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- Title
Dysphagia in Old-Old Women: Prevalence as Determined According to Self-Report and the 3-Ounce Water Swallowing Test.
- Authors
González‐Fernández, Marlís; Humbert, Ianessa; Winegrad, Heather; Cappola, Anne R.; Fried, Linda P.
- Abstract
Objectives To determine whether symptoms and clinical signs of swallowing dysfunction could be easily identified in community-dwelling elderly adults and to examine the association between self-report and direct observation of symptoms and signs of swallowing dysfunction. Design Physiological substudy conducted as a home visit within an observational cohort study. Setting Baltimore City and County, Maryland. Participants Community-dwelling elderly women without history of dysphagia or neurological disease aged 85 to 94 enrolled in the Women's Health and Aging Study II (N = 47). Measurements Three trials of the 3-ounce water swallowing test, swallowing function questionnaire, and frailty status. Results Thirty-four (72%) subjects demonstrated swallowing dysfunction in at least one swallowing trial and 16 (34%) in all three trials. The most common signs of dysfunction were throat clear and wet voice. Conversely, participants reported few symptoms of dysphagia on a swallowing function questionnaire. The most common symptom, reported by approximately 15% of participants, was the sensation of the food going 'down the wrong way,' 8.5% or fewer participants reported other symptoms. Conclusion Signs of swallowing dysfunction were present in a large majority of community-dwelling old-old women, but they were largely unrecognized and reported. Formal evaluation of swallowing function in community-dwelling elderly adults is necessary to determine the clinical consequences of these findings.
- Subjects
MARYLAND; OLD-old; DEGLUTITION disorders; DEGLUTITION; FISHER exact test; FRAIL elderly; LONGITUDINAL method; SCIENTIFIC observation; QUESTIONNAIRES; SELF-evaluation; T-test (Statistics); WOMEN'S health; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics; OLD age; DIAGNOSIS
- Publication
Journal of the American Geriatrics Society, 2014, Vol 62, Issue 4, p716
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/jgs.12745