Dysphagia in the elderly: management and nutritional considerations

Livia Sura,1,2 Aarthi Madhavan,1,3 Giselle Carnaby,1,4 Michael A Crary1,31Swallowing Research Laboratory; 2Department of Epidemiology, College of Public Health and Health Professions; 3Department of Speech, Language, and Hearing Sciences, College of Public Health and Health Professions; 4Department...

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Autores principales: Sura L, Madhavan A, Carnaby G, Crary MA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2012
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Acceso en línea:https://doaj.org/article/7255157acdcd45e3b9d9d608142c91ff
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spelling oai:doaj.org-article:7255157acdcd45e3b9d9d608142c91ff2021-12-02T11:27:53ZDysphagia in the elderly: management and nutritional considerations1178-1998https://doaj.org/article/7255157acdcd45e3b9d9d608142c91ff2012-07-01T00:00:00Zhttps://www.dovepress.com/dysphagia-in-the-elderly-management-and-nutritional-considerations-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Livia Sura,1,2 Aarthi Madhavan,1,3 Giselle Carnaby,1,4 Michael A Crary1,31Swallowing Research Laboratory; 2Department of Epidemiology, College of Public Health and Health Professions; 3Department of Speech, Language, and Hearing Sciences, College of Public Health and Health Professions; 4Department of Behavioral Sciences and Community Health, College of Public Health and Health Professions, Gainesville, FL, USAAbstract: Dysphagia is a prevalent difficulty among aging adults. Though increasing age facilitates subtle physiologic changes in swallow function, age-related diseases are significant factors in the presence and severity of dysphagia. Among elderly diseases and health complications, stroke and dementia reflect high rates of dysphagia. In both conditions, dysphagia is associated with nutritional deficits and increased risk of pneumonia. Recent efforts have suggested that elderly community dwellers are also at risk for dysphagia and associated deficits in nutritional status and increased pneumonia risk. Swallowing rehabilitation is an effective approach to increase safe oral intake in these populations and recent research has demonstrated extended benefits related to improved nutritional status and reduced pneumonia rates. In this manuscript, we review data describing age related changes in swallowing and discuss the relationship of dysphagia in patients following stroke, those with dementia, and in community dwelling elderly. Subsequently, we review basic approaches to dysphagia intervention including both compensatory and rehabilitative approaches. We conclude with a discussion on the positive impact of swallowing rehabilitation on malnutrition and pneumonia in elderly who either present with dysphagia or are at risk for dysphagia.Keywords: dysphagia, aging, malnutrition, pneumonia, rehabilitationSura LMadhavan ACarnaby GCrary MADove Medical PressarticleDysphagiaagingmalnutritionpneumoniarehabilitationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 287-298 (2012)
institution DOAJ
collection DOAJ
language EN
topic Dysphagia
aging
malnutrition
pneumonia
rehabilitation
Geriatrics
RC952-954.6
spellingShingle Dysphagia
aging
malnutrition
pneumonia
rehabilitation
Geriatrics
RC952-954.6
Sura L
Madhavan A
Carnaby G
Crary MA
Dysphagia in the elderly: management and nutritional considerations
description Livia Sura,1,2 Aarthi Madhavan,1,3 Giselle Carnaby,1,4 Michael A Crary1,31Swallowing Research Laboratory; 2Department of Epidemiology, College of Public Health and Health Professions; 3Department of Speech, Language, and Hearing Sciences, College of Public Health and Health Professions; 4Department of Behavioral Sciences and Community Health, College of Public Health and Health Professions, Gainesville, FL, USAAbstract: Dysphagia is a prevalent difficulty among aging adults. Though increasing age facilitates subtle physiologic changes in swallow function, age-related diseases are significant factors in the presence and severity of dysphagia. Among elderly diseases and health complications, stroke and dementia reflect high rates of dysphagia. In both conditions, dysphagia is associated with nutritional deficits and increased risk of pneumonia. Recent efforts have suggested that elderly community dwellers are also at risk for dysphagia and associated deficits in nutritional status and increased pneumonia risk. Swallowing rehabilitation is an effective approach to increase safe oral intake in these populations and recent research has demonstrated extended benefits related to improved nutritional status and reduced pneumonia rates. In this manuscript, we review data describing age related changes in swallowing and discuss the relationship of dysphagia in patients following stroke, those with dementia, and in community dwelling elderly. Subsequently, we review basic approaches to dysphagia intervention including both compensatory and rehabilitative approaches. We conclude with a discussion on the positive impact of swallowing rehabilitation on malnutrition and pneumonia in elderly who either present with dysphagia or are at risk for dysphagia.Keywords: dysphagia, aging, malnutrition, pneumonia, rehabilitation
format article
author Sura L
Madhavan A
Carnaby G
Crary MA
author_facet Sura L
Madhavan A
Carnaby G
Crary MA
author_sort Sura L
title Dysphagia in the elderly: management and nutritional considerations
title_short Dysphagia in the elderly: management and nutritional considerations
title_full Dysphagia in the elderly: management and nutritional considerations
title_fullStr Dysphagia in the elderly: management and nutritional considerations
title_full_unstemmed Dysphagia in the elderly: management and nutritional considerations
title_sort dysphagia in the elderly: management and nutritional considerations
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/7255157acdcd45e3b9d9d608142c91ff
work_keys_str_mv AT sural dysphagiaintheelderlymanagementandnutritionalconsiderations
AT madhavana dysphagiaintheelderlymanagementandnutritionalconsiderations
AT carnabyg dysphagiaintheelderlymanagementandnutritionalconsiderations
AT craryma dysphagiaintheelderlymanagementandnutritionalconsiderations
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