초록

Dysphagia is a dysfunction that occurs during the swallowing process, which involves the oral, pharyngeal, and esophageal stages of the swallowing route. Dysphagia is a prevalent symptom in elderly patients with degenerative diseases such as stroke, dementia, and Parkinson’s disease. Dysphagia that occurs in the elderly is often caused by oral phase dysfunction. Oral phase dysfunction is a problem that occurs during the first stage of swallowing. The symptoms of age-associated dysphagia are the following signs: increased oral residual and longer mastication with slower oral bolus transit movement. Dysphagia can lead to malnutrition, dehydration, weight loss, functional decline, and fear of eating and drinking as well as a decrease in quality of life (QOL). Modification in viscosity and texture of food is usually helpful in resolving the nutritional problem of patients presenting signs of oral phase dysfunction. The degree of dietary modification can affect compliance of the diet. Adequate assessment and dietary modifications are important for successful dietary intervention for the elderly patients.

키워드

Dysphgia, Oral phase, Dietary modification, Elderly patients

참고문헌(37)open

  1. [학술지] Whelan K / 2001 / Inadequate fluid intake in dysphagic acute stroke / Clin Nutr 20 : 423 ~ 428

  2. [학술지] Leopold NA / 1996 / Prepharyngeal dysphagia in Parkinson’s disease / Dysphagia 11 : 14 ~ 22

  3. [학위논문] Kim CY / 2011 / The development and the effect of the dysphagia assessment tool and management program for elderly in the long-term care facilities

  4. [학술지] Robbins JA / 1992 / Oropharyngeal swallowing in normal adults of different ages / Gastroenterology 103 : 823 ~ 829

  5. [학술지] Denis M / 2010 / Functional capacity and quality of life among elderly patients with or without dysphagia / Rev Assoc Med Bras 56 : 738 ~ 743

  6. [학술지] Robbins J / 2005 / The effects of lingual exercise on swallowing in older adults / J Am Geriatr Soc 53 : 1483 ~ 1489

  7. [학술지] Caryn S / 2008 / Dementia and dysphagia / Geriatric Nursing 29 : 275 ~ 285

  8. [학술지] Steele CM / 2003 / The rheology of liquid: a comparison of clinician’s subject impressions and objective measurement / Dysphagia 18 : 182 ~ 195

  9. [학술지] 류주석 / 2014 / 연하장애 식이 처방의 원칙과 고려할 점: 점도, 크기, 질감, 맛, 온도 / 대한연하장애학회지 4 (2) : 37 ~ 44

  10. [단행본] Korean Dietetic Association / 2008 / Manual of medical nutrition therapy / Korean Dietetic Association : 458 ~ 465

  11. [학술지] 김원경 / 2011 / 연하장애에서의 식사 조절 / 대한연하장애학회지 1 (1) : 47 ~ 49

  12. [학위논문] Kim SN / 2010 / Effect of the electrical stimulation therapy on oral phase dysfunction of dysphagia

  13. [학술지] Chang GY / 1997 / Evaluation and treatment of oral motor function / J Korean Soc Occup Ther 5 : 67 ~ 74

  14. [학술지] 김은정 / 2010 / 노인성질환에 의한 삼킴장애에 대한 임상통계학적 연구 / 대한고령친화산업학회지 2 (1) : 61 ~ 69

  15. [학술지] Ebihara S / 2011 / Sensory stimulation to improve swallowing reflex and prevent aspiration pneumonia in elderly dysphagia people / Journal of pharmacological sciences 115 : 99 ~ 104

  16. [학위논문] Young SW / 2003 / The relationship of oral state and dietary habit to health condition among elderly people

  17. [학술지] Sopade PA / 2008 / Rheological characterization of food thickeners marketed in Austrailia in various media for the management of dysphagia III / J food Eng 86 : 604 ~ 615

  18. [학술지] Lotong, SS / 2003 / Texture and flavor characteristics of beverage containing commercial thickening agents for dysphagia diets / Jornal of foodscience 68 : 1537 ~ 1541

  19. [학술지] Zaid M / 2006 / Sensory characteritics of beverages prepared with commercial thickeners used for dysphagia diet / Journal of the American Dietetic Association 1056 : 1049 ~ 1054

  20. [학술지] Elizabeth MD / 2010 / Contemporary approaches to dysphagia management / The Journal of Nurse Practitioners 6 : 622 ~ 630

  21. [학술지] 한태륜 / 2002 / 연하 곤란 환자의 열량 및 수분 섭취 / Annals of Rehabilitation Medicine 26 (3) : 3 ~ 253

  22. [학술지] Isabelle, Katherine GD / 2006 / A novel dysphagia diet improves the nutrient intake of institutionalized elders / Journal of the American Dietetic Association 106 : 1614 ~ 1626

  23. [학술지] Varlaan S / 2015 / A low caloric, leucine-enriched whey protein oral nutritional supplement affects body composition in sarcopenic older adults / European geriatric medicine 6S1 : S32 ~ S156

  24. [학술지] Smith CH / 1997 / Oral sensory discrimination of fluid viscosity / Dysphagia 12 : 68 ~ 73

  25. [학술지] Kuni K / 2010 / Relationship between tongue pressure and dysphagia in stroke patients / Eur Neurol 64 : 101 ~ 107

  26. [학술지] Langmore S / 1994 / Behavioral treatment for adults with oropharyngeal dysphagia / Arch Phys Med Rephabil 75 : 1154 ~ 1160

  27. [학술지] Rosenbek JC / 1996 / Thermal application reduces the duration of stage transition after stroke / Dysphaiga 11 : 225 ~ 233

  28. [학술지] Skilbeck CE / 1983 / Recovery after stroke / J Neurol Neurosurg Psychiat 46 : 5 ~ 8

  29. [학술지] Budrewicz S / 2015 / Movement disorders meaning of malnutrition factors in Parkinson’s disease / Journal of the Neurological Sciences 357 : 287 ~ 294

  30. [학술지] 윤서연 / 2015 / 파킨슨병의 연하장애 / 대한연하장애학회지 5 (2) : 57 ~ 60

  31. [학술지] Volicer L / 1989 / Eating difficulties in patients with probable dementia of the alzheimer type / J Geriatr Psychiatry Neurol 2 : 169 ~ 170

  32. [학술지] Manthorpe J / 2003 / Poorly served? Eating and dementia / J Adv Nurs 22 : 162 ~ 169

  33. [학술지] Durnbaugh T / 1996 / Assessing problem feeding behaviors in mid -stage Alzheimer’s disease / Geriatric Nursing 17 : 63 ~ 67

  34. [학술지] Priefer BA / 1997 / Eating changes in mild stage alzheimer’s disease; a pilot study / Dysphagia 12 : 212 ~ 221

  35. [학술지] Volkert D / 2006 / ESPEN guidelines on enteral nutrition;Geriatics / Clinical nutrition 25 : 330 ~ 360

  36. [학술지] Victoria JA / 2013 / Use of nutritional complete supplements in older adults with dementia;Systematic review and meta-analysis of clinical outcome / Clinical Nutrition 32 : 950 ~ 957

  37. [학술지] Silvia C / 2015 / Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in a cohort of older patients admitted with an acute disease to a general hospital / Clinical Nutrition 24 : 436 ~ 442