients |
| title_sort | sarcopenic dysphagia revisited a cross sectional study in hospitalized geriatric patients |
| topic | oropharyngeal dysphagia muscle neurogenic dysphagia sarcopenia swallowing disorder older |
| url | https://www.mdpi.com/2072-6643/15/12/2662 |
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