Association between sarcopenia and dysphagia among elderly | ||
| The Egyptian Journal of Geriatrics and Gerontology | ||
| Article 10, Volume 11, Issue 1, March 2024, Pages 141-156 PDF (525.75 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejgg.2024.266826.1111 | ||
| Authors | ||
| Rewayda walid mahgoub* 1; Nirvana Gamal El Dein Hafez2; Nermien Naim Adly3; Reem Mohamed Sabry Elbedewy1; Mona Hegazy Mohamed1 | ||
| 1geriatric and gerontology department, faculty of medicine, Ain shams university, Cairo, Egypt | ||
| 2Phoniatrics unit, Faculty of medicine Ain shams university, Cairo, Egypt | ||
| 3Geriatric and Gerontology Department Ain Shams University Cairo Egypt | ||
| Abstract | ||
| ABSTRACT Background: Human aging involves a series of changes in different body systems, that result in progressive loss of function. Sarcopenia and dysphagia are common in elderly with several health outcomes related to them. Objective: To study the association between sarcopenia and swallowing disorders among elderly. Methods: A cross sectional study included 70 participants aged 60 or above, who were attended to Ain Shams University Hospitals from April to October 2023, collected by simple random sampling. Exclusion criteria were patients with impaired consciousness, stroke, parkinsonism, late dementia, or musculoskeletal, neurological, rheumatological disorders or hand deformity that prevented them to do the test. Sarcopenia was evaluated by skeletal muscle index and hand grip strength & defined as presence of both decreased muscle mass and impaired muscle function (strength or performance), swallowing ability was evaluated by Eating Assessment Tool (EAT-10) and Yale swallow protocol. Nutritional, functional status and comorbidities were assessed. Sensitivity, specificity, and diagnostic accuracy of EAT-10 & its association with sarcopenia were evaluated. Results: Out of 70 participants 53 were found to be sarcopenic, 66% of sarcopenic participants were found to have dysphagia by EAT-10, and 30.2% had dysphagia by Yale swallow, EAT-10 was found to have 94.12% sensitivity, 83.02% specificity at cutoff point >5 with area under curve= 0.89 to detect dysphagia by Yale swallow protocol. Low skeletal muscle index was the strongest potential indicator of dysphagia by multivariate analysis. Conclusion: Current study provides evidence for association between sarcopenia and dysphagia among elderly. | ||
| Keywords | ||
| Sarcopenia; Swallowing disorders; elderly; EAT-10; Yale swallow | ||
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