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Dysphagia
Published in: Dysphagia 3/2021

01-06-2021 | Sarcopenia | Review

Diagnosis and Treatment of Sarcopenic Dysphagia: A Scoping Review

Authors: Hidetaka Wakabayashi, Masako Kishima, Masataka Itoda, Ichiro Fujishima, Kenjiro Kunieda, Tomohisa Ohno, Takashi Shigematsu, Fumiko Oshima, Takashi Mori, Nami Ogawa, Shinta Nishioka, Minoru Yamada, Sumito Ogawa, The Japanese Working Group on Sarcopenic Dysphagia

Published in: Dysphagia | Issue 3/2021

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Abstract

Background

Sarcopenic dysphagia is a swallowing disorder due to sarcopenia involving the whole-body skeletal muscles and swallowing muscles. This scoping review aimed to explore the currently known information on the diagnosis and treatment of sarcopenic dysphagia and to clarify the types of research required to develop the field.

Methods

We searched the PubMed, MEDLINE, CINAHL, and Cochrane databases from their inception to October 2020, using the search terms “(sarcopenia or sarcopenic or myopenia or dynapenia) and (dysphagia or swallowing or deglutition) and (diagnosis or treatment)”. Articles reporting diagnosis method and treatment of sarcopenic dysphagia were included.

Results

Twenty-one and eight articles reported on the diagnostic and treatment method, respectively. A diagnostic algorithm for sarcopenic dysphagia was most frequently used (n = 10). Other diagnostic methods included consensus diagnostic criteria for sarcopenic dysphagia (n = 4), sarcopenia and dysphagia without other causes of dysphagia (n = 4), and both sarcopenia and dysphagia (n = 3). The medical treatments for patients with sarcopenic dysphagia were described in single-patient case reports (n = 8) only. There were six articles reporting on a combination of rehabilitation and nutritional support. These reports showed the importance of interdisciplinary rehabilitation nutrition for improving patients’ nutritional status and sarcopenia.

Conclusions

A reliable and validated diagnostic algorithm was the most widely used diagnostic method for sarcopenic dysphagia. Only case reports have been published for the medical treatment of patients with sarcopenic dysphagia. Interdisciplinary rehabilitation nutrition may be useful for treating patients with sarcopenic dysphagia.
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Metadata
Title
Diagnosis and Treatment of Sarcopenic Dysphagia: A Scoping Review
Authors
Hidetaka Wakabayashi
Masako Kishima
Masataka Itoda
Ichiro Fujishima
Kenjiro Kunieda
Tomohisa Ohno
Takashi Shigematsu
Fumiko Oshima
Takashi Mori
Nami Ogawa
Shinta Nishioka
Minoru Yamada
Sumito Ogawa
The Japanese Working Group on Sarcopenic Dysphagia
Publication date
01-06-2021
Publisher
Springer US
Published in
Dysphagia / Issue 3/2021
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-021-10266-8

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