老年人的吞咽能力与社会人口、认知和语言因素有关。

IF 0.9 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY CoDAS Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI:10.1590/2317-1782/20242022319pt
Jaqueline Cardoso Estácio, Maysa Luchesi Cera, Laura Davison Mangilli
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引用次数: 0

摘要

目的:分析吞咽、语言和认知能力之间的相关性,并描述无神经系统疾病的老年人的社会人口学数据:分析性横断面研究,为方便起见采用非概率样本,通过电话收集数据。采用吸入筛查测试(耶鲁吞咽协议)来识别和排除有吸入风险的老年人。然后,收集了社会人口学数据,并使用了以下工具:日常生活活动(IADLs)、吞咽困难风险(EAT-10)、认知筛查(迷你精神状态检查 - MMSE)和语言(蒙特利尔-图卢兹语言测试 - MTL-巴西):样本由来自联邦区的 32 位老人组成,平均年龄(69.00±7.73)岁,平均受教育年限(10.00±5.60)年。在 EAT-10、MMSE 和 MTL Battery 测试工具中,分别有 4 名、22 名和 26 名老人的得分发生了变化,这表明,在这种情况下,有可能出现吞咽困难、认知改变和语言改变。在食物方面,在所有样本中,有 13 位老人(40%)抱怨需要改良食物,其中 10 位老人的 MMSE 分数也显示出认知能力的改变。在比较有主诉和/或无吞咽困难风险的组别时,与社会人口学、认知和语言变量有关的差异在统计学上并不显著。二元逻辑回归模型也未显示出具有统计学意义的结果:本研究在将吞咽、语言和认知结果相关联时,并未得出具有统计学意义的结果。据观察,有吞咽问题的老年人在所做的测试中也显示出认知和语言变化的提示性结果,但与没有吞咽问题或吞咽变化的老年人相比,没有统计学意义上的显著差异。
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Swallowing performance of elderly people and sociodemographic, cognitive and language factors.

Purpose: To analyze the correlation between swallowing, language and cognition performance and describe the sociodemographic data of elderly people without previous neurological disorders.

Methods: Analytical cross-sectional study, with non-probabilistic sample for convenience and data collection by telecall. The aspiration screening test (Yale Swallow Protocol) was used to identify and exclude elderly people at risk of aspiration. Then, sociodemographic data were collected, and instruments were applied: activity of daily living (IADLs), risk of dysphagia (EAT-10), cognitive screening (Mini Mental State Examination - MMSE) and language (Montreal-Toulouse Language Battery - MTL-Brazil).

Results: The sample consisted of 32 elderly people from the Federal District, with a mean age of 69.00±7.73 years and schooling of 10.00±5.60 years. The scores on the EAT-10, MMSE and MTL Battery instruments were altered in four, 22 and 26 elderly, respectively, indicating, in this case, risk of dysphagia, suggestion of cognitive alteration and language alteration. Regarding food, of the total sample, 13 seniors (40%) complained of needing modified food, as well as 10 of these also obtained MMSE scores suggestive of cognitive alteration. When comparing the groups with and without complaints and/or risk of dysphagia, there was no statistically significant difference in relation to sociodemographic, cognitive and language variables. Binary logistic regression models also showed no statistically significant results.

Conclusion: The present study, when correlating the swallowing, language and cognition findings, did not obtain statistically significant results. It was observed that the elderly with swallowing complaints also showed results suggestive of cognitive and language changes in the tests performed, but there was no statistically significant difference in relation to the elderly without complaints or swallowing changes.

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来源期刊
CoDAS
CoDAS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
0.90
自引率
12.50%
发文量
103
审稿时长
30 weeks
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