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Quantitative aspects of swallowing in an elderly nondysphagic population

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Abstract

The prevalence of swallowing impairment increases with age and is a major health care problem in the elderly. It has been assumed that age-related changes in nerves and muscles hamper muscle strength and coordination of swallowing. However, it is unclear what impairment is related to primary aging and what is the consequence of diseases prevalent in the elderly (secondary aging). In order to quantify swallowing in nondysphagic elderly we used the noninvasive ROSS (Repetitive Oral Suction Swallow) test. A total of 53 individuals aged 76±5 years (mean±SD) were examined. We found that the nondysphagic elderly demonstrated significant differences compared with young individuals in 10 of 17 measured variables, i.e., decreased peak suction pressure, increased frequency of multiple swallows after one ingestion, increased frequency of polyphasic laryngeal movements, increased frequency of inspiration after swallowing, and increased frequency of coughing during or after swallowing. Therefore, primary aging mainly seems to influence coordination of swallowing, but oral and pharyngeal swallow per se seem to be unaffected.

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References

  1. Bosma JF: Pharyngeal swallow: basic mechanisms, development, and impairment. Adv Otolaryngol Head Neck Surg 6:225–275, 1992

    Google Scholar 

  2. Dodds WJ, Stewart ET, Logemann JA: Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR 154:953–963, 1990

    Google Scholar 

  3. Miller AJ: Deglutition. Physiol Rev 62:129–184, 1982

    Google Scholar 

  4. Logemann JA: Effects of ageing on the swallowing mechanism. Otolaryngol Clin North Am 23:1045–1056, 1990

    Google Scholar 

  5. Jahnke V: Dysphagie im alter. HNO 39:442–444, 1991

    Google Scholar 

  6. Ren J, Shaker R, Zamir Z, Dodds WJ, Hogan WJ, Hoffmann RG: Effect of age and bolus variables on the coordination of the glottis and upper esophageal sphincter during swallowing. Am J Gastoenterol 88:665–669, 1993

    Google Scholar 

  7. Tracy JF, Logemann JA, Kahrilas PJ, Jacob P, Kobara M, Krugler C: Preliminary observations of the effects of age on oropharyngeal deglutition. Dysphagia 4:90–94, 1989

    Google Scholar 

  8. Ekberg O, Feinberg MJ: Altered swallowing function in elderly patients without dysphagia: radiological findings in 56 cases. AJR 156:1181–1184, 1991

    Google Scholar 

  9. Sheth N, Diner WC: Swallowing problems in the elderly. Dysphagia 2:205–215, 1988

    Google Scholar 

  10. Sonies BC: Oropharyngeal dysphagia in the elderly. Clin Geriatr Med 8:569–577, 1992

    Google Scholar 

  11. Shaw DW, Cook IJ, Dent J, Simula ME, Panagopoulos V, Gabb M, Shearmen DJ: Age influences oropharyngeal and upper esophageal sphincter function during swallowing. Gastroenterology 98:A390, 1990

  12. Shaker R, Ren J, Podvrsan B, Dodds WJ, Hogan WJ, Kern M, Hoffmann R, Hintz J: Effect of ageing and bolus variables on pharyngeal and upper esophageal sphincter motor function. J Physiol 264:G427-G432, 1993

    Google Scholar 

  13. Campbell MJ, McComas AJ, Petito F: Physiological changes in ageing muscles. J Neurol Neurosurg Psychiatry 36:174–182, 1973

    Google Scholar 

  14. Robbins J, Hamilton JW, Lof GL, Kempster GB: Oropharyngeal swallowing in normal adults of different ages. Gastroenterology 103:823–829, 1992

    Google Scholar 

  15. Nilsson H, Olsson R, Ekberg O, Hindfelt B: Oral function test for monitoring suction and swallowing in the neurologic patient. Dysphagia 10:93–100, 1995

    Google Scholar 

  16. Nilsson H, Olsson R, Ekberg O, Hindfelt B: Quantitative assessment of swallowing in healthy adults. Dysphagia 11:110–116, 1996

    Google Scholar 

  17. Lindgren S, Janzon L: Prevalence of swallowing complaints and clinical findings among 50–79-year-old men and women in an urban population. Dysphagia 6:187–192, 1991

    Google Scholar 

  18. Ekberg O, Wahlgren L: Dysfunction of pharyngeal swallowing. A cineradiographic investigation in 854 dysphagia patients. Acta Radiol Diagn 4:389–495, 1984

    Google Scholar 

  19. Forbes GB: Body composition: influences of nutrition, disease, growth, and ageing. In: Shils ME, Young VR (eds.): Modern Nutrition in Health and Disease, 7th ed. Philadelphia: Lea and Febiger, 1988, p 533

    Google Scholar 

  20. Holt PR: General perspectives on the aged gut. Clin Geriatr Med 7:185, 1991

    Google Scholar 

  21. Trupe EH, Siebens H, Siebens AA: Prevalence of feeding and swallowing disorders in a nursing home. Arch Phys Med Rehabil 65:651–652, 1984

    Google Scholar 

  22. Goodell C, Shaker R, Bowser M, Zamir Z: Effect of ageing and cerebrovascular accident (CVA) on nondeglutitive lingual pressure. Gastroenterology 102(4):A554, 1992

    Google Scholar 

  23. Perlman AL, Guthmiller Schutlz J, VanDaele DJ: Affects of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing. J Appl Physiol 75:33–37, 1993

    Google Scholar 

  24. Kullman DA, Plato CC, Tobin JD: The role of muscle loss in the aged-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol 45M: 83–88, 1990

    Google Scholar 

  25. Clarkson PM, Kroll W, Melchionda AM: Age, isometric strength, rate of tension development of fibre composition. J Gerontol 36:648–653, 1981

    Google Scholar 

  26. Light KE, Spirduso WW: Effects of adult ageing on the movement complexity factor response programming. J Gerontol 45P:107–109, 1990

    Google Scholar 

  27. Sonies BC, Parent LJ, Morrish K, Baum BJ: Durational aspects of the oral-pharyngeal phase of swallow in normal adults. Dysphagia 3:1–10, 1988

    Google Scholar 

  28. Sonies BC, Stone M, Shawker T: Speech and swallowing in the elderly. Gerontology 3:115, 1984

    Google Scholar 

  29. Larish DD, Stelmach GE: Preprogramming, programming, and reprogramming of aimed hand movements as a function of age. J Motor Behavior 14:322–340, 1982

    Google Scholar 

  30. Weiffenbach JM, Tylenda CA, Bam BJ: Oral sensory changes in ageing. J Gerontol 45:M121-M125, 1990

    Google Scholar 

  31. Shaker R, Dodds WJ, Dantas RO, Hogan WJ, Arndorfer RC: Coordination of deglutitive glottic closure with oropharyngeal swallowing. Gastroenterology 98:1478–1484, 1990

    Google Scholar 

  32. Selley WG, Flack FC, Ellis RE, Brooks WA: Respiration patterns associated with swallowing: part 1. The normal adult pattern and changes with age. Age Ageing 18:168–172, 1989

    Google Scholar 

  33. Selley WG, Flack FC, Ellis RE, Brooks WA: Respiration patterns associated with swallowing: part 2. Neurologically impaired dysphagic patients. Age Ageing 18:173–176, 1989

    Google Scholar 

  34. Jean A: Brainstem organization of the swallowing network. Brain Behav Evol 25:109–116, 1984

    Google Scholar 

  35. Jean A: Control of central swallowing program by inputs from the peripheral receptors. A review. J Auton Nerv Syst 10:225–233, 1984

    Google Scholar 

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Author notes

  1. Olle Ekberg MD

    Present address: Department of Diagnostic Radiology, University Hospital MAS, S-214 01, Malmö, Sweden

Authors and Affiliations

  1. Department of Neurology, University of Lund, Malmö General Hospital, Malmö, Sweden

    Håkan Nilsson MD & Bengt Hindfelt MD

  2. Department of Radiology, University of Lund, Malmö General Hospital, Malmö, Sweden

    Olle Ekberg MD & Rolf Olsson MD

Authors
  1. Håkan Nilsson MD
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  2. Olle Ekberg MD
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  3. Rolf Olsson MD
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  4. Bengt Hindfelt MD
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Nilsson, H., Ekberg, O., Olsson, R. et al. Quantitative aspects of swallowing in an elderly nondysphagic population. Dysphagia 11, 180–184 (1996). https://doi.org/10.1007/BF00366381

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