麻症的风险与患有缺食症的患者的吞安全性降低有关
Nogah Nativ-Zeltzer1, Yarden Ashkenazi2, Lisa S Halaby2
1Department of Communication Disorders, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
概括
大多数接受吞评估的老年人表现出缩症的迹象,这种情况与肌肉损失有关. 在这些患者中,较高的肉类症风险与吞功能较差和口服摄入量减少有关.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 语音语言病理学 语言病理学
背景情况:
- 肉症,肌肉质量和力量的损失,会对老年人的健康产生负面影响.
- 吞障碍 (吞困难) 在老年人群中很常见,可能导致营养不良和渴望.
- 纤维光学内镜吞评估 (FEES) 是食障碍的一个关键诊断工具.
研究的目的:
- 在接受FEES治疗的患者中,研究了肉类症风险,手握强度和吞功能之间的关系.
- 为了确定sarcopenia风险因素的流行率在一个dysphagia诊所的人群.
- 为了将肉类症指标与吞安全性和口服摄入的客观措施相关联.
主要方法:
- 一个回顾性图表回顾65岁以上的个人接受FEES在三级消化障碍诊所.
- 数据包括人口统计数据,SARC-F分数 (力量,行走辅助,从椅子上起身,爬楼梯,跌倒),握力和FEES衍生的吞分数 (PAS,耶鲁残留物).
- 斯皮尔曼的rho相关性被用来分析sarcopenia指标和吞结果之间的关系.
主要成果:
- 76%的患者表现出极度弱的握力,而27%的患者的SARC-F得分表明了肉症的风险.
- SARC-F得分与功能性口服摄入量表 (FOIS) 有负相关性,与液体的透吸收量表 (PAS) 有正相关性.
- 手握强度与患者年龄有负相关性.
结论:
- 在接受FEES的老年人中,观察到极度弱握力和肉症风险的高患病率.
- 增加的肉症风险与吞安全性降低和口服摄入能力降低有关.
- 这些发现强调了需要综合评估的营养状况和肌肉强度在失的老年人.
相关概念视频
Barrett Esophagus-I: Introduction
976
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
976
Barrett Esophagus-II: Clinical Manifestations and Management
1.2K
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
1.2K
Upper GI Series: Barium Swallow
1.9K
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
1.9K
Esophageal Strictures-II: Clinical Features and Management
726
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
726
Esophageal Strictures-I: Introduction
960
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
960
Esophagus
4.1K
The esophagus, a muscular conduit linking the pharynx and stomach, measures roughly 10 inches (25.4 cm) and sits behind the trachea. It remains collapsed when not swallowing. The esophagus follows a predominantly straight path through the thoracic mediastinum and enters the abdominal cavity through a diaphragmatic opening known as the esophageal hiatus.
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...
4.1K


