Impact of Osteosarcopenia on Dysphagia in Older Patients
Author Information
Author(s): Miyagi Midori, Sekiya Hideki, Ebihara Satoru
Primary Institution: Tohoku University Graduate School of Medicine
Hypothesis
This study aimed to identify the contribution of osteosarcopenia to the development and severity of dysphagia.
Conclusion
Patients with sarcopenia and osteoporosis undergoing swallowing rehabilitation tended to have severe dysphagia that required much medical attention.
Supporting Evidence
- FOIS scores were significantly lower among patients with osteosarcopenia than among those without.
- PMI was significantly lower in the group with enteral feeding.
- Osteoporosis and osteosarcopenia were significant in the patients who were fed enterally.
Takeaway
Older people with both weak muscles and weak bones have a harder time swallowing food, which can make them very sick.
Methodology
The study retrospectively reviewed medical charts of 211 patients aged 65 and older referred for dysphagia rehabilitation, analyzing their Functional Oral Intake Scale scores and CT imaging data.
Potential Biases
Selection bias may have influenced the prevalence of dysphagia observed in the study.
Limitations
The study was conducted at a single hospital and only included patients referred to the dysphagia rehabilitation team.
Participant Demographics
Patients were aged 65 years or older, with a mean age of 80.1 years, and included both males and females.
Statistical Information
P-Value
p = 0.032 and 0.047 for osteoporosis and osteosarcopenia in enteral feeding group, respectively.
Confidence Interval
95% CI 1.00–1.20 for PMI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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