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Volume 15
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Article

Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients

by
Marcel Calles
1,
Rainer Wirth
1,
Bendix Labeit
2,
Paul Muhle
2,
Sonja Suntrup-Krueger
2,
Rainer Dziewas
3,
Gero Lueg
1 and
Ulrike Sonja Trampisch
1,*
1
Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, Germany
2
Department of Neurology, University Hospital Münster, 48149 Münster, Germany
3
Department of Neurology and Neurorehabilitation, Klinikum Osnabrück, 49076 Osnabrück, Germany
*
Author to whom correspondence should be addressed.
Nutrients 2023, 15(12), 2662; https://doi.org/10.3390/nu15122662
Submission received: 8 May 2023 / Revised: 31 May 2023 / Accepted: 3 June 2023 / Published: 7 June 2023
(This article belongs to the Special Issue Effect of Lifestyle and Diet for Older Persons' Health)
Review Reports Versions Notes

Abstract

Oropharyngeal dysphagia (OD) is a frequent finding in older patients with potentially lethal complications such as aspiration pneumonia, malnutrition, and dehydration. Recent studies describe sarcopenia as a causative factor for OD, which is occasionally referred to as “sarcopenic dysphagia” in the absence of a neurogenic etiology. In most of the previous studies on sarcopenic dysphagia, the diagnosis was based only on clinical assessment. In this study, flexible endoscopic evaluation of swallowing (FEES) was used as an objective method to evaluate the presence of OD, its association with sarcopenia, and the presence of pure sarcopenic dysphagia. In this retrospective cross-sectional study, 109 acute care geriatric hospital patients with suspected OD received FEES examination and bioimpedance analysis (BIA) in clinical routine. 95% of patients had at least one neurological disease, 70% fulfilled the criteria for sarcopenia, and 45% displayed moderate or severe OD. Although the prevalence of sarcopenia and OD was high, there was no significant association between OD and sarcopenia. Considering these results, both the association between sarcopenia and OD and pure sarcopenic dysphagia appear questionable. Further prospective studies are needed to elucidate if sarcopenia is merely an epiphenomenon of severe disease or whether it plays a causative role in the development of OD.
Keywords: oropharyngeal dysphagia; muscle; neurogenic dysphagia; sarcopenia; swallowing disorder; older; geriatric oropharyngeal dysphagia; muscle; neurogenic dysphagia; sarcopenia; swallowing disorder; older; geriatric

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MDPI and ACS Style

Calles, M.; Wirth, R.; Labeit, B.; Muhle, P.; Suntrup-Krueger, S.; Dziewas, R.; Lueg, G.; Trampisch, U.S. Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients. Nutrients 2023, 15, 2662. https://doi.org/10.3390/nu15122662

AMA Style

Calles M, Wirth R, Labeit B, Muhle P, Suntrup-Krueger S, Dziewas R, Lueg G, Trampisch US. Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients. Nutrients. 2023; 15(12):2662. https://doi.org/10.3390/nu15122662

Chicago/Turabian Style

Calles, Marcel, Rainer Wirth, Bendix Labeit, Paul Muhle, Sonja Suntrup-Krueger, Rainer Dziewas, Gero Lueg, and Ulrike Sonja Trampisch. 2023. "Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients" Nutrients 15, no. 12: 2662. https://doi.org/10.3390/nu15122662

APA Style

Calles, M., Wirth, R., Labeit, B., Muhle, P., Suntrup-Krueger, S., Dziewas, R., Lueg, G., & Trampisch, U. S. (2023). Sarcopenic Dysphagia Revisited: A Cross-Sectional Study in Hospitalized Geriatric Patients. Nutrients, 15(12), 2662. https://doi.org/10.3390/nu15122662

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