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Published in: Dysphagia 3/2009

01-09-2009 | Original Article

Effect of Gender on Swallow Event Duration Assessed by Videofluoroscopy

Authors: Roberto Oliveira Dantas, Rachel de Aguiar Cassiani, Carla Manfredi dos Santos, Geruza Costa Gonzaga, Leda Maria Tavares Alves, Suleimy Cristina Mazin

Published in: Dysphagia | Issue 3/2009

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Abstract

There are data suggesting that women swallow liquids at a lower flow rate and ingest smaller volumes in each swallow than men. Our objective in this work was to compare swallowing in asymptomatic men and women by videofluoroscopy. We studied 18 men [age = 33–77 years, mean = 61 (10) years] and 12 women [age = 29–72 years, mean = 53 (15) years] who swallowed in duplicate 5 and 10 ml of liquid and paste barium boluses. None of the volunteers had dysphagia, neurologic diseases, or oral, pharyngeal, or esophageal diseases. The videofluoroscopic examination showed that for the 5-ml bolus, women had a longer oropharyngeal transit [liquid: men, 0.63 (0.21) s, women, 0.88 (0.39) s; paste: men, 0.64 (0.35) s, women, 0.94 (0.58) s], longer oral transit [liquid: men, 0.41 (0.21) s, women, 0.59 (0.35) s; paste: men, 0.39 (0.28) s, women, 0.59 (0.42) s], and longer pharyngeal clearance [liquid: men, 0.36 (0.11) s, women, 0.45 (0.16) s; paste: men, 0.42 (0.25) s, women, 0.56 (0.27) s] compared with men (p < 0.05). We conclude that there are differences in swallowing between men and women, with women having a longer oropharyngeal transit than men for a 5-ml bolus.
Literature
1.
go back to reference Bass NH. The neurology of swallowing. In: Groher ME, editor. Dysphagia—diagnosis and management. 3rd ed. Boston: Butterworth–Heinemann; 1997. p. 7–35. Bass NH. The neurology of swallowing. In: Groher ME, editor. Dysphagia—diagnosis and management. 3rd ed. Boston: Butterworth–Heinemann; 1997. p. 7–35.
2.
go back to reference Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, et al. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990;258:G675–81.PubMed Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, et al. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990;258:G675–81.PubMed
3.
go back to reference Perlman AL, Schultz PG, Van Daele DJ. Effect of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing. J Appl Physiol. 1993;75:33–7.PubMed Perlman AL, Schultz PG, Van Daele DJ. Effect of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing. J Appl Physiol. 1993;75:33–7.PubMed
5.
go back to reference Hughes TAT, Wiles CM. Clinical measurement of swallowing in health and neurologic dysphagia. QJM. 1996;89(2):109–16.PubMed Hughes TAT, Wiles CM. Clinical measurement of swallowing in health and neurologic dysphagia. QJM. 1996;89(2):109–16.PubMed
8.
go back to reference Levine MS, Rubesin SE. Radiology of the pharynx and esophagus. In: Castell DO, Richter JE, editors. The esophagus. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 47–105. Levine MS, Rubesin SE. Radiology of the pharynx and esophagus. In: Castell DO, Richter JE, editors. The esophagus. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 47–105.
10.
go back to reference Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system of non-linear mixed models. Cary, NC: SAS Institute Inc.; 1996. Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system of non-linear mixed models. Cary, NC: SAS Institute Inc.; 1996.
12.
go back to reference Gluckman A. Sexual dimorphism in human and mammalian biology and pathology. New York: Academic Press; 1981. Gluckman A. Sexual dimorphism in human and mammalian biology and pathology. New York: Academic Press; 1981.
19.
go back to reference Robbins J, Hamilton JW, Lof GL, Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103:823–29.PubMed Robbins J, Hamilton JW, Lof GL, Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103:823–29.PubMed
20.
go back to reference van Herwaarden MA, Katz PO, Gideon RM, Barrett J, Castell JA, Achem S, et al. Are manometric parameters of the upper esophageal sphincter and pharynx affected by age and gender? Dysphagia. 2003;18:211–17. doi:10.1007/s00455-002-0099-7.PubMedCrossRef van Herwaarden MA, Katz PO, Gideon RM, Barrett J, Castell JA, Achem S, et al. Are manometric parameters of the upper esophageal sphincter and pharynx affected by age and gender? Dysphagia. 2003;18:211–17. doi:10.​1007/​s00455-002-0099-7.PubMedCrossRef
Metadata
Title
Effect of Gender on Swallow Event Duration Assessed by Videofluoroscopy
Authors
Roberto Oliveira Dantas
Rachel de Aguiar Cassiani
Carla Manfredi dos Santos
Geruza Costa Gonzaga
Leda Maria Tavares Alves
Suleimy Cristina Mazin
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Dysphagia / Issue 3/2009
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-008-9202-z

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