Dysphagia Prevention Strategies for Community-Dwelling Older Adults: A Scoping Review.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-03-24 DOI:10.1111/joor.13961

Kristamuliana Kristamuliana, Eri Yanuar Achmad Budi Sunaryo, Miaofen Yen, Huan-Fang Lee

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引用次数: 0

Abstract

Background: Swallowing difficulty, or dysphagia, is a common issue in aging populations, including those living in the community, due to age-related changes in sensory and motor functions. Effective prevention strategies are essential to avoid complications and improve well-being in this population.

Objective: The objectives of this scoping review were to identify and summarise interventions for preventing dysphagia in community-dwelling older adults.

Design: Following Arksey and O'Malley's framework, studies were retrieved from six databases: Embase, Ovid-Medline, Cochrane Library, CINAHL, Web of Science, and Scopus. The search was completed in July 2024, with two independent reviewers selecting and evaluating the studies.

Result: Nine studies conducted between 2005 and 2023 were identified, including seven randomised controlled trials and two quasi-experimental studies. Three categories of dysphagia prevention were identified, including exercise, electrical stimulation, and educational programmes, and three studies used more than one intervention (combined intervention).

Conclusion: Exercise-based interventions are the most studied strategies for preventing dysphagia in community-dwelling older adults, with combined approaches also showing promise. However, geographic bias, unclear sample size determination, and a lack of long-term follow-up limit the reliability and applicability of all interventions. Future research should address these gaps to strengthen evidence and improve dysphagia prevention efforts.

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.