Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic
IntroductionDysphagia and cognitive impairment are prevalent in older individuals. This study aimed to understand the characteristics of dysphagia through fluoroscopy in older adults with mild cognitive impairment (MCI) and dementia.MethodsA cross-sectional study was conducted at a memory clinic in...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1461239/full |
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| author | Georgina Martinez-Peña Alberto Jose Mimenza-Alvarado Sara Gloria Aguilar-Navarro |
| author_facet | Georgina Martinez-Peña Alberto Jose Mimenza-Alvarado Sara Gloria Aguilar-Navarro |
| author_sort | Georgina Martinez-Peña |
| collection | DOAJ |
| description | IntroductionDysphagia and cognitive impairment are prevalent in older individuals. This study aimed to understand the characteristics of dysphagia through fluoroscopy in older adults with mild cognitive impairment (MCI) and dementia.MethodsA cross-sectional study was conducted at a memory clinic in a tertiary hospital in Mexico City. A total of 158 patients were included, of whom 86 (54.4%) showed a risk of dysphagia, and 84 underwent barium swallow fluoroscopy.ResultsAn association was observed between MCI and alteration in the oral phase (OR 0.33, 95% CI 0.12, 0.92, p = 0.034). Compared to patients with dementia, patients with MCI showed greater alteration in protection against regurgitation (OR 3.19, 95% CI: 1.05 to 9.72, p = 0.042) and in the contraction of the laryngeal muscles (OR 3.54, 95% CI: 1.30 to 9.62, p = 0.013).DiscussionOur findings highlight the altered phases of swallowing in patients with dementia. Additionally, we found a high prevalence of dysphagia in older adults with MCI, underscoring the importance of early detection and intervention. |
| format | Article |
| id | doaj-art-43826685bff2480bbfa202b483507dc3 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj-art-43826685bff2480bbfa202b483507dc32025-01-15T05:10:27ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.14612391461239Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinicGeorgina Martinez-PeñaAlberto Jose Mimenza-AlvaradoSara Gloria Aguilar-NavarroIntroductionDysphagia and cognitive impairment are prevalent in older individuals. This study aimed to understand the characteristics of dysphagia through fluoroscopy in older adults with mild cognitive impairment (MCI) and dementia.MethodsA cross-sectional study was conducted at a memory clinic in a tertiary hospital in Mexico City. A total of 158 patients were included, of whom 86 (54.4%) showed a risk of dysphagia, and 84 underwent barium swallow fluoroscopy.ResultsAn association was observed between MCI and alteration in the oral phase (OR 0.33, 95% CI 0.12, 0.92, p = 0.034). Compared to patients with dementia, patients with MCI showed greater alteration in protection against regurgitation (OR 3.19, 95% CI: 1.05 to 9.72, p = 0.042) and in the contraction of the laryngeal muscles (OR 3.54, 95% CI: 1.30 to 9.62, p = 0.013).DiscussionOur findings highlight the altered phases of swallowing in patients with dementia. Additionally, we found a high prevalence of dysphagia in older adults with MCI, underscoring the importance of early detection and intervention.https://www.frontiersin.org/articles/10.3389/fneur.2024.1461239/fullolder adultsmild cognitive impairmentdementiadysphagiamodified barium swallow study |
| spellingShingle | Georgina Martinez-Peña Alberto Jose Mimenza-Alvarado Sara Gloria Aguilar-Navarro Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic Frontiers in Neurology older adults mild cognitive impairment dementia dysphagia modified barium swallow study |
| title | Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| title_full | Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| title_fullStr | Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| title_full_unstemmed | Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| title_short | Dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| title_sort | dysphagia in older adults with mild cognitive impairment and dementia through fluoroscopic study with barium swallow in a memory clinic |
| topic | older adults mild cognitive impairment dementia dysphagia modified barium swallow study |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1461239/full |
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