Methods: This thesis includes four original papers that are all part of the SOFIA project. Paper Iis the study protocol. Objectives: Swallowing dysfunction (dysphagia) is a common, but often neglected condition among geriatric patients that can cause severe complications such as malnutrition, aspiration pneumonia and death. The aims of this thesis were to (i) describe the study design and method of the multidisciplinary and multicenter project SOFIA (Swallowing function, Oral health, and Food Intake in old Age), (ii) study the prevalence of and the relationship between swallowing dysfunction and risk of undernutrition among older individuals in short-term care, (iii) study the effect of oral neuromuscular training on swallowing dysfunction among older individuals, and (iv) to investigate the association between poor oral health, swallowing dysfunction and mortality. Geriatrics Dentistry Nutrition and Dietetics Research subject Geriatrics Odontology Caring Sciences Identifiers URN: urn:nbn:se:umu:diva-146928 DOI: 10.1007/s4052-7 ISI: 000457534400011 PubMedID: 29663160 Scopus ID: 2-s2.0-85045421560 OAI: oai::umu-146928 DiVA, id: diva2:1267334Ģ019 (English) Doctoral thesis, comprehensive summary (Other academic) Abstract 85-94Īspiration, Dysphagia, Elderly care, Gender, Malnutrition, Swallowing disorders National Category Place, publisher, year, edition, pagesSpringer, 2019.
RISK 1 OCH RISK 2 TRIAL
A logistic regression model revealed an increased risk of undernutrition among older people with abnormal swallowing capacity (OR 1.74, 95% CI 1.04-2.92, p = 0.034).ĬONCLUSIONS: The high prevalence of swallowing dysfunction and risk of undernutrition highlight the need for a systematic screening program and feasible treatment to improve swallowing function for adequate and safe food intake among older people in short-term care.ĬLINICAL TRIAL REGISTRATION: This study was registered with on July 4, 2016, under NCT02825927. Risk of undernutrition was found in 91 of 390 (23%) participants, more frequently among women (p = 0.007). Abnormal swallowing capacity was more frequent among women (p = 0.030), whereas men with normal swallowing capacity exhibited signs of aspiration more frequently (cough p = 0.038, voice change p = 0.004).
RESULTS: Swallowing dysfunction was observed in 248 of 385 (63%) participants, including abnormal swallowing capacity in 213 of 385 (55%) and aspiration signs in 127 of 377 (34%). Risk for undernutrition was assessed using the Minimal Eating Observation and Nutrition Form-version II. They went through a timed water swallow test to assess swallowing dysfunction, including abnormal swallowing capacity and signs of aspiration (i.e., cough and voice change). METHODS: In total, 391 people (209 women), aged ≥ 65 years (median age 84 years) and admitted to short-term care in five Swedish counties participated. Short-term care is an unexplored care context, where many older people stay yearly.ĪIM: This cross-sectional study aimed to describe and analyze the relationship between swallowing dysfunction and risk of undernutrition among older people in short-term care, including potential gender-related differences. 85-94 Article in journal (Refereed) Published Abstract īACKGROUND: Swallowing dysfunction and risk of undernutrition increase the risk of pneumonia, morbidity, and mortality. Show others and affiliations 2019 (English) In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol.