Oropharyngeal Dysphagia in a Community-Based Elderly Cohort: the Korean Longitudinal Study on Health and Aging
양은주, 김미현, 임재영, 백남종,
소속 상세정보
양은주 ( Yang Eun-Joo )
Seoul National University College of Medicine Department of Rehabilitation Medicine
김미현 ( Kim Mi-Hyun )
Seoul National University Bundang Hospital Department of Rehabilitation Medicine
임재영 ( Lim Jae-Young )
Seoul National University Bundang Hospital Department of Rehabilitation Medicine
백남종 ( Paik Nam-Jong )
Seoul National University Bundang Hospital Department of Rehabilitation Medicine
KMID : 0191120130280101534
Abstract
This study was conducted to investigate the prevalence of dysphagia and evaluated the association of dysphagia and activities of daily living in a geriatric population residing in an independent-living facility in Korea. Korean men and women 65-yr and older living in a single, typical South Korean city (n=415) were enrolled in the Korean Longitudinal Study on Health and Aging study. Dysphagia was assessed using the Standardized Swallowing Assessment. Data were collected on activities of daily living (ADL), instrumental ADL (IADL), and medical history and laboratory. The overall prevalence of dysphagia in the random sample was 33.7% (95% CI, 29.1-38.4), including 39.5% in men and 28.4% in women. The identified risk factors for dysphagia were men (OR, 3.6, P=0.023), history of stroke (OR, 2.7, P=0.042) and presence of major depressive disorder (OR, 3.0, P=0.022). Dysphagia was associated with impairment in IADL domains of preparing meals and taking medicine (P=0.013 and P=0.007, respectively). This is the first published report of the prevalence of dysphagia in older community-dwelling Koreans. Dysphagia is a common problem among elderly people that limits some IADL domains.
키워드
Deglutition Disorders; Elderly; Activities of Daily Living; Community-Based Cohort
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