Swallowing Dynamics and Breathing-Swallowing Coordination Are Altered in Patients with Mild Cognitive Impairment

Yoshitaka Oku1,2, Naomi Yagi1,3, Madoka Nishino4

  • 1Department of Physiology, Hyogo College of Medicine, Nishinomiya, Japan.

Abstract

Insights

Mild cognitive impairment (MCI) patients show delayed swallowing timing and prolonged laryngeal elevation during breathing-swallowing coordination. This indicates an early decline in these crucial functions even at the MCI stage.

Area of Science:

  • Neurology
  • Gerontology
  • Speech and Hearing Science

Background:

  • Swallowing requires precise laryngeal closure to prevent aspiration.
  • Reduced postinspiratory activity in a mouse model of tauopathy suggests potential swallowing deficits in related human conditions.
  • Mild cognitive impairment (MCI) may impact swallowing dynamics and breathing-swallowing coordination.

Purpose of the Study:

  • To investigate alterations in swallowing dynamics and breathing-swallowing coordination in patients with mild cognitive impairment (MCI).

Main Methods:

  • Breathing-swallowing coordination was assessed in MCI patients and an age-matched elderly cohort.
  • Utilized a respiratory flow sensor and a piezoelectric sensor on the neck.
  • Included patients meeting MCI criteria (MMSE ≥24, MoCA-J <26) and assessed with the Eating Assessment Tool.

Main Results:

  • MCI patients exhibited significantly delayed swallowing timing within the respiratory cycle.
  • Laryngeal elevation onset to peak time and duration were significantly prolonged in MCI patients.
  • No significant difference in the frequency of swallowing during or immediately after inspiration was observed between groups.

Conclusions:

  • Breathing-swallowing coordination begins to decline at the mild cognitive impairment (MCI) stage.
  • MCI is associated with altered timing and duration of laryngeal movements during swallowing.
  • Early detection of these swallowing changes may be crucial for managing MCI.

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