J Korean Dysphagia Soc.  2022 Jul;12(2):96-104. 10.34160/jkds.2022.12.2.003.

Interventions for Sarcopenic Dysphagia: A Systematic Review

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Korea
  • 2Department of Occupational Therapy, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, Korea

Abstract


Objective
Sarcopenic dysphagia is common in elderly subjects with sarcopenia and dysphagia and is not only the result of aspiration pneumonia but also an important cause of its recurrence. The prevention, assessment, and intervention of sarcopenic dysphagia are thus important aspects in management.
Methods
This systematic review aimed to analyze the method and effect of interventions for sarcopenic dysphagia, and to provide clinical evidence for the same. Electronic databases, such as Pubmed, CINAHL, and MEDLINE from 2010 to 2020 were used to research theses. “Sarcopenia” AND (“Sarcopenic dysphagia” OR “Dysphagia” OR “Swallowing disorder”) AND (“Intervention” OR “Therapy” OR “Treatment” OR “Program” OR “Strategy”) were used as the main search terminology. The final seven short-listed theses were used for the analysis.
Results
The qualitative level analysis included case reports (six articles), and one group non-randomized study (one article). The most common methods of intervention were nutrition, and physical and swallowing rehabilitation. Furthermore, the intervention was provided with a multidisciplinary approach through the cooperation of experts in various fields.
Conclusion
We suggest that, in the future, intervention methods could be established by conducting intervention studies with a greater number of subjects. Such studies should be actively carried out and used as clinical evidence for formulating methods for evaluation and intervention in patients with sarcopenic dysphagia.

Keyword

Sarcopenia; Deglutition disorders; Intervention; Systematic review
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