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Socio-demographic factors and diet-related characteristics of community-dwelling elderly individuals with dysphagia risk in South Korea

Published on Jan 1, 2018in Nutrition Research and Practice1.714
· DOI :10.4162/nrp.2018.12.5.406
Young-Suk Lim2
Estimated H-index: 2
,
Chorong Kim1
Estimated H-index: 1
(KU: Korea University)
+ 4 AuthorsYoung-Mi Lee34
Estimated H-index: 34
Abstract
BACKGROUND/OBJECTIVES: The objective of this study was to determine dysphagia risk among community-dwelling elderly people living at home. We also examined the impact of socio-demographic variables on dysphagia risk as well as the relationship between dysphagia risk and dietary characteristics. SUBJECTS/METHODS: The study sample included 568 community-dwelling individuals, aged 65 years and above, who were living independently in their own home in Seoul, Gyeonggi, or Gwangju in South Korea. We used a dysphagia risk assessment scale to screen for dysphagia risk and the Mini nutritional assessment to evaluate the nutritional status. Associations between dysphagia risk and other variables were assessed using logistic regression analysis. RESULTS: Of the 568 subjects, 350 (61.6%) were classified into the dysphagia risk group (DR) and 218 (38.4%) were classified into the normal group (non-DR). Being female (odds ratio (OR) = 1.82, 95% confidence interval (CI) = 1.28-2.59), being 75 years and older (OR = 2.40, 95% CI = 1.69-3.42), having a lower education level (OR = 2.29, 95% CI = 1.33-3.97), and having a lower perceived economic status (OR = 2.18, 95% CI = 1.32-3.60) were more frequently observed with dysphagia risk compared to those who did not have such characteristics. Lowered mastication ability (OR = 14.40, 95% CI = 4.43-46.95), being at risk of malnutrition or malnourished (OR = 2.72, 95% CI = 1.75-4.23), lowered appetite (OR = 3.27, 95% CI = 2.16-4.93), and decreased food intake (OR = 2.95, 95% CI = 1.83-4.78) were observed more frequently in the DR group than in the non-DR group when adjusting for potential confounding factors. CONCLUSIONS: It is necessary to develop and apply integrated programs to improve the dietary habits and nutritional status of elderly individuals at risk for dysphagia, especially for women aged 75 years or older with lower educational and economic levels.
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References36
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#1Song Hee Kwon (Myongji University)H-Index: 1
#2Hae Ryun Park (Myongji University)H-Index: 7
Last. Young Suk Lim (Myongji University)H-Index: 5
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BACKGROUND/OBJECTIVES: Chewing difficulty is a factor contributing to a poor nutritional status in the elderly. The aim of this study was to examine disparities in food and nutrition intakes among Korean elderly people with and without chewing difficulty. SUBJECTS/METHODS: This study utilized data from the sixth Korea National Health and Nutrition Examination Survey conducted in 2013. The study subjects included males and females over 65 years of age who were not required to adhere to a special ...
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ABSTRACT The present study investigated the risk and prevalence of dysphagia as well as related factors among free-living elders. Subjects were 419 elderly men (116) and women (303) aged 65 years and older (74.49±4.70 y) living in Seoul, Gyeonggi-do and Chungcheongbuk-do area in Korea. Data were collected by personal interviews using questionnaires and analyzed by descriptive statistics, t -test, and chi-square test. Prevalence of dysphagia was 53.50% among participants. Risk of dysphagia was si...
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#1Sun Woo YimH-Index: 1
#2Young Hae Kim (PNU: Pusan National University)H-Index: 8
Last. Hyun-Mi SonH-Index: 6
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Purpose: The aim of this study was to examine risk for dysphagia in community-dwelling elders and to identify the level of risk and factors influencing nutritional status. Methods: During March and April, 2013, face-to-face interviews or self-reports were conducted with 292 elders. The research tools were the Dysphagia Risk Assessment Scale and Full MNA(Mini Nutritional Assessment). Results: The risk for dysphagia had a mean score of 9.23 points and 63.7% of the participants were in the risk gro...
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#1Min-Su Kim (Seoul National University Bundang Hospital)H-Index: 1
#2Yeon-Hwan Park (SNU: Seoul National University)H-Index: 14
Purpose: The aim of this study was to describe the risk of dysphagia among older adults in senior centers and to find the relationships between the risk of dysphagia and dysphagia-specific quality of life. Methods: The participants were 260 community-dwelling older adults, aged 65 years in two senior centers. Data were collected by self-report questionnaires or face to face interviews. The instruments were the modified dysphagia risk assessment scale for elderly and dysphagia-specific quality of...
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#1Sun A WhangH-Index: 1
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#1T Mann (CMU: Central Michigan University)H-Index: 1
#2R Heuberger (CMU: Central Michigan University)H-Index: 1
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Background The aim of this study was to investigate the associations of chewing and swallowing dysfunctions to nutritional status in older adults. Methods This cross-sectional study comprised a convenience sample of 1065 community-dwelling older adults living in rural United States. Dietary assessment included the Block Full Length Food Frequency Questionnaire, 24-hour Food Intake Recall and Mini Nutritional Assessment. Classification of chewing and swallowing difficulties was determined by a cr...
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#1Junko FukadaH-Index: 2
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. In another study examining 56 elderly individuals without swallowing difficulty, abnormalities were identified by videofluoroscopic (VF) examination of swallowing: oral stage: 63%; pharyngeal stage: 25%; hypopharyngo-esophageal junction: 39%; and esophageal stage: 36% 2) . These findings suggest that the elderly living at home may be at risk of dysphagia during daily activities. The presence of untreated dysphagia may lead to life-threatening problems, such as malnutrition, dehydration, and ch...
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Purpose: The purpose of this study was to investigate the effects of oral exercise on oral function and quality of life among community-dwelling elders. Methods: This was a quasi-experimental study. Sixty four participants were recruited from the dental clinic of a public health center in G City, Gyeonggi-do. Thirty one participants were assigned to the experimental group and 33 to the control group. Participants in the experimental group performed oral exercise once a week for a period of three...
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Purpose: This study was conducted to describe the risk of dysphagia and to evaluate the effects of a singing intervention for women elderly in community. Methods: One-group pre test-post test design was used. The subjects were 29 women over the age of sixty and residing in a local area. A singing intervention consisted of breathing, vowel production and singing. The one hour intervention occurred once a week for eight weeks. The variables of dysphagia risk, a swallowing test, and nutritional sta...
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#1Livia SuraH-Index: 4
#2Aarthi MadhavanH-Index: 5
Last. Michael A. CraryH-Index: 27
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Dysphagia is a prevalent difficulty among aging adults. Though increasing age facilitates subtle physiologic changes in swallow function, age-related diseases are significant factors in the presence and severity of dysphagia. Among elderly diseases and health complications, stroke and dementia reflect high rates of dysphagia. In both conditions, dysphagia is associated with nutritional deficits and increased risk of pneumonia. Recent efforts have suggested that elderly community dwellers are als...
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#1Marie Jardine (University of Auckland)H-Index: 3
#2Anna Miles (University of Auckland)H-Index: 8
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More New Zealanders are forecast to grow older in the community, ranging in levels of abilities and needs. Many health conditions can affect swallowing function or nutrition status in older age. However, older adults may not be aware of risk factors and when to seek help. A nationwide survey was conducted of self-reported swallowing ability and nutrition status in community-living New Zealanders aged 65 years and older to assess whether undisclosed swallowing and nutrition problems exist. Respon...
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#1Huafang Zhang (ZJU: Zhejiang University)
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OBJECTIVES Swallowing disorder is a health burden for the elderly in China. This study aimed to investigate the prevalence of dysphagia and to test the association between skeletal muscle strength and swallowing problems among community-dwelling older adults. DESIGN A cross-sectional study. SETTING Community-dwelling Chinese elderly in China. PARTICIPANTS 3361 adults aged 65 years or above were involved, among which 1740 (51.8%) were female, with average age of 72.64 (Standard deviation, SD=6.10...
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