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Related Experiment Video

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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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[Not Available].

Marta Baena González1, Guillermo Molina Recio

  • 1Grupo NURSE. Facultad de Enfermería de Córdoba. martita_122@hotmail.com.

Nutricion Hospitalaria
|August 12, 2016
PubMed
Summary

Oropharyngeal dysphagia affects 84% of Alzheimer's patients, leading to complications. Early diagnosis and multidisciplinary management, including dietary changes, are crucial for effective treatment and prevention.

Area of Science:

  • Neurology
  • Geriatrics
  • Speech and Language Pathology

Background:

  • Dysphagia, difficulty swallowing, is a significant symptom with severe potential complications, yet it remains understudied.
  • Oropharyngeal dysphagia prevalence in Alzheimer's disease (AD) patients is high at 84%, impacting swallowing efficacy and safety.

Purpose of the Study:

  • To review current knowledge on managing dysphagia in Alzheimer's disease patients.
  • To identify factors for early diagnosis, complication prevention, and optimal treatment strategies.

Main Methods:

  • Systematic review of studies published between 2005 and 2014 in English and Spanish.
  • Databases searched: PubMed, Cochrane, Scopus, Elsevier, Scielo, and Dialnet.
  • MeSH terms: dysphagia, alzheimer, modified, and texture food.
Keywords:
Alzhéimer. Disfagia. Multidisciplinar. Revisión sistemática.

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Main Results:

  • Diagnosis utilizes clinical methods and complementary examinations, with videofluoroscopy as the gold standard for oropharyngeal dysphagia.
  • Videofluoroscopy identifies silent aspirations missed by clinical assessment in 25-33% of AD patients.
  • Therapeutic strategies include bolus modification (volume, viscosity), postural changes, swallowing maneuvers, rehabilitation, and sensory enhancement techniques.

Conclusions:

  • Limited scientific evidence and knowledge exist regarding dysphagia management and nutrition in Alzheimer's patients.
  • A multidisciplinary approach is essential for accurate diagnosis and treatment of dysphagia in AD.
  • Dietary modifications play a primary role in the multidisciplinary intervention for dysphagia in Alzheimer's disease.