The relationship between oropharyngeal dysphagia and dehydration in older adults.

Autor: Tanrıverdi M; Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey., Heybeli C; Division of Nephrology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey., Çalım ÖF; Department of Otolaryngology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey., Durna M; Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey., Özturan O; Department of Otolaryngology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey., Soysal P; Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. dr.pinarsoysal@hotmail.com.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2024 Oct 26; Vol. 24 (1), pp. 885. Date of Electronic Publication: 2024 Oct 26.
DOI: 10.1186/s12877-024-05492-2
Abstrakt: Background: Relationship between dysphagia and dehydration has not been studied widely. The aim of this study is to determine the frequency of dysphagia and dehydration in geriatric outpatient clinic, to evaluate the relationship between these two conditions.
Methods: The cross-sectional study included 1345 patients. Plasma osmolarity (Posm) was calculated using the following formula: [1.86 x (Na + K) + 1.15 x glucose + urea + 14]. Overt dehydration was defined as a calculated Posm of > 300 mmol/L. Eating Assessment Tool (EAT-10) score of ≥ 3 was accepted as dysphagia. Associations between dehydration and dysphagia was evaluated.
Results: Mean age was 78 ± 8 years, and 71% were females. Dysphagia was observed in 27% of patients. Dysphagia was associated with a higher number of drug exposure, dependency on basic activities of daily living and geriatric depression (p < 0.05). Overt dehydration was found in 29% of patients with dysphagia, and 21% of patients with no dysphagia (p = 0.002); and dysphagia was significantly associated with overt dehydration mmol/L (OR 1.49, 95% CI 1.13-1.96, p = 0.005) after adjustments for age and sex. In another model, EAT-10 score was found as one of the independent predictors of overt dehydration (OR1.03, 95% CI 1.00-1.06, p = 0.38), along with diabetes mellitus (OR 2.32, 95% CI 1.72-3.15, p < 0.001), chronic kidney disease (OR 3.05, 95% CI 2.24-4.15, p < 0.001), and MNA score (OR 0.97, 95% CI 0.94-1.00, p = 0.031).
Conclusion: EAT-10 scale was independently associated with overt dehydration among older adults, as MNA score was. Correction of both dysphagia and malnutrition might improve overt dehydration to a better extent than correction either of these factors alone. Future studies are needed to test cause and effect relationships.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: