Factors Associated with Self-Reported Dysphagia in Older Adults Receiving Meal Support

Objectives Dysphagia is common in older adults. However, there are no current estimates of dysphagia in community-dwelling older adults those receiving meal support. It is unknown whether dysphagia is associated with other measures of physical function (activities of daily living [ADL] ability or nu...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2021-12, Vol.25 (10), p.1145-1153
Hauptverfasser: Kurosu, A., Osman, F., Daggett, S., Peña-Chávez, R., Thompson, A., Myers, S. M., VanKampen, P., Koenig, S. S., Ciucci, M., Mahoney, J., Rogus-Pulia, Nicole
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container_issue 10
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container_title The Journal of nutrition, health & aging
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creator Kurosu, A.
Osman, F.
Daggett, S.
Peña-Chávez, R.
Thompson, A.
Myers, S. M.
VanKampen, P.
Koenig, S. S.
Ciucci, M.
Mahoney, J.
Rogus-Pulia, Nicole
description Objectives Dysphagia is common in older adults. However, there are no current estimates of dysphagia in community-dwelling older adults those receiving meal support. It is unknown whether dysphagia is associated with other measures of physical function (activities of daily living [ADL] ability or nutrition status). The study purposes were to determine the prevalence of self-reported dysphagia and to identify factors associated with self-reported dysphagia in community-dwelling older adults receiving meal support. Design A cross-sectional study. Setting and Participants 476 community-dwelling older adults (78.5±0.51 years) across five Elder Nutrition Program meal services in Wisconsin participated in the study. Measurements Data were collected through administration of validated ADL and nutrition questionnaires (nutritional status, functional status with ADLs, chewing ability, dental conditions, and prior diagnoses of dysphagia, pneumonia, and dementia). For self-reported dysphagia, the validated 10-item eating assessment tool (EAT-10) was used. Results The prevalence of self-reported dysphagia (EAT-10 score of ≥ 3) was 20.4%. Multivariate logistic regression results indicated that poor nutritional status (OR=3.1, p=0.04), difficulty chewing (OR=2.2, p=0.03), prior dysphagia diagnosis (OR=34.8, p
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M. ; VanKampen, P. ; Koenig, S. S. ; Ciucci, M. ; Mahoney, J. ; Rogus-Pulia, Nicole</creator><creatorcontrib>Kurosu, A. ; Osman, F. ; Daggett, S. ; Peña-Chávez, R. ; Thompson, A. ; Myers, S. M. ; VanKampen, P. ; Koenig, S. S. ; Ciucci, M. ; Mahoney, J. ; Rogus-Pulia, Nicole</creatorcontrib><description>Objectives Dysphagia is common in older adults. However, there are no current estimates of dysphagia in community-dwelling older adults those receiving meal support. It is unknown whether dysphagia is associated with other measures of physical function (activities of daily living [ADL] ability or nutrition status). The study purposes were to determine the prevalence of self-reported dysphagia and to identify factors associated with self-reported dysphagia in community-dwelling older adults receiving meal support. Design A cross-sectional study. Setting and Participants 476 community-dwelling older adults (78.5±0.51 years) across five Elder Nutrition Program meal services in Wisconsin participated in the study. Measurements Data were collected through administration of validated ADL and nutrition questionnaires (nutritional status, functional status with ADLs, chewing ability, dental conditions, and prior diagnoses of dysphagia, pneumonia, and dementia). For self-reported dysphagia, the validated 10-item eating assessment tool (EAT-10) was used. Results The prevalence of self-reported dysphagia (EAT-10 score of ≥ 3) was 20.4%. Multivariate logistic regression results indicated that poor nutritional status (OR=3.1, p=0.04), difficulty chewing (OR=2.2, p=0.03), prior dysphagia diagnosis (OR=34.8, p&lt;0.001), prior pneumonia diagnosis (OR=2.1, p=0.04), and meal service site (OR=2.68, p=0.02) were associated with self-reported dysphagia. Conclusion Approximately one in five community-dwelling older adults receiving meal support had self-reported dysphagia. Increased risk for poor nutrition, reduced chewing ability, prior dysphagia and pneumonia diagnosis, and meal service site were identified as factors associated with dysphagia on the EAT-10. Results highlight the need for further studies across more sites to identify dysphagia risk indicators in community-dwelling older adults receiving meal support state-wide.</description><identifier>ISSN: 1279-7707</identifier><identifier>ISSN: 1760-4788</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-021-1700-9</identifier><identifier>PMID: 34866141</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of Daily Living ; Aged ; Aging ; Cross-Sectional Studies ; Deglutition Disorders - complications ; Dementia ; Dysphagia ; Geriatric Assessment ; Geriatrics/Gerontology ; Humans ; Independent Living ; Malnutrition - diagnosis ; Medicine ; Medicine &amp; Public Health ; Neurosciences ; Nutrition ; Nutritional Status ; Older people ; Original Research ; Pneumonia ; Primary Care Medicine ; Quality of Life Research ; Self Report</subject><ispartof>The Journal of nutrition, health &amp; aging, 2021-12, Vol.25 (10), p.1145-1153</ispartof><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2021</rights><rights>Serdi and Springer-Verlag International SAS, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-c6fc790d1053fd0d6e5b8bf020d58753babf3806991bc959aab732f57fa74b153</citedby><cites>FETCH-LOGICAL-c470t-c6fc790d1053fd0d6e5b8bf020d58753babf3806991bc959aab732f57fa74b153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-021-1700-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-021-1700-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34866141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurosu, A.</creatorcontrib><creatorcontrib>Osman, F.</creatorcontrib><creatorcontrib>Daggett, S.</creatorcontrib><creatorcontrib>Peña-Chávez, R.</creatorcontrib><creatorcontrib>Thompson, A.</creatorcontrib><creatorcontrib>Myers, S. M.</creatorcontrib><creatorcontrib>VanKampen, P.</creatorcontrib><creatorcontrib>Koenig, S. S.</creatorcontrib><creatorcontrib>Ciucci, M.</creatorcontrib><creatorcontrib>Mahoney, J.</creatorcontrib><creatorcontrib>Rogus-Pulia, Nicole</creatorcontrib><title>Factors Associated with Self-Reported Dysphagia in Older Adults Receiving Meal Support</title><title>The Journal of nutrition, health &amp; aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives Dysphagia is common in older adults. However, there are no current estimates of dysphagia in community-dwelling older adults those receiving meal support. It is unknown whether dysphagia is associated with other measures of physical function (activities of daily living [ADL] ability or nutrition status). The study purposes were to determine the prevalence of self-reported dysphagia and to identify factors associated with self-reported dysphagia in community-dwelling older adults receiving meal support. Design A cross-sectional study. Setting and Participants 476 community-dwelling older adults (78.5±0.51 years) across five Elder Nutrition Program meal services in Wisconsin participated in the study. Measurements Data were collected through administration of validated ADL and nutrition questionnaires (nutritional status, functional status with ADLs, chewing ability, dental conditions, and prior diagnoses of dysphagia, pneumonia, and dementia). For self-reported dysphagia, the validated 10-item eating assessment tool (EAT-10) was used. Results The prevalence of self-reported dysphagia (EAT-10 score of ≥ 3) was 20.4%. Multivariate logistic regression results indicated that poor nutritional status (OR=3.1, p=0.04), difficulty chewing (OR=2.2, p=0.03), prior dysphagia diagnosis (OR=34.8, p&lt;0.001), prior pneumonia diagnosis (OR=2.1, p=0.04), and meal service site (OR=2.68, p=0.02) were associated with self-reported dysphagia. Conclusion Approximately one in five community-dwelling older adults receiving meal support had self-reported dysphagia. Increased risk for poor nutrition, reduced chewing ability, prior dysphagia and pneumonia diagnosis, and meal service site were identified as factors associated with dysphagia on the EAT-10. Results highlight the need for further studies across more sites to identify dysphagia risk indicators in community-dwelling older adults receiving meal support state-wide.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging</subject><subject>Cross-Sectional Studies</subject><subject>Deglutition Disorders - complications</subject><subject>Dementia</subject><subject>Dysphagia</subject><subject>Geriatric Assessment</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Malnutrition - diagnosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Older people</subject><subject>Original Research</subject><subject>Pneumonia</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>Self Report</subject><issn>1279-7707</issn><issn>1760-4788</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1rFTEUhoMotlZ_gBsJuHETPZlMvjbCpVoVKoVW3YZMJrk3Ze5kTGYq_fdmuLV-gKsccp7zno8XoecUXlMA-abQRgAj0FBCJQDRD9AxlQJIK5V6WONGaiIlyCP0pJRrgJZrJR6jI9YqIWhLj9G3M-vmlAvelJJctLPv8Y847_CVHwK59FPK69e72zLt7DZaHEd8MfQ-402_DHPBl975eBPHLf7s7YCvlmkteYoeBTsU_-zuPUFfz95_Of1Izi8-fDrdnBPXSpiJE8FJDT0FzkIPvfC8U12ABnquJGed7QJTILSmndNcW9tJ1gQug5VtRzk7QW8PutPS7X3v_DhnO5gpx73NtybZaP7OjHFntunGKMGZVroKvLoTyOn74sts9rE4Pwx29Gkpph5YMkpbDhV9-Q96nZY81vVWSkgGDZeVogfK5VRK9uF-GApmdc0cXDPVNbO6ZtYhXvy5xX3FL5sq0ByAUlPj1uffrf-v-hOvzaLQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Kurosu, A.</creator><creator>Osman, F.</creator><creator>Daggett, S.</creator><creator>Peña-Chávez, R.</creator><creator>Thompson, A.</creator><creator>Myers, S. M.</creator><creator>VanKampen, P.</creator><creator>Koenig, S. S.</creator><creator>Ciucci, M.</creator><creator>Mahoney, J.</creator><creator>Rogus-Pulia, Nicole</creator><general>Springer Paris</general><general>Springer Nature B.V</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211201</creationdate><title>Factors Associated with Self-Reported Dysphagia in Older Adults Receiving Meal Support</title><author>Kurosu, A. ; Osman, F. ; Daggett, S. ; Peña-Chávez, R. ; Thompson, A. ; Myers, S. 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M.</au><au>VanKampen, P.</au><au>Koenig, S. S.</au><au>Ciucci, M.</au><au>Mahoney, J.</au><au>Rogus-Pulia, Nicole</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated with Self-Reported Dysphagia in Older Adults Receiving Meal Support</atitle><jtitle>The Journal of nutrition, health &amp; aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>25</volume><issue>10</issue><spage>1145</spage><epage>1153</epage><pages>1145-1153</pages><issn>1279-7707</issn><issn>1760-4788</issn><eissn>1760-4788</eissn><abstract>Objectives Dysphagia is common in older adults. However, there are no current estimates of dysphagia in community-dwelling older adults those receiving meal support. It is unknown whether dysphagia is associated with other measures of physical function (activities of daily living [ADL] ability or nutrition status). The study purposes were to determine the prevalence of self-reported dysphagia and to identify factors associated with self-reported dysphagia in community-dwelling older adults receiving meal support. Design A cross-sectional study. Setting and Participants 476 community-dwelling older adults (78.5±0.51 years) across five Elder Nutrition Program meal services in Wisconsin participated in the study. Measurements Data were collected through administration of validated ADL and nutrition questionnaires (nutritional status, functional status with ADLs, chewing ability, dental conditions, and prior diagnoses of dysphagia, pneumonia, and dementia). For self-reported dysphagia, the validated 10-item eating assessment tool (EAT-10) was used. Results The prevalence of self-reported dysphagia (EAT-10 score of ≥ 3) was 20.4%. Multivariate logistic regression results indicated that poor nutritional status (OR=3.1, p=0.04), difficulty chewing (OR=2.2, p=0.03), prior dysphagia diagnosis (OR=34.8, p&lt;0.001), prior pneumonia diagnosis (OR=2.1, p=0.04), and meal service site (OR=2.68, p=0.02) were associated with self-reported dysphagia. Conclusion Approximately one in five community-dwelling older adults receiving meal support had self-reported dysphagia. Increased risk for poor nutrition, reduced chewing ability, prior dysphagia and pneumonia diagnosis, and meal service site were identified as factors associated with dysphagia on the EAT-10. Results highlight the need for further studies across more sites to identify dysphagia risk indicators in community-dwelling older adults receiving meal support state-wide.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>34866141</pmid><doi>10.1007/s12603-021-1700-9</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living
Aged
Aging
Cross-Sectional Studies
Deglutition Disorders - complications
Dementia
Dysphagia
Geriatric Assessment
Geriatrics/Gerontology
Humans
Independent Living
Malnutrition - diagnosis
Medicine
Medicine & Public Health
Neurosciences
Nutrition
Nutritional Status
Older people
Original Research
Pneumonia
Primary Care Medicine
Quality of Life Research
Self Report
title Factors Associated with Self-Reported Dysphagia in Older Adults Receiving Meal Support
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