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 STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Dysphagia
Published in: Dysphagia 2/2021

01-04-2021 | Nutrition | Original Article

Self-reported Swallowing and Nutrition Status in Community-Living Older Adults

Authors: Marie Jardine, Anna Miles, Jacqueline Allen

Published in: Dysphagia | Issue 2/2021

Login to get access

Abstract

More New Zealanders are forecast to grow older in the community, ranging in levels of abilities and needs. Many health conditions can affect swallowing function or nutrition status in older age. However, older adults may not be aware of risk factors and when to seek help. A nationwide survey was conducted of self-reported swallowing ability and nutrition status in community-living New Zealanders aged 65 years and older to assess whether undisclosed swallowing and nutrition problems exist. Respondents completed an amalgamated questionnaire including two validated screening tools: Eating Assessment Tool (EAT-10) and Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN-II). A convenience sample of 1020 adults aged 65–96 years old was obtained. Mean EAT-10 score was 2.15 (SD = 4.3); 22.1% scored above the normative score (3 or more). Mean SCREEN-II score was 48.50 (SD = 6.5); 46.9% scored below normal (< 50 for adults under 85 years old, < 49 for adults over 84 years old). EAT-10 scores significantly correlated with SCREEN-II scores (p < 0.001). Scores did not correlate with age or differ between age groups. Significantly more respondents with medical history associated with dysphagia disclosed swallowing and nutrition problems (p < 0.001). This data suggest increased prevalence of swallowing difficulties in older age is attributed to health conditions and medications, rather than ageing itself. Swallowing complaints from community-living older adults should not be ignored or attributed to the normal ageing process. This study supports routine nutrition screening in older adults.
Literature
1.
2.
Ministry of Social Policy. The New Zealand positive ageing strategy. 2001. 1–33 p.
3.
The Office for Seniors. Better later life He Oranga Kaumātua 2019 to 2034. 2019.
4.
Wiles JL, Leibing A, Guberman N, Reeve J, Allen RES. The meaning of “aging in place” to older people. Gerontologist. 2012;52(3):357–66.PubMed
5.
Office for Senior Citizens. 2014 Report on the Positive Ageing Strategy. 2014. 39 p.
6.
Keeling S. Ageing in (a New Zealand) place: ethnography, policy and practice. Soc Policy J New Zeal. 1999;13:95–144.
7.
Reichstadt J, Sengupta G, Depp CA, Palinkas LA, Jeste DV. Older adults’ perspectives on successful aging: qualitative interviews. Am J Geriatr Psychiatry. 2010;18(7):567–75.PubMedPubMedCentral
8.
Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G. Patient education and counseling patient preferences for shared decisions: a systematic review. Patient Educ Couns. 2012;86:9–18.PubMed
9.
Takizawa C, Gemmell E, Kenworthy J, Speyer R. A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson’s disease, Alzheimer’s disease, head injury, and pneumonia. Dysphagia. 2016;31(3):434–41.PubMed
10.
Gallagher L, Naidoo P. Prescription drugs and their effects on swallowing. Dysphagia. 2009;24(2):159–66.PubMed
11.
Zhao W-T, Yang M, Wu H-M, Yang L, Zhang X, Huang Y. Systematic review and meta-analysis of the association between sarcopenia and dysphagia. J Nutr Health Aging. 2018;22(8):1003–9.PubMed
12.
Van Der Maarel-Wierink CD, Vanobbergen JNO, Bronkhorst EM, Schols JMGA, De Baat C. Meta-analysis of dysphagia and aspiration pneumonia in frail elders. J Dent Res. 2011;90(12):1398–404.PubMed
13.
Bahat G, Yilmaz O, Durmazoglu S, Kilic C, Tascioglu C, Karan MA. Association between dysphagia and frailty in community dwelling older adults. J Nutr Health Aging. 2019;23(6):571–7.PubMed
14.
Love AL, Cornwell PL, Whitehouse SL. Oropharyngeal dysphagia in an elderly post-operative hip fracture population: a prospective cohort study. Age Ageing. 2013;42(6):782–5.PubMed
15.
Jardine M, Miles A, Allen J. Dysphagia onset in older adults during unrelated hospital admission: quantitative videofluoroscopic measures. Geriatrics. 2018;3(4):66.PubMedCentral
16.
Melgaard D, Rodrigo-Domingo M, Mørch M. The prevalence of oropharyngeal dysphagia in acute geriatric patients. Geriatrics. 2018;3(2):15.PubMedCentral
17.
18.
Madhavan A, Lagorio A, Crary M, Dahl W, Carnaby G. Prevalence of and risk factors for dysphagia in the community dwelling elderly: a systematic review. J Nutr Health Aging. 2016;20(8):806–15.PubMed
19.
Fávaro-Moreira NC, Krausch-Hofmann S, Matthys C, Vereecken C, Vanhauwaert E, Declercq A, et al. Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinal data. Adv Nutr. 2016;7(3):507–22.PubMedPubMedCentral
20.
Jones E, Speyer R, Kertscher B, Denman D, Swan K, Cordier R. Health-related quality of life and oropharyngeal dysphagia: a systematic review. Dysphagia. 2018;33(2):141–72.PubMed
21.
Matsuo H, Yoshimura Y, Ishizaki N, Ueno T. Dysphagia is associated with functional decline during acute-care hospitalization of older patients. Geriatr Gerontol Int. 2017;17(10):1610–6.PubMed
22.
Chatindiara I, Allen J, Popman A, Patel D, Richter M, Kruger M, et al. Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults athospital admission. BMC Geriatr. 2018;18(1):1–8.
23.
Lindgren S, Janzon L. Prevalence of swallowing complaints and clinical findings among 50–79-year-old men and women in an urban population. Dysphagia. 1991;6(4):187–92.PubMed
24.
Avgerinou C, Bhanu C, Walters K, Croker H, Liljas A, Rea J, et al. Exploring the views and dietary practices of older people at risk of malnutrition and their carers: a qualitative study. Nutrients. 2019;11(6):1–15.
25.
Knäuper B, Carrière K, Chamandy M, Xu Z, Schwarz N, Rosen NO. How aging affects self-reports. Eur J Ageing. 2016;13(2):185–93.PubMedPubMedCentral
26.
Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, et al. Validity and reliability of the eating assessment tool (EAT-10). Ann Otol Rhinol Laryngol. 2008;117(12):919–24.PubMed
27.
Keller HH, Goy R, Kane SL. Validity and reliability of SCREEN II (Seniors in the community: risk evaluation for eating and nutrition, Version II). Eur J Clin Nutr. 2005;59(10):1149–57.PubMed
28.
Schindler A, Mozzanica F, Monzani A, Ceriani E, Atac M, Jukic-Peladic N, et al. Reliability and validity of the italian eating assessment tool. Ann Otol Rhinol Laryngol. 2013;122(11):717–24.PubMed
29.
Farahat M, Mesallam TA. Validation and cultural adaptation of the Arabic version of the eating assessment tool (EAT-10). Folia Phoniatr Logop. 2016;67(5):231–7.
30.
Möller R, Safa S, Östberg P. Validation of the Swedish translation of eating assessment tool (S-EAT-10). Acta Otolaryngol. 2016;136(7):749–53.PubMed
31.
Nogueira DS, Ferreira PL, Reis EA, Lopes IS. Measuring outcomes for dysphagia: validity and reliability of the European Portuguese eating assessment tool (P-EAT-10). Dysphagia. 2015;30(5):511–20.PubMed
32.
33.
Demir N, Serel Arslan S, İnal Ö, Karaduman AA. Reliability and validity of the Turkish eating assessment tool (T-EAT-10). Dysphagia. 2016;31(5):644–9.PubMed
34.
Tran TP, Nguyen LT, Kayashita J, Shimura F, Yamamoto S. Dysphagia prevalence among elderly in some Vietnamese hospitals. Asian J Diet. 2019;1(3):48–52.
35.
Peñalva-Arigita A, Prats R, Lecha M, Sansano A, Vila L. Prevalence of dysphagia in a regional hospital setting: acute care hospital and a geriatric sociosanitary care hospital: a cross-sectional study. Clin Nutr ESPEN. 2019;33:86–90.PubMed
36.
Sarabia-Cobo CM, Pérez V, de Lorena P, Domínguez E, Hermosilla C, Nuñez MJ, et al. The incidence and prognostic implications of dysphagia in elderly patients institutionalized: a multicenter study in Spain. Appl Nurs Res. 2016;30:e6–9.PubMed
37.
Igarashi K, Kikutani T, Tamura F. Survey of suspected dysphagia prevalence in home-dwelling older people using the 10-item eating assessment tool (EAT-10). PLoS ONE. 2019;14(1):1–13.
38.
Wham C, Fraser E, Buhs-Catterall J, Watkin R, Gammon C, Allen J. Malnutrition risk of older people across district health board community, hospital and residential care settings in New Zealand. Aust J Ageing. 2017;36(3):205–11.
39.
Wham C, Redwood K, Kerse N. Validation of the nutrition screening tool “Seniors in the community: risk evaluation for eating and nutrition, version II” among octogenarians. J Nutr Health Aging. 2014;18(1):39–433.PubMed
40.
Kertscher B, Speyer R, Fong E, Georgiou AM, Smith M. Prevalence of oropharyngeal dysphagia in the Netherlands: a telephone survey. Dysphagia. 2015;30(2):114–20.PubMed
41.
42.
Adelman RD, Greene MG, Ory MG. Communication between older patients and their physicians. Clin Geriatr Med. 2000;16(1):1–24.PubMed
43.
Lim Y, Kim C, Park H, Kwon S, Kim O, Kim H, et al. Socio-demographic factors and diet-related characteristics of community-dwelling elderly individuals with dysphagia risk in South Korea. Nutr Res Pract. 2018;12(5):406–14.PubMedPubMedCentral
44.
Saunders J, Smith T, Stroud M. Malnutrition and undernutrition. Medicine (Baltimore). 2010;39(1):45–50.
45.
Corcoran C, Murphy C, Culligan EP, Walton J, Sleator RD. Malnutrition in the elderly. Sci Prog. 2019;102(2):171–80.PubMed
46.
Boulos C, Salameh P, Barberger-Gateau P. Social isolation and risk for malnutrition among older people. Geriatr Gerontol Int. 2017;17(2):286–94.PubMed
47.
48.
Wham C, Teh R, Moyes S, Dyall L, Kepa M, Hayman K, et al. Health and social factors associated with nutrition risk: results from life and living in advanced age: a cohort study in New Zealand (LILACS NZ). J Nutr Health Aging. 2015;19(6):637–45.PubMed
49.
Hoogerduijn JG, Schuurmans MJ, Duijnstee MSH, De Rooij SE, Grypdonck MFH. A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline. J Clin Nurs. 2006;16(1):46–57.
50.
51.
Metadata
Title
Self-reported Swallowing and Nutrition Status in Community-Living Older Adults
Authors
Marie Jardine
Anna Miles
Jacqueline Allen
Publication date
01-04-2021
Publisher
Springer US
Published in
Dysphagia / Issue 2/2021
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-020-10125-y

Other articles of this Issue 2/2021

Dysphagia 2/2021 Go to the issue

Original Article

Pilot Study of Quantitative Methods for Differentiating Pharyngeal Swallowing Mechanics by Dysphagia Etiology

Original Article

Detection of Aspiration, Penetration, and Pharyngeal Residue During Flexible Endoscopic Evaluation of Swallowing (FEES): Comparing the Effects of Color, Coating, and Opacity

Letter

Letter to the Editor in Reference to the Article Entitled “Effects of Carbonated Liquids on Oropharyngeal Swallowing Measures in People with Neurogenic Dysphagia”

Original Article

Pharyngeal Swallowing Pressures in Patients with Radiation-Associated Dysphagia

Original Article

A Comparison of Behavior of Transitional-State Foods Under Varying Oral Conditions

Original Article

Influence of the Craniocervical Posture on Tongue Strength and Endurance