{"title":"Relationship between Quality of Life and Swallowing in Hypertensive Individuals with Obstructive Sleep Apnea.","authors":"Carla Rocha Muniz, Thalyta Georgia Vieira Borges, Flavia Rodrigues Ferreira, Mariana Pinheiro Brendim, Elizabeth Silaid Muxfeldt","doi":"10.1007/s00455-024-10783-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive sleep apnea (OSA) is closely associated with resistant hypertension (RHTN). Individuals with OSA may have sensory and muscular alterations in pharyngolaryngeal structures, potentially resulting in oropharyngeal dysphagia.</p><p><strong>Objective: </strong>One objective of this study was to assess and compare the quality of life (QoL) and swallowing ability of resistant hypertensive patients with and without OSA. Another objective was to evaluate the relationship between QoL and changes in swallowing in patients with RHTN and OSA.</p><p><strong>Methods: </strong>This work was an analytical observational study with a cross-sectional design that included resistant hypertensive patients who were undergoing polysomnography (the gold standard exam for the diagnosis of OSA), fiberoptic endoscopic evaluation of swallowing (FEES), dysphagia risk assessment (Eating Assessment Tool - EAT-10) and QoL assessment in swallowing (Swal-Qol).</p><p><strong>Results: </strong>Of the 65 participants, 13 (20%) did not have OSA, 13 (20%) had mild OSA, 18 (27.7%) had moderate OSA, and 21 (32.2%) had severe OSA. Compared with those without OSA, patients with OSA had lower swallowing QoL scores (\"burden\", \"symptoms\", and \"mental health\"). Furthermore, pre premature leakage, onset of the pharyngeal phase in the pyriform sinus, laryngeal penetration, pharyngeal residue and oropharyngeal dysphagia were more prevalent among patients with OSA.</p><p><strong>Conclusion: </strong>Resistant hypertensive patients with OSA have a greater prevalence of changes in swallowing and worse Swal-QoL scores than those without OSA, although such changes were not shown in the EAT-10. In addition, Swal-Qol is related to swallowing safety impairments among these individuals.</p>","PeriodicalId":11508,"journal":{"name":"Dysphagia","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dysphagia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00455-024-10783-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
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Abstract
Introduction: Obstructive sleep apnea (OSA) is closely associated with resistant hypertension (RHTN). Individuals with OSA may have sensory and muscular alterations in pharyngolaryngeal structures, potentially resulting in oropharyngeal dysphagia.
Objective: One objective of this study was to assess and compare the quality of life (QoL) and swallowing ability of resistant hypertensive patients with and without OSA. Another objective was to evaluate the relationship between QoL and changes in swallowing in patients with RHTN and OSA.
Methods: This work was an analytical observational study with a cross-sectional design that included resistant hypertensive patients who were undergoing polysomnography (the gold standard exam for the diagnosis of OSA), fiberoptic endoscopic evaluation of swallowing (FEES), dysphagia risk assessment (Eating Assessment Tool - EAT-10) and QoL assessment in swallowing (Swal-Qol).
Results: Of the 65 participants, 13 (20%) did not have OSA, 13 (20%) had mild OSA, 18 (27.7%) had moderate OSA, and 21 (32.2%) had severe OSA. Compared with those without OSA, patients with OSA had lower swallowing QoL scores ("burden", "symptoms", and "mental health"). Furthermore, pre premature leakage, onset of the pharyngeal phase in the pyriform sinus, laryngeal penetration, pharyngeal residue and oropharyngeal dysphagia were more prevalent among patients with OSA.
Conclusion: Resistant hypertensive patients with OSA have a greater prevalence of changes in swallowing and worse Swal-QoL scores than those without OSA, although such changes were not shown in the EAT-10. In addition, Swal-Qol is related to swallowing safety impairments among these individuals.
简介：阻塞性睡眠呼吸暂停（OSA）与抵抗性高血压（RHTN）密切相关。OSA 患者的咽喉结构可能发生感觉和肌肉改变，从而可能导致口咽吞咽困难：本研究的目的之一是评估和比较患有和未患有 OSA 的抵抗性高血压患者的生活质量（QoL）和吞咽能力。另一个目的是评估抵抗性高血压和 OSA 患者的 QoL 与吞咽变化之间的关系：这项研究是一项横断面分析观察性研究，研究对象包括接受多导睡眠图检查（诊断 OSA 的金标准检查）、纤维内窥镜吞咽评估（FEES）、吞咽困难风险评估（进食评估工具 - EAT-10）和吞咽方面的 QoL 评估（Swar-Qol）的抵抗性高血压患者：在 65 名参与者中，13 人（20%）没有 OSA，13 人（20%）有轻度 OSA，18 人（27.7%）有中度 OSA，21 人（32.2%）有重度 OSA。与没有 OSA 的患者相比，OSA 患者的吞咽 QoL 评分（"负担"、"症状 "和 "心理健康"）较低。此外，早泄前期、梨状窦咽相开始、喉穿透、咽残留物和口咽吞咽困难在 OSA 患者中更为普遍：结论：与非 OSA 患者相比，患有 OSA 的耐药性高血压患者吞咽功能发生变化的发生率更高，Swar-QoL 评分更低，尽管 EAT-10 并未显示出这种变化。此外，Swar-Qol 与这些患者的吞咽安全障碍有关。
期刊介绍：
Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.
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