Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Dysphagia
Published in: Dysphagia 1/2015

01-02-2015 | Original Article

Decreased Tongue Pressure is Associated with Sarcopenia and Sarcopenic Dysphagia in the Elderly

Authors: Keisuke Maeda, Junji Akagi

Published in: Dysphagia | Issue 1/2015

Login to get access

Abstract

The aim of this study was to clarify the association between tongue pressure and factors related to sarcopenia such as aging, activities of daily living, nutritional state, and dysphagia. One-hundred-and-four patients without a history of treatment of stroke and without a diagnosis of neurodegenerative disease (36 men and 68 women), with a mean age of 84.1 ± 5.6 years, hospitalized from May 2013 to June 2013 were included in this study. Maximum voluntary tongue pressure against the palate (MTP) was measured by a device consisting of a disposable oral balloon probe. Nutritional and anthropometric parameters such as serum albumin concentration, Mini-Nutritional Assessment short form (MNA-SF), body mass index, arm muscle area (AMA), and others and presence of sarcopenia and dysphagia were analyzed to evaluate their relationships. Correlation analysis and univariate or multivariate analysis were performed. Simple correlation analysis showed that MTP correlated with Barthel index (BI), MNA-SF, serum albumin concentration, body mass index, and AMA. Univariate and multivariate analysis showed that sarcopenia, BI, MNA-SF, and age were the independent explanatory factors for decreased MTP, and the propensity score for dysphagia, including causes of primary or secondary sarcopenia, and the presence of sarcopenia were significantly associated with the presence of dysphagia. Decreased MTP and dysphagia were related to sarcopenia or the causes of sarcopenia in the studied population. Furthermore, the clinical condition of sarcopenic dysphagia may be partially interpreted as the presence of sarcopenia and causal factors for sarcopenia.
Literature
1.
Logemann JA. Evaluation and treatment of swallowing disorders. San Diego: College-Hill Press Inc; 1983.
2.
3.
Mcconnel F. Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope. 1988;98(1):71–8.CrossRefPubMed
4.
5.
Robbins JA, Levine R, Wood J, Roecker EB, Luschei E. Age effects on lingual pressure generation as a risk factor for dysphagia. J Gerontol A. 1995;50(5):M257–62.CrossRef
6.
7.
Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, Robbins J. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A. 2000;55(11):M634–40.CrossRef
8.
Youmans SR, Stierwalt JA. Measures of tongue function related to normal swallowing. Dysphagia. 2006;21(2):102–11.CrossRefPubMed
9.
Kikutani T, Tamura F, Nishiwaki K, Kodama M, Suda M, Fukui T, Takahashi N, Yoshida M, Akagawa Y, Kimura M. Oral motor function and masticatory performance in the community-dwelling elderly. Odontology. 2009;97(1):38–42.CrossRefPubMed
10.
Utanohara Y, Hayashi R, Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y. Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device. Dysphagia. 2008;23(3):286–90.CrossRefPubMed
11.
12.
Youmans SR, Youmans GL, Stierwalt JA. Differences in tongue strength across age and gender: is there a diminished strength reserve? Dysphagia. 2009;24(1):57–65.CrossRefPubMed
13.
Tsuga K, Yoshikawa M, Oue H, Okazaki Y, Tsuchioka H, Maruyama M, Yoshida M, Akagawa Y. Maximal voluntary tongue pressure is decreased in Japanese frail elderly persons. Gerodontology. 2012;29(2):e1078–85.CrossRefPubMed
14.
15.
Kuroda Y, Kuroda R. Relationship between thinness and swallowing function in Japanese older adults: implications for sarcopenic dysphagia. J Am Geriatr Soc. 2012;60(9):1785–6.CrossRefPubMed
16.
Delmonico MJ, Harris TB, Lee JS, Visser M, Nevitt M, Kritchevsky SB, Tylavsky FA, Newman AB. Alternative definitions of sarcopenia, lower extremity performance, and functional impairment with aging in older men and women. J Am Geriatr Soc. 2007;55(5):769–74.CrossRefPubMed
17.
Goodpaster BH, Park SW, Harris TB, Kritchevsky SB, Nevitt M, Schwartz AV, Simonsick EM, Tylavsky FA, Visser M, Newman AB. The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol A. 2006;61(10):1059–64.CrossRef
18.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel J-P, Rolland Y, Schneider SM. Sarcopenia: European consensus on definition and diagnosis report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412–23.CrossRefPubMedCentralPubMed
19.
Wakabayashi H. Presbyphagia and sarcopenic dysphagia: association between aging, sarcopenia, and deglutition disorders. J Frailty Aging. 2014;3:97–103.
20.
21.
Kendall KA, Leonard RJ. Pharyngeal constriction in elderly dysphagic patients compared with young and elderly nondysphagic controls. Dysphagia. 2001;16(4):272–8.CrossRefPubMed
22.
Palmer JB. Electromyography of the muscles of oropharyngeal swallowing: basic concepts. Dysphagia. 1989;3(4):192–8.CrossRefPubMed
23.
Kondrup J, Allison S, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003;22(4):415–21.CrossRefPubMed
24.
Ulibarri J, González-Madroño A, De Villar N, González P, González B, Mancha A, Rodríguez F, Fernández G. CONUT: a tool for controlling nutritional status. First validation in a hospital population. Nutr Hosp. 2005;20(1):38–45.
25.
Mahoney FI. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMed
26.
Crary MA, Mann GDC, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86(8):1516–20.CrossRefPubMed
27.
Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol. 2011;12(5):489–95.CrossRefPubMed
28.
Moriwaki H, Aoyagi S, Ishizuka Y (2002) Japanese anthropc referenometrice data; JARD. Jpn J Nutr Assess 2001;19:45–81 (In Japanese).
29.
Rosenbaum PR, Rubin DB. Reducing bias in observational studies using subclassification on the propensity score. J Am Stat Assoc. 1984;79(387):516–24.CrossRef
30.
Yoshida M, Kikutani T, Tsuga K, Utanohara Y, Hayashi R, Akagawa Y. Decreased tongue pressure reflects symptom of dysphagia. Dysphagia. 2006;21(1):61–5.CrossRefPubMed
31.
Buehring B, Hind J, Fidler E, Krueger D, Binkley N, Robbins J. Tongue strength is associated with jumping mechanography performance and handgrip strength but not with classic functional tests in older adults. J Am Geriatr Soc. 2013;61(3):418–22.CrossRefPubMed
32.
Kodaira Y, Ueda T, Takagi I. Influence of palatal plate on tongue pressure during swallowing prosthodont. Res Pract. 2008;7:40–3.
33.
34.
Guyonnet S, Nourhashemi F, Ousset PJ. Factors associated with weight loss in Alzheimer’s disease. J Nutr Health Aging. 1998;2:107–9.PubMed
35.
Wang SY, Fukagawa N, Hossain M, Ooi WL. Longitudinal weight changes, length of survival, and energy requirements of long-term care residents with dementia. J Am Geriatr Soc. 1997;45(10):1189–95.PubMed
36.
Hebert LE, Scherr PA, McCann JJ, Bienias JL, Evans DA. Change in direct measures of physical performance among persons with Alzheimer’s disease. Aging Mental Health. 2008;12(6):729–34.CrossRefPubMed
37.
Steeman E, Abraham IL, Godderis J. Risk profiles for institutionalization in a cohort of elderly people with dementia or depression. Arch Psychiatr Nurs. 1997;11(6):295–303.CrossRefPubMed
38.
Burge E, Kuhne N, Berchtold A, Maupetit C, von Gunten A. Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review. Eur Rev Aging Phys Act. 2012;9(1):27–39.CrossRefPubMedCentralPubMed
39.
Green CR, Mohs RC, Schmeidler J, Aryan M. Functional decline in Alzheimer’s disease: a longitudinal study. J Am Geriatr Soc. 1993;41(6):654–61.PubMed
40.
Hudson HM, Daubert CR, Mills RH. The interdependency of protein-energy malnutrition, aging, and dysphagia. Dysphagia. 2000;15(1):31–8.CrossRefPubMed
41.
Veldee MS, Peth LD. Can protein-calorie malnutrition cause dysphagia? Dysphagia. 1992;7(2):86–101.CrossRefPubMed
42.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G. Frailty in older adults evidence for a phenotype. J Gerontol A. 2001;56(3):M146–57.CrossRef
43.
Lang T, Cauley JA, Tylavsky F, Bauer D, Cummings S, Harris TB. Computed tomographic measurements of thigh muscle cross-sectional area and attenuation coefficient predict hip fracture: the health, aging, and body composition study. J Bone Miner Res. 2010;25(3):513–9.CrossRefPubMedCentralPubMed
44.
Kuroda Y. Relationship between swallowing function, and functional and nutritional status in hospitalized elderly individuals. Int J Speech Lang Pathol. 2014;2(1):20–6.CrossRef
Metadata
Title
Decreased Tongue Pressure is Associated with Sarcopenia and Sarcopenic Dysphagia in the Elderly
Authors
Keisuke Maeda
Junji Akagi
Publication date
01-02-2015
Publisher
Springer US
Published in
Dysphagia / Issue 1/2015
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-014-9577-y

Other articles of this Issue 1/2015

Dysphagia 1/2015 Go to the issue

Original Article

The Influence of Food Texture and Liquid Consistency Modification on Swallowing Physiology and Function: A Systematic Review

Clinical Conundrum

An Unusual Cause for Chronic Dysphagia

Original Article

The Diagnosis of Esophageal Eosinophilia is Not Increased in the Summer Months

Original Article

The Effect of Bilateral Superior Laryngeal Nerve Lesion on Swallowing: A Novel Method to Quantitate Aspirated Volume and Pharyngeal Threshold in Videofluoroscopy

Erratum

Erratum to: Decreased Tongue Pressure is Associated with Sarcopenia and Sarcopenic Dysphagia in the Elderly

Letter to the Editor

Twenty Years of Trans-disciplinary Approach Development for Dysphagia Rehabilitation in Japan