Akademik Veri Yönetim Sistemi
WORLD CONGRESS ON OSTEOPOROSIS, OSTEOARTHRITIS AND MUSCULOSKELETAL DISEASES 2019, Paris, Fransa, 4 - 07 Nisan 2019, ss.603
Objective: Dysphagia is described as a geriatric syndrome that occurs more frequently with aging. It is associated with deterioration in functionality but usually ignored. Frailty is a geriatric syndrome that is recognized more with its well known adverse consequences. Frailty can be related falls and osteoporotic fractures. Very recently, dysphagia has been suggested to accompany frailty in older adults. We aimed to investigate the association between dysphagia and frailty in the community dwelling older adults.
Method: Design: prospective, cross-sectional study. Setting: geriatric outpatient clinic. Participants: older adults aged ≥60 y. Measurements: Dysphagia was evaluated by EAT-10 questionnaire and frailty by FRAIL scale. Handgrip strength (HGS) was evaluated by hand-dynamometer. Gait speed was evaluated by 4-m usual gait speed (UGS). Nutritional status was assessed by mininutritional assessment-short form (MNA-SF).
Results: 1138 patients were enrolled. Mean age was 74.1±7.3 y. EAT 10 questionnaire was answered by all and FRAIL-scale by 851 subjects. EAT 10 score >15 points was regarded as significant dysphagia risk. EAT-10 score >15 points was associated with older age (p=0.002), female gender (p<0.001), neurodegenerative diseases (p=0.002), higher number of chronic diseases (p=0.001) and regular drugs (p=0.001), higher FRAIL score (p=0.001), lower HGS (p=0.002), UGS (p=0.01) and MNA-SF scores (p<0.001). In multivariate analyses, the factors independently associated with presence of EAT-10 score>15 were FRAIL score and the number of drugs.
Conclusion: Dysphagia is associated with frailty irrespective to age, presence of neurodegenerative diseases, number of chronic diseases and drugs. To our knowledge, this is the largest series in the literature providing data on independent association of dysphagia with frailty. Frailty and dysphagia may reflect fall risk and osteoporotic fractures indirectly. These patients should be considered in terms of fall because of the increased risk of fracture in the frail elderly who have dysphagia.