Relationship between dysphagia and motor function in community‐dwelling older people

医学 吞咽困难 握力 吞咽 优势比 物理医学与康复 物理疗法 逻辑回归 队列 定时启动测试 老年人跌倒 平衡(能力) 毒物控制 内科学 伤害预防 外科 环境卫生
作者
M Sato,Ryoji Tominaga,Noriaki Kurita,Miho Sekiguchi,Koji Otani,Shin‐ichi Konno,Naoyuki Oi
出处
期刊:Geriatrics & Gerontology International [Wiley]
卷期号:23 (8): 603-608 被引量:5
标识
DOI:10.1111/ggi.14632
摘要

Aim Dysphagia is a problem typically associated with aging. The aim was to investigate the relationship between dysphagia and motor function using a simple assessment method that can be performed in the community setting, and to promote the early detection and prevention of dysphagia. Methods Data from the Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS) were used. Those aged ≥65 years were included. Motor function was assessed using a grip strength test, single limb standing test (SLS), and timed up and go test (TUG). Swallowing function was assessed using the Japanese version of the 10‐item Eating Assessment Tool (EAT‐10). The association between motor function and swallowing function was analyzed. Results In total, 1732 participants were included. In logistic regression modes in which grip strength, SLS, and TUG results were included separately, the odds ratio for dysphagia increased by 1.08 ( P = 0.001) for each 1‐kg decrease in grip strength, and increased by 1.15 ( P < 0.001) for each 1‐s increase in TUG time. No association was found for SLS. In the model in which grip strength and TUG were included simultaneously, the odds ratio for dysphagia increased by 1.06 ( P = 0.01) in grip strength, and increased by 1.11 ( P = 0.009) in TUG time. Conclusion Our results suggest that skeletal muscle strength and dynamic balance function are associated with dysphagia in community‐dwelling older people. Geriatr Gerontol Int 2023; 23: 603–608 .

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