Cetin Sayaca1. 1. Faculty of Healthy Science Physical Therapy and Rehabilitation, Uskudar University, Altunizade Mahallesi, Mahir Iz Cad. No:23, 34674, Uskudar, Istanbul, Turkey. cetin.sayaca@uskudar.edu.tr.
Abstract
BACKGROUND: Type-II Diabetes Mellitus (TII-DM) is the most common endocrine disorder in people who are over 65 years of age. It leads to a decrease in muscle strength and impaired muscle coordination. Ageing and weakness cause swallowing difficulty (SD). OBJECTIVE: The aim of this study was to evaluate the relationship between duration of disease, SD and swallowing anxiety (SA) in TII-DM patients. STUDY DESIGN: Prospective case-control study. METHODS: A total of 103 elderly individuals (74 females and 29 males) participated in this study. Fifty-two elderly patients (aged 70.27 ± 4.65 years) had a TII-DM and the duration of DM was 11.32 ± 10.03 years (minimum: 0-40 years). Fifty-one patients without diabetes mellitus (69.35 ± 3.58 years) were included in the control group. SD was determined using the EAT-10 Questionnaire. SA was evaluated with the Swallowing Anxiety Scale developed in the Turkish population. Handgrip strength was evaluated with a Jamar dynamometer on the dominant side. RESULTS: There was a significant difference in SD (p : 0.042), SA (p : 0.001), and handgrip strength (p : 0.039) between groups. There was a relationship between SD and SA in the control and DM groups (r : 0.577; p : 0.000 and r : 0.663; p : 0.000, respectively). There was no relationship between the other parameters (age, SD, SA, and handgrip strength) in the control group (p < 0.05). There was a positive moderate relationship between SA and duration of disease in the TII-DM group (r : 0.472; p : 0.000). There was no relationship between other parameters (age, SD, SA, handgrip strength, and duration of disease) in the DM group (p < 0.05). CONCLUSION: In elderly individuals with TII-DM and without DM, there were differences in SD, SA, and handgrip strength. Although there was a relationship between SD and SA in both groups, this relationship was found to be higher in elderly patients with TII-DM. In addition, there was a relationship between the duration of diagnosis and SA. In elderly individuals, evaluating SD with SA was thought to be helpful in the prevention or early rehabilitation of swallowing disorders.
BACKGROUND:Type-II Diabetes Mellitus (TII-DM) is the most common endocrine disorder in people who are over 65 years of age. It leads to a decrease in muscle strength and impaired muscle coordination. Ageing and weakness cause swallowing difficulty (SD). OBJECTIVE: The aim of this study was to evaluate the relationship between duration of disease, SD and swallowing anxiety (SA) in TII-DMpatients. STUDY DESIGN: Prospective case-control study. METHODS: A total of 103 elderly individuals (74 females and 29 males) participated in this study. Fifty-two elderly patients (aged 70.27 ± 4.65 years) had a TII-DM and the duration of DM was 11.32 ± 10.03 years (minimum: 0-40 years). Fifty-one patients without diabetes mellitus (69.35 ± 3.58 years) were included in the control group. SD was determined using the EAT-10 Questionnaire. SA was evaluated with the Swallowing Anxiety Scale developed in the Turkish population. Handgrip strength was evaluated with a Jamar dynamometer on the dominant side. RESULTS: There was a significant difference in SD (p : 0.042), SA (p : 0.001), and handgrip strength (p : 0.039) between groups. There was a relationship between SD and SA in the control and DM groups (r : 0.577; p : 0.000 and r : 0.663; p : 0.000, respectively). There was no relationship between the other parameters (age, SD, SA, and handgrip strength) in the control group (p < 0.05). There was a positive moderate relationship between SA and duration of disease in the TII-DM group (r : 0.472; p : 0.000). There was no relationship between other parameters (age, SD, SA, handgrip strength, and duration of disease) in the DM group (p < 0.05). CONCLUSION: In elderly individuals with TII-DM and without DM, there were differences in SD, SA, and handgrip strength. Although there was a relationship between SD and SA in both groups, this relationship was found to be higher in elderly patients with TII-DM. In addition, there was a relationship between the duration of diagnosis and SA. In elderly individuals, evaluating SD with SA was thought to be helpful in the prevention or early rehabilitation of swallowing disorders.
Authors: Fernanda Chiarion Sassi; Ana Paula Ritto; Maíra Santilli de Lima; Cirley Novais Valente Junior; Paulo Francisco Guerreiro Cardoso; Bruno Zilberstein; Paulo Hilário Nascimento Saldiva; Claudia Regina Furquim de Andrade Journal: PLoS One Date: 2022-06-16 Impact factor: 3.752