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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社区居住老年人吞咽困难预防策略：一项范围综述。

背景：吞咽困难，或吞咽困难，是老年人的一个常见问题，包括那些生活在社区，由于年龄相关的变化，感觉和运动功能。有效的预防策略对于避免并发症和改善这一人群的健康至关重要。目的：本综述的目的是确定和总结预防社区老年人吞咽困难的干预措施。设计：遵循Arksey和O'Malley的框架，研究从六个数据库中检索：Embase， ovidmedline, Cochrane Library， CINAHL， Web of Science和Scopus。研究于2024年7月完成，由两名独立评审员对研究进行选择和评估。结果：在2005年至2023年间进行了9项研究，包括7项随机对照试验和2项准实验研究。我们确定了三种预防吞咽困难的方法，包括运动、电刺激和教育计划，还有三项研究使用了一种以上的干预措施（联合干预）。结论：以运动为基础的干预是预防社区老年人吞咽困难研究最多的策略，联合方法也显示出希望。然而，地理偏倚、不明确的样本量确定以及缺乏长期随访限制了所有干预措施的可靠性和适用性。未来的研究应该解决这些差距，以加强证据和改善吞咽困难的预防工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.