Dysphagia in Mexican older adults with mild cognitive impairment and dementia


Por: Martinez-Peña, G, Mimenza-Alvarado, AJ, avila-Escobedo, LM, Villa-Romero, AR, Aguilar-Navarro, SG

Publicada: 1 may 2024
Resumen:
Background: Dysphagia and cognitive impairment are common in older people. It is linked to alterations in brain areas related to swallowing. Objective: To explore the characteristics of dysphagia using fluoroscopy in patients with mild cognitive impairment (MCI) and dementia. Material and methods: 158 participants from a memory clinic. Specific criteria for MCI and dementia were used. Dysphagia was assessed with EAT-10 (>= 3). Those who accepted completed a fluoroscopy study with a barium swallow to evaluate the phases of swallowing; the presence of bronchoaspiration supported the diagnosis of dysphagia. A logistic regression analysis was performed to test the probability between dysphagia and MCI. Results: According to EAT-10, 86 (54.4 %) were at risk of dysphagia, confirmed in 84 by fluoroscopy, 53.8 % MCI group and 46.2 % dementia. An inverse association was observed in the MCI oral phase group (OR 0.23, p < 0.025), and a positive association; in protection phase against regurgitation (OR 3.76, p < 0.056) and laryngeal muscle contraction (OR 3.22, p < 0.045) versus dementia group. Conclusions: The study showed a high frequency of dysphagia in patients with MCI, this highlights the importance of its early detection to improve complications associated with dysphagia.

Filiaciones:
Martinez-Peña, G:
 Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Geriatria, Mexico City, Mexico

Mimenza-Alvarado, AJ:
 Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Geriatria, Mexico City, Mexico

avila-Escobedo, LM:
 Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Radiol, Mexico City, Mexico

Villa-Romero, AR:
 Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Geriatria, Mexico City, Mexico

 Univ Nacl Autonoma Mexico, Fac Med, Dept Metodol Invest, Div Invest, Mexico City, Mexico

Aguilar-Navarro, SG:
 Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Geriatria, Mexico City, Mexico
ISSN: 00163813





GACETA MEDICA DE MEXICO
Editorial
ACAD NACIONAL MEDICINA MEXICO, CENTRO MEDICO NACIONAL SIGLO XXI, UNIDAD CONGRESOS, GLOQUE B, PROMER PISO, MEXICO, DF 06725, MEXICO, México
Tipo de documento: Article
Volumen: 160 Número: 3
Páginas: 287-295
WOS Id: 001334287800006
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