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Published on: March 1, 2015
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Age and sex differences in sarcopenic dysphagia: A secondary data analysis
Hidetaka Wakabayashi1, Shingo Kakehi1, Ayano Nagano2
1Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital Tokyo Japan.
Journal of General and Family Medicine
|November 18, 2024
Summary
Sarcopenic dysphagia is more common in older adults, particularly those in their 80s. Age is a significant factor, but sex is not independently associated with this condition.
Area of Science:
- Gerontology
- Gastroenterology
- Clinical Medicine
Background:
- Sarcopenic dysphagia prevalence and characteristics vary with age and sex.
- Understanding these differences is crucial for accurate diagnosis and management.
Purpose of the Study:
- To investigate age and sex differences in sarcopenic dysphagia.
- To compare sarcopenic dysphagia with other forms of dysphagia.
- To analyze the influence of age and sex on prognosis for swallowing function and activities of daily living (ADL).
Main Methods:
- A retrospective cohort study utilizing Japanese sarcopenic dysphagia database.
- Analysis of age and sex demographics in 460 patients.
- Assessment of swallowing function (Food Intake Level Scale) and ADL (Barthel Index).
Main Results:
- Sarcopenic dysphagia was present in 58% of patients, with age independently associated (OR: 1.056).
- No independent association was found between sex and sarcopenic dysphagia.
- Age cut-offs for diagnosis were 82 years overall, 80 for men, and 83 for women.
- No significant differences in swallowing function or ADL improvement were observed based on age or sex.
Conclusions:
- Sarcopenic dysphagia is most prevalent in individuals aged 80 and older.
- Consider sarcopenic dysphagia in patients presenting with dysphagia at or above 80 years of age.
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