Assessing the impact of dysphagia on quality of life and determining SWAL-QOL cut-off scores in diabetes mellitus patients: a data mining approach

IF 3.2 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Journal of diabetes and its complications Pub Date : 2025-12-01 Epub Date: 2025-10-21 DOI:10.1016/j.jdiacomp.2025.109205

Fulden Sari , Zilan Bazancir-Apaydın , Süleyman Sari , Mehmet Can Sari , Şenol Çelik

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引用次数: 0

Abstract

Aim

Swallowing difficulties are increasingly recognized as a significant yet underreported complication of diabetes mellitus (DM), with evidence suggesting that more than 50 % of patients with the condition may be affected. This study aimed to assess the impact of swallowing disorders on the quality of life in DM patients, to identify other factors influencing swallowing disorders, and to determine the cut-off score for the SWAL-QOL questionnaire in these patients using data mining methods.

Methods

This cross-sectional study analyzed 150 DM patients, assessing swallowing assessment using the EAT-10, quality of life with the SWAL-QOL, and swallowing difficulty through the Visual Analogue Scale (VAS).

Results

Patients with dysphagia exhibited significantly lower scores across multiple SWAL-QOL subgroups-including General Burden, Food Selection, Eating Duration, Eating Desire, Fear of Eating, Sleep, Fatigue, Communication, Mental Health, Social Functioning, and the total SWAL-QOL score compared to non-dysphagic patients (p < 0.001). The Swallowing Difficulty-VAS score was significantly elevated in dysphagic patients (p < 0.001). EAT-10 scores were correlated with Swallowing Difficulty-VAS and SWAL-QOL subgroups, including General Burden, Food Selection, Eating Duration, Eating Desire, Fear of Eating, Sleep, Fatigue, Communication, Mental Health, Social Functioning, and the total score. The SWAL-QOL total score cut-off of 65.7 was identified for DM patients with dysphagia.

Conclusions

Close monitoring of these symptoms by clinicians is essential, and targeted rehabilitation interventions are strongly recommended to improve both swallowing function and overall quality of life in this population.

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评估糖尿病患者吞咽困难对生活质量的影响并确定SWAL-QOL截止评分：一种数据挖掘方法

目的：吞咽困难越来越被认为是糖尿病（DM）的一个重要但未被充分报道的并发症，有证据表明超过50%的患者可能受到影响。本研究旨在评估吞咽障碍对糖尿病患者生活质量的影响，确定影响吞咽障碍的其他因素，并利用数据挖掘方法确定这些患者的swa - qol问卷的截止分值。方法对150例糖尿病患者进行横断面分析，采用EAT-10量表评估患者的吞咽情况，采用s瓦尔生活质量量表评估患者的生活质量，采用视觉模拟量表（VAS）评估患者的吞咽困难程度。结果与非吞咽困难患者相比，吞咽困难患者在多个swa - qol亚组（包括一般负担、食物选择、进食持续时间、进食欲望、进食恐惧、睡眠、疲劳、沟通、心理健康、社会功能和总swa - qol评分）中表现出明显较低的得分（p < 0.001）。吞咽困难患者的吞咽困难- vas评分显著升高（p < 0.001）。EAT-10评分与吞咽困难- vas和sval - qol亚组相关，包括一般负担、食物选择、进食持续时间、进食欲望、进食恐惧、睡眠、疲劳、沟通、心理健康、社会功能和总分。伴有吞咽困难的DM患者的SWAL-QOL总分截止值为65.7分。结论临床医生密切监测这些症状是必要的，强烈建议有针对性的康复干预，以改善该人群的吞咽功能和整体生活质量。

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 diabetes and its complications 医学-内分泌学与代谢

CiteScore

5.90

自引率

3.30%

发文量

153

审稿时长

16 days

期刊介绍： Journal of Diabetes and Its Complications (JDC) is a journal for health care practitioners and researchers, that publishes original research about the pathogenesis, diagnosis and management of diabetes mellitus and its complications. JDC also publishes articles on physiological and molecular aspects of glucose homeostasis. The primary purpose of JDC is to act as a source of information usable by diabetes practitioners and researchers to increase their knowledge about mechanisms of diabetes and complications development, and promote better management of people with diabetes who are at risk for those complications. Manuscripts submitted to JDC can report any aspect of basic, translational or clinical research as well as epidemiology. Topics can range broadly from early prediabetes to late-stage complicated diabetes. Topics relevant to basic/translational reports include pancreatic islet dysfunction and insulin resistance, altered adipose tissue function in diabetes, altered neuronal control of glucose homeostasis and mechanisms of drug action. Topics relevant to diabetic complications include diabetic retinopathy, neuropathy and nephropathy; peripheral vascular disease and coronary heart disease; gastrointestinal disorders, renal failure and impotence; and hypertension and hyperlipidemia.