Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis
Key Summary Points Aim To elucidate the relationship between dysphagia and ADL in older adults. Finding Swallowing disorder in older adults was associated with a lower ability to perform ADL, and there was a negative association between the prevalence of dysphagia and ADLs in older adults. Message T...
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| Veröffentlicht in: | European geriatric medicine 2024-12, Vol.15 (6), p.1555-1571 |
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| creator | Xue, Wenfeng He, Xiaona Su, Jie Li, Sihan Zhang, Huafang |
| description | Key Summary Points
Aim
To elucidate the relationship between dysphagia and ADL in older adults.
Finding
Swallowing disorder in older adults was associated with a lower ability to perform ADL, and there was a negative association between the prevalence of dysphagia and ADLs in older adults.
Message
The capacity to perform ADL is significantly associated with dysphagia.
Purpose
Numerous epidemiological studies have suggested a possible association between dysphagia and the risk of decline in Activities of daily living (ADL) among older adults. This systematic review and meta-analysis aimed to elucidate the relationship between dysphagia and ADL in older adults.
Methods
PubMed, Web of Science, Cochrane Library, Embase, Ebsco, MEDLINE, Wiley, CINAHL, and Ovid databases were comprehensively examined for relevant studies published up to October 31, 2022. Quantitative studies published in English were included to explore the relationship between dysphagia and ADL in people aged 65 years and older. The NIH Quality Assessment Tool was used to assess the study quality. R software was used to draw forest plots and
I
2
was employed to indicate study heterogeneity. Sensitivity analysis was performed using the one-by-one exclusion method. Publication bias was measured using funnel plots and Egger’s test.
Results
A total of 3,498 studies were retrieved from the database, 22 of which were eventually included in the systematic evaluation, and 14 of which were subjected to meta-analysis. Data from nine studies were categorical variables, and meta-analysis results showed that swallowing disorders in older adults were associated with a lower ability to perform ADL (OR = 3.39, 95% CI: 2.55–4.50,
p
|
| doi_str_mv | 10.1007/s41999-024-00999-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3065271748</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3065271748</sourcerecordid><originalsourceid>FETCH-LOGICAL-c228t-fcba85c67691d28e1fa7380c334b0361b4100d73eca505123ffe65c786140bb63</originalsourceid><addsrcrecordid>eNp9kDtPHTEQRq2ICBDhD1BELtMs-LW2Nx1CvCSkNFBbXu_sjdE-bjxe0P57fLlAmWlmNPPNKQ4hZ5ydc8bMBSreNE3FhKoY2032Gznm1tjK6NocfM2qOSKniM-slBRNY9QhOZLWKqFreUzwEnEO0ec4T7SF_Aow0W7F7V-_iZ76qaM-5PgScwSkc087H4eVDmUzbWic6Dx0kKjvliHjb-oprphhLLxAE7xEeH1njJB95Sc_rBjxB_ne-wHh9KOfkKeb68eru-rhz-391eVDFYSwuepD620dtNEN74QF3nsjLQtSqpZJzVtVRHRGQvA1q7mQfQ-6DsZqrljbanlCfu252zT_WwCzGyMGGAY_wbygk0zXwnCjbImKfTSkGTFB77Ypjj6tjjO38-32vl3x7d59u93Tzw_-0o7Qfb182i0BuQ9gOU0bSO55XlKxgP_DvgFozYyD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3065271748</pqid></control><display><type>article</type><title>Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Xue, Wenfeng ; He, Xiaona ; Su, Jie ; Li, Sihan ; Zhang, Huafang</creator><creatorcontrib>Xue, Wenfeng ; He, Xiaona ; Su, Jie ; Li, Sihan ; Zhang, Huafang</creatorcontrib><description>Key Summary Points
Aim
To elucidate the relationship between dysphagia and ADL in older adults.
Finding
Swallowing disorder in older adults was associated with a lower ability to perform ADL, and there was a negative association between the prevalence of dysphagia and ADLs in older adults.
Message
The capacity to perform ADL is significantly associated with dysphagia.
Purpose
Numerous epidemiological studies have suggested a possible association between dysphagia and the risk of decline in Activities of daily living (ADL) among older adults. This systematic review and meta-analysis aimed to elucidate the relationship between dysphagia and ADL in older adults.
Methods
PubMed, Web of Science, Cochrane Library, Embase, Ebsco, MEDLINE, Wiley, CINAHL, and Ovid databases were comprehensively examined for relevant studies published up to October 31, 2022. Quantitative studies published in English were included to explore the relationship between dysphagia and ADL in people aged 65 years and older. The NIH Quality Assessment Tool was used to assess the study quality. R software was used to draw forest plots and
I
2
was employed to indicate study heterogeneity. Sensitivity analysis was performed using the one-by-one exclusion method. Publication bias was measured using funnel plots and Egger’s test.
Results
A total of 3,498 studies were retrieved from the database, 22 of which were eventually included in the systematic evaluation, and 14 of which were subjected to meta-analysis. Data from nine studies were categorical variables, and meta-analysis results showed that swallowing disorders in older adults were associated with a lower ability to perform ADL (OR = 3.39, 95% CI: 2.55–4.50,
p
< 0.001), with moderate heterogeneity (
I
2
= 62%,
p
= 0.006). Data from seven studies were continuous variables, resulting in a negative association between the prevalence of dysphagia and ADLs in older adults (SMD = −0.80, 95% CI: −1.08 to −0.51,
p
< 0.001), with high heterogeneity (
I
2
= 94%,
p
< 0.001). Sensitivity analysis showed robust results, funnel plots and Egger’s test indicated no publication bias.
Conclusion
Dysphagia is significantly associated with the capacity to perform ADL. Prevention and screening of dysphagia in older patients dependent on others for daily care are needed. Further long-term studies are needed in the future to prove causality.</description><identifier>ISSN: 1878-7649</identifier><identifier>ISSN: 1878-7657</identifier><identifier>EISSN: 1878-7657</identifier><identifier>DOI: 10.1007/s41999-024-00999-8</identifier><identifier>PMID: 38842653</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Deglutition Disorders - epidemiology ; Female ; Geriatrics/Gerontology ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Review</subject><ispartof>European geriatric medicine, 2024-12, Vol.15 (6), p.1555-1571</ispartof><rights>The Author(s), under exclusive licence to European Geriatric Medicine Society 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to European Geriatric Medicine Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-fcba85c67691d28e1fa7380c334b0361b4100d73eca505123ffe65c786140bb63</cites><orcidid>0000-0002-9547-7826</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s41999-024-00999-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s41999-024-00999-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38842653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xue, Wenfeng</creatorcontrib><creatorcontrib>He, Xiaona</creatorcontrib><creatorcontrib>Su, Jie</creatorcontrib><creatorcontrib>Li, Sihan</creatorcontrib><creatorcontrib>Zhang, Huafang</creatorcontrib><title>Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis</title><title>European geriatric medicine</title><addtitle>Eur Geriatr Med</addtitle><addtitle>Eur Geriatr Med</addtitle><description>Key Summary Points
Aim
To elucidate the relationship between dysphagia and ADL in older adults.
Finding
Swallowing disorder in older adults was associated with a lower ability to perform ADL, and there was a negative association between the prevalence of dysphagia and ADLs in older adults.
Message
The capacity to perform ADL is significantly associated with dysphagia.
Purpose
Numerous epidemiological studies have suggested a possible association between dysphagia and the risk of decline in Activities of daily living (ADL) among older adults. This systematic review and meta-analysis aimed to elucidate the relationship between dysphagia and ADL in older adults.
Methods
PubMed, Web of Science, Cochrane Library, Embase, Ebsco, MEDLINE, Wiley, CINAHL, and Ovid databases were comprehensively examined for relevant studies published up to October 31, 2022. Quantitative studies published in English were included to explore the relationship between dysphagia and ADL in people aged 65 years and older. The NIH Quality Assessment Tool was used to assess the study quality. R software was used to draw forest plots and
I
2
was employed to indicate study heterogeneity. Sensitivity analysis was performed using the one-by-one exclusion method. Publication bias was measured using funnel plots and Egger’s test.
Results
A total of 3,498 studies were retrieved from the database, 22 of which were eventually included in the systematic evaluation, and 14 of which were subjected to meta-analysis. Data from nine studies were categorical variables, and meta-analysis results showed that swallowing disorders in older adults were associated with a lower ability to perform ADL (OR = 3.39, 95% CI: 2.55–4.50,
p
< 0.001), with moderate heterogeneity (
I
2
= 62%,
p
= 0.006). Data from seven studies were continuous variables, resulting in a negative association between the prevalence of dysphagia and ADLs in older adults (SMD = −0.80, 95% CI: −1.08 to −0.51,
p
< 0.001), with high heterogeneity (
I
2
= 94%,
p
< 0.001). Sensitivity analysis showed robust results, funnel plots and Egger’s test indicated no publication bias.
Conclusion
Dysphagia is significantly associated with the capacity to perform ADL. Prevention and screening of dysphagia in older patients dependent on others for daily care are needed. Further long-term studies are needed in the future to prove causality.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Deglutition Disorders - epidemiology</subject><subject>Female</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Review</subject><issn>1878-7649</issn><issn>1878-7657</issn><issn>1878-7657</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPHTEQRq2ICBDhD1BELtMs-LW2Nx1CvCSkNFBbXu_sjdE-bjxe0P57fLlAmWlmNPPNKQ4hZ5ydc8bMBSreNE3FhKoY2032Gznm1tjK6NocfM2qOSKniM-slBRNY9QhOZLWKqFreUzwEnEO0ec4T7SF_Aow0W7F7V-_iZ76qaM-5PgScwSkc087H4eVDmUzbWic6Dx0kKjvliHjb-oprphhLLxAE7xEeH1njJB95Sc_rBjxB_ne-wHh9KOfkKeb68eru-rhz-391eVDFYSwuepD620dtNEN74QF3nsjLQtSqpZJzVtVRHRGQvA1q7mQfQ-6DsZqrljbanlCfu252zT_WwCzGyMGGAY_wbygk0zXwnCjbImKfTSkGTFB77Ypjj6tjjO38-32vl3x7d59u93Tzw_-0o7Qfb182i0BuQ9gOU0bSO55XlKxgP_DvgFozYyD</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Xue, Wenfeng</creator><creator>He, Xiaona</creator><creator>Su, Jie</creator><creator>Li, Sihan</creator><creator>Zhang, Huafang</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9547-7826</orcidid></search><sort><creationdate>20241201</creationdate><title>Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis</title><author>Xue, Wenfeng ; He, Xiaona ; Su, Jie ; Li, Sihan ; Zhang, Huafang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-fcba85c67691d28e1fa7380c334b0361b4100d73eca505123ffe65c786140bb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Deglutition Disorders - epidemiology</topic><topic>Female</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xue, Wenfeng</creatorcontrib><creatorcontrib>He, Xiaona</creatorcontrib><creatorcontrib>Su, Jie</creatorcontrib><creatorcontrib>Li, Sihan</creatorcontrib><creatorcontrib>Zhang, Huafang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European geriatric medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xue, Wenfeng</au><au>He, Xiaona</au><au>Su, Jie</au><au>Li, Sihan</au><au>Zhang, Huafang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis</atitle><jtitle>European geriatric medicine</jtitle><stitle>Eur Geriatr Med</stitle><addtitle>Eur Geriatr Med</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>15</volume><issue>6</issue><spage>1555</spage><epage>1571</epage><pages>1555-1571</pages><issn>1878-7649</issn><issn>1878-7657</issn><eissn>1878-7657</eissn><abstract>Key Summary Points
Aim
To elucidate the relationship between dysphagia and ADL in older adults.
Finding
Swallowing disorder in older adults was associated with a lower ability to perform ADL, and there was a negative association between the prevalence of dysphagia and ADLs in older adults.
Message
The capacity to perform ADL is significantly associated with dysphagia.
Purpose
Numerous epidemiological studies have suggested a possible association between dysphagia and the risk of decline in Activities of daily living (ADL) among older adults. This systematic review and meta-analysis aimed to elucidate the relationship between dysphagia and ADL in older adults.
Methods
PubMed, Web of Science, Cochrane Library, Embase, Ebsco, MEDLINE, Wiley, CINAHL, and Ovid databases were comprehensively examined for relevant studies published up to October 31, 2022. Quantitative studies published in English were included to explore the relationship between dysphagia and ADL in people aged 65 years and older. The NIH Quality Assessment Tool was used to assess the study quality. R software was used to draw forest plots and
I
2
was employed to indicate study heterogeneity. Sensitivity analysis was performed using the one-by-one exclusion method. Publication bias was measured using funnel plots and Egger’s test.
Results
A total of 3,498 studies were retrieved from the database, 22 of which were eventually included in the systematic evaluation, and 14 of which were subjected to meta-analysis. Data from nine studies were categorical variables, and meta-analysis results showed that swallowing disorders in older adults were associated with a lower ability to perform ADL (OR = 3.39, 95% CI: 2.55–4.50,
p
< 0.001), with moderate heterogeneity (
I
2
= 62%,
p
= 0.006). Data from seven studies were continuous variables, resulting in a negative association between the prevalence of dysphagia and ADLs in older adults (SMD = −0.80, 95% CI: −1.08 to −0.51,
p
< 0.001), with high heterogeneity (
I
2
= 94%,
p
< 0.001). Sensitivity analysis showed robust results, funnel plots and Egger’s test indicated no publication bias.
Conclusion
Dysphagia is significantly associated with the capacity to perform ADL. Prevention and screening of dysphagia in older patients dependent on others for daily care are needed. Further long-term studies are needed in the future to prove causality.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38842653</pmid><doi>10.1007/s41999-024-00999-8</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0002-9547-7826</orcidid></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Activities of Daily Living Aged Aged, 80 and over Deglutition Disorders - epidemiology Female Geriatrics/Gerontology Humans Internal Medicine Male Medicine Medicine & Public Health Review |
| title | Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis |
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