Schlucken im Alter: Physiologische Veränderungen, Schluckstörungen, Diagnostik und Therapie

Published on May 1, 2019in Zeitschrift Fur Gerontologie Und Geriatrie0.919
· DOI :10.1007/s00391-019-01540-4
Paul Muhle7
Estimated H-index: 7
Sonja Suntrup-Krueger7
Estimated H-index: 7
+ 2 AuthorsRainer Dziewas1
Estimated H-index: 1
  • References (31)
  • Citations (0)
#1Dorothee Volkert (FAU: University of Erlangen-Nuremberg)H-Index: 28
#2Anne Marie BeckH-Index: 21
Last. Stephan C. Bischoff (University of Hohenheim)H-Index: 63
view all 14 authors...
Summary Background Malnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats. Aim To provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight o...
44 CitationsSource
#1Rainer Wirth (RUB: Ruhr University Bochum)H-Index: 20
#2Maryam Pourhassan (RUB: Ruhr University Bochum)H-Index: 10
Last. Dorothee Volkert (FAU: University of Erlangen-Nuremberg)H-Index: 28
view all 7 authors...
Abstract Objectives Dysphagia is a frequent finding in nursing home residents. The aim of this study is to evaluate the association of dysphagia and mortality in nursing home residents and identify further risk factors for mortality in residents with dysphagia. Design One-day, annually repeated cross-sectional study, evaluating the nutritional situation of nursing home residents with 6-month mortality as outcome. Setting 191 nursing homes from 14 countries in Europe and the United States partici...
7 CitationsSource
#1Anne MichelH-Index: 1
#2Eric VérinH-Index: 1
Last. Philippe Chassagne (UNIL: University of Lausanne)H-Index: 1
view all 6 authors...
Abstract Objectives To define the prevalence of oropharyngeal dysphagia (OD) in community-dwelling older persons with dementia, using V-VST (Volume-Viscosity Swallow Test), the reference clinical screening test for swallowing disorders, to assess the feasibility of the V-VST in an ambulatory care setting, to search for associations between geriatric parameters and OD, and to identify a relationship between severities of cognitive impairment and OD. Design Prospective, monocentric study. Setting ...
2 CitationsSource
#1Rainer DziewasH-Index: 1
#2Laura W. J. Baijens (UM: Maastricht University)H-Index: 18
Last. Pere Clavé (Autonomous University of Barcelona)H-Index: 36
view all 6 authors...
4 CitationsSource
#1R. BurgosH-Index: 13
#2Irene Bretón Lesmes (Hospital General Universitario Gregorio Marañón)H-Index: 13
Last. Stephan C. Bischoff (University of Hohenheim)H-Index: 63
view all 16 authors...
Summary Neurological diseases are frequently associated with swallowing disorders and malnutrition. Moreover, patients with neurological diseases are at increased risk of micronutrient deficiency and dehydration. On the other hand, nutritional factors may be involved in the pathogenesis of neurological diseases. Multiple causes for the development of malnutrition in patients with neurological diseases are known including oropharyngeal dysphagia, impaired consciousness, perception deficits, cogni...
34 CitationsSource
#1Laura W. J. Baijens (UM: Maastricht University)H-Index: 18
#2Pere Clavé (Autonomous University of Barcelona)H-Index: 36
Last. Margaret WalsheH-Index: 12
view all 13 authors...
This position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of oropharyngeal dysphagia (OD) related to geriatric medicine and discusses prevalence, quality of life, and legal and ethical issues, as well as health economics and social burden. OD constitutes impaired o...
88 CitationsSource
The number of persons 60 years and older has increased 3-fold between 1950 and 2000. Aging alone does not greatly impact the gastrointestinal (GI) tract. Digestive dysfunction, including esophageal reflux, achalasia, dysphagia, dyspepsia, delayed gastric emptying, constipation, fecal incontinence, a
5 CitationsSource
PURPOSE OF REVIEW: Texture modification is a widespread practice as a strategy for the management of dysphagia and can be very effective in individual cases. However, it is often performed in a qualitative, subjective manner and practices vary internationally according to multiple sets of national guidelines. This article aims to identify best practice by reviewing the theory and practice of texture modification, focussing on recent advances. RECENT FINDINGS: Instrumental assessment of texture m...
19 CitationsSource
More than 80 % of patients with Parkinson’s disease (PD) develop dysphagia during the course of their disease. Swallowing impairment reduces quality of life, complicates medication intake and leads to malnutrition and aspiration pneumonia, which is a major cause of death in PD. Although the underlying pathophysiology is poorly understood, it has been shown that dopaminergic and non-dopaminergic mechanisms are involved in the development of dysphagia in PD. Clinical assessment of dysphagia in PD ...
56 CitationsSource
#1Dorothee Volkert (FAU: University of Erlangen-Nuremberg)H-Index: 28
#2Michael Chourdakis (A.U.Th.: Aristotle University of Thessaloniki)H-Index: 13
Last. Stéphane M. SchneiderH-Index: 16
view all 9 authors...
summary Background: Older people suffering from dementia are at increased risk of malnutrition due to various nutritional problems, and the question arises which interventions are effective in maintaining adequate nutritional intake and nutritional status in the course of the disease. It is of further interest whether supplementation of energy and/or specific nutrients is able to prevent further cognitive decline or even correct cognitive impairment, and in which situations artificial nutritiona...
91 CitationsSource
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