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Chief Complaints of Swallowing Problems in Korean Community-Dwelling Older Adults

Other Titles
 우리나라 지역사회 거주 정상 노년층에서 관찰되는 삼킴 곤란 주호소 
Authors
 Han Kyeol Kim  ;  Ja Young Kim  ;  Soomin Kim  ;  Ga-Young Kim  ;  Nam-Bin Cho  ;  Seok In Nam  ;  Heecheon You  ;  HyangHee Kim 
Citation
 Communication Sciences & Disorders, Vol.26(2) : 463-474, 2021-06 
Journal Title
Communication Sciences & Disorders
ISSN
 2288-1328 
Issue Date
2021-06
Keywords
Presbyphagia ; Swallowing ; Self-reported ; Older adults ; Chief complaints
Abstract
Objectives
Normal older persons often experience presbyphagia due to aging. This study utilized the 18-item self-reported questionnaire of the Swallowing Monitoring & Assessment Protocol (SMAP) to identify swallowing difficulties that might appear during natural aging.
Methods
After excluding those with neurological disorders, dysphagia-related disorders, and/or cognitive problems, a total of 822 healthy older adults aged 65 or older (mean age= 76.88± 5.60; men:women= 277:545) were surveyed by the self-reported swallowing function questionnaire of the SMAP. The total score of the 18-item questionnaire (5-point Likert scale: 0, 1, 2, 3, 4) was extracted and the ranking was determined based on the mean score of each item. Ranking among two age groups (aged 65-74 and aged 75≤) was compared with a Spearman rank correlation, and the difference in total scores by age group was examined with the Mann-Whitney test.
Results
The mean total score was 7.81 ± 7.63 (range 0-58). Swallowing problems related to ‘dry mouth’, ‘meal volume’, ‘mealtime’, and ‘choking on water or liquid’ were regarded as chief complaints. There was a significant correlation between the ranking of questions by age group. The mean total score was significantly higher for groups aged 75 or older (n = 494; mean age = 80.46 ± 3.98) than those aged 65 to 74 (n = 328; mean age = 71.49 ± 2.51) (p < .01).
Conclusion
The chief complaints for swallowing reported by older adults can be considered as main swallowing problems caused by aging. By identifying precise swallowing difficulties that appear during normal aging, we should be able to alleviate presbyphagia via early detection and intervention.
Files in This Item:
T202105301.pdf Download
DOI
10.12963/csd.21825
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyang Hee(김향희) ORCID logo https://orcid.org/0000-0003-4949-2512
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187219
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