Details

Autor(en) / Beteiligte

• Wakabayashi, Hidetaka
• Kishima, M.
• Itoda, M.
• Fujishima, I.
• Kunieda, K.
• Ohno, T.
• Shigematsu, T.
• Oshima, F.
• Mori, T.
• Ogawa, N.
• Nishioka, S.
• Momosaki, R.
• Yamada, M.
• Ogawa, S.

Titel

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Ist Teil von

• The Journal of nutrition, health & aging, 2022-03, Vol.26 (3), p.266-271

Ort / Verlag

Paris: Springer Paris

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• Objectives To investigate the prevalence of hoarseness and its association with the severity of dysphagia in patients with sarcopenic dysphagia. Design Cross-sectional study using the Japanese sarcopenic dysphagia database. Setting 19 hospitals including 9 acute care hospitals, 8 rehabilitation hospitals, 2 long-term care hospitals, and 1 home visit rehabilitation team. Participants 287 patients with sarcopenic dysphagia, aged 20 years and older. Measurements Sarcopenic dysphagia was diagnosed using a reliable and validated diagnostic algorithm for the condition. The presence and characteristics of hoarseness classified as breathy, rough, asthenic, and strained were assessed. The prevalence of hoarseness and the relationship between hoarseness and Food Intake LEVEL Scale (FILS) were examined. Order logistic regression analysis adjusted for age, sex, naso-gastric tube, and handgrip strength was used to examine the relationship between hoarseness and FILS at baseline and at follow-up. Results The mean age was 83 ± 10 years. Seventy-four (26%) patients had hoarseness, while 32 (11%), 20 (7%), 22 (8%), and 0 (0%) patients had breathy, rough, asthenic, and strained hoarseness, respectively. Median FILS at the initial evaluation was 7 (interquartile range, 5–8). Hoarseness (β=0.747, 95% confidence intervals= 0.229, 1.265, p=0.005), age, sex, naso-gastric tube, and handgrip strength were associated independently with baseline FILS, while hoarseness (β=0.213, 95% confidence intervals= −0.324, 0.750, p=0.438) was not associated independently with the FILS at follow-up. Conclusions Hoarseness was associated with the severity of dysphagia at baseline, however not a prognostic factor for sarcopenic dysphagia. Resistance training of swallowing and respiratory muscles and voice training as part of rehabilitation nutrition might be useful for treating sarcopenic dysphagia.