Sarcopenic dysphagia revisited

  • Oropharyngeal dysphagia (OD) is a frequent finding in older patients with potentially lethal complications such as aspiration pneumonia, malnutrition, and dehydration. Recent studies describe sarcopenia as a causative factor for OD, which is occasionally referred to as "sarcopenic dysphagia" in the absence of a neurogenic etiology. In most of the previous studies on sarcopenic dysphagia, the diagnosis was based only on clinical assessment. In this study, flexible endoscopic evaluation of swallowing (FEES) was used as an objective method to evaluate the presence of OD, its association with sarcopenia, and the presence of pure sarcopenic dysphagia. In this retrospective cross-sectional study, 109 acute care geriatric hospital patients with suspected OD received FEES examination and bioimpedance analysis (BIA) in clinical routine. 95% of patients had at least one neurological disease, 70% fulfilled the criteria for sarcopenia, and 45% displayed moderate or severe OD. Although the prevalence of sarcopenia and OD was high, there was no significant association between OD and sarcopenia. Considering these results, both the association between sarcopenia and OD and pure sarcopenic dysphagia appear questionable. Further prospective studies are needed to elucidate if sarcopenia is merely an epiphenomenon of severe disease or whether it plays a causative role in the development of OD.

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Author:Marcel CallesGND, Rainer WirthORCiDGND, Bendix LabeitORCiDGND, Paul MuhleORCiDGND, Sonja Suntrup-KrügerGND, Rainer DziewasGND, Gero LuegORCiDGND, Ulrike TrampischORCiDGND
Parent Title (English):Nutrients
Subtitle (English):a cross-sectional study in hospitalized geriatric patients
Place of publication:Basel
Document Type:Article
Date of Publication (online):2024/01/30
Date of first Publication:2023/06/07
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Open Access Fonds
geriatric; muscle; neurogenic dysphagia; older; oropharyngeal dysphagia; sarcopenia; swallowing disorder
Issue:12, Article 2662
First Page:2662-1
Last Page:2662-11
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:Marienhospital Herne, Klinik für Altersmedizin und Frührehabilitation
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International