Mengqing Zhang1, Chao Li1, Fang Zhang1, Xiaoxiao Han1, Qinglu Yang1, Tuo Lin2, Huichang Zhou3, Min Tang4, Jungui Zhou5, Hongling Shi6, Yanping Hui7, Mingfeng Xiong8, Ling Pang9, Baolan Wang10, Zhen Feng11, Zhanfei Li12, Changbing Cao13, Xiao Lu14, Yuanyuan Ding15, Shukun Shen16, Zhengyue Xu17, Fan Yu18, Chen Chen19, Ling Meng20, Guiqing Liao21, Jinxin Zhang22, Ayodele Sasegbon23, Zulin Dou24. 1. Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, Guangdong, China. 2. Department of Rehabilitation Medicine, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China. 3. Department of Rehabilitation Medicine, The First People's Hospital of Foshan, Foshan, Guangdong, China. 4. Department of Neurological Rehabilitation Medicine, Ningbo Rehabilitation Hospital, Ningbo, Zhejiang, China. 5. Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangzhou, Guangdong, China. 6. Department of Rehabilitation Medicine, Third People's Hospital of Yunnan Province, Kunming, Yunnan, China. 7. Department of Rehabilitation Medicine, The Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine, Xi'an, Shanxi, China. 8. Department of Rehabilitation Medicine, First Affiliated Hospital of Army Medical University, Chongqing, China. 9. Department of Rehabilitation Medicine, China-Japan Union Hospital of Jilin University, Jilin, Changchun, China. 10. Department of Rehabilitation Medicine, The First Affiliated Hospital of Xinjiang University and Xinjiang Medical University, Urumqi, Xinjiang, China. 11. Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China. 12. Department of Rehabilitation Medicine, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. 13. Department of Rehabilitation Medicine, Fujian Longyan Longgang Hospital, Longyan, Fujian, China. 14. Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. 15. Department of Rehabilitation Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 16. Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 17. Department of Rehabilitation Medicine, Qinghai Provincial People's Hospital, Xining, Qinghai, China. 18. Department of Rehabilitation Medicine, Shanghai General Hospital, Shanghai, China. 19. Department of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong, China. 20. Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. 21. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China. 22. Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China. 23. Division of Diabetes, Endocrinology and Gastroenterology, Faculty of Biology, Medicine and Health, Centre for Gastrointestinal Sciences, School of Medical Sciences, The University of Manchester, Clinical Sciences Building, Salford Royal NHS Foundation Trust, Manchester, UK. 24. Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, No. 600, Tianhe Road, Guangzhou, 510630, Guangdong, China. douzul@163.com.
Abstract
OBJECTIVE: To determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status. METHODS: This study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition. RESULTS: A total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.14% of patients with stroke, 34.4% in HNCs, 48.3% in NDDs, and 19.2% of otherwise healthy older adults. The elderly with comorbidity (OR = 2.90, p < 0.01) and stroke patients (OR = 2.27, p < 0.01) were significantly more likely to exhibit signs of dysphagia. Dysphagic participants were at significantly greater risk of malnutrition (OR = 1.91, p < 0.01) compared to those without dysphagia. CONCLUSION: Dysphagia is prevalent in China among older individuals and people who have suffered a stroke, HNCs, or NDDs. The prevalence of dysphagia increases steadily with increasing age and presence of comorbid disease. People with dysphagia are more likely to suffer from malnutrition.
OBJECTIVE: To determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status. METHODS: This study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition. RESULTS: A total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.14% of patients with stroke, 34.4% in HNCs, 48.3% in NDDs, and 19.2% of otherwise healthy older adults. The elderly with comorbidity (OR = 2.90, p < 0.01) and strokepatients (OR = 2.27, p < 0.01) were significantly more likely to exhibit signs of dysphagia. Dysphagic participants were at significantly greater risk of malnutrition (OR = 1.91, p < 0.01) compared to those without dysphagia. CONCLUSION:Dysphagia is prevalent in China among older individuals and people who have suffered a stroke, HNCs, or NDDs. The prevalence of dysphagia increases steadily with increasing age and presence of comorbid disease. People with dysphagia are more likely to suffer from malnutrition.
Entities:
Keywords:
Chinese elderly; Comorbidity; Deglutition; Deglutition disorders; Dysphagia; Epidemiology
Authors: Claar D van der Maarel-Wierink; Judith M M Meijers; Luc M J De Visschere; Cees de Baat; Ruud J G Halfens; Jos M G A Schols Journal: Int J Nurs Stud Date: 2013-10-27 Impact factor: 5.837