TY - JOUR
T1 - Prevalence of Dysphagia in China: An Epidemiological Survey of 5943 Participants
AU - Zhang, Mengqing
AU - Li, Chao
AU - Zhang, Fang
AU - Han, Xiaoxiao
AU - Yang, Qinglu
AU - Lin, Tuo
AU - Zhou, Huichang
AU - Tang, Min
AU - Zhou, Jungui
AU - Shi, Hongling
AU - Hui, Yanping
AU - Xiong, Mingfeng
AU - Pang, Ling
AU - Wang, Baolan
AU - Feng, Zhen
AU - Li, Zhanfei
AU - Cao, Changbing
AU - Lu, Xiao
AU - Ding, Yuanyuan
AU - Shen, Shukun
AU - Xu, Zhengyue
AU - Yu, Fan
AU - Chen, Chen
AU - Meng, Ling
AU - Liao, Guiqing
AU - Zhang, Jinxin
AU - Sasegbon, Ayodele
AU - Dou, Zulin
PY - 2020
Y1 - 2020
N2 - ObjectiveTo determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status.MethodsThis study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition.ResultsA total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.14% of patients with stroke, 34.4% in HNCs, 48.3% in NDDs, and 19.2% of otherwise healthy older adults. The elderly with comorbidity (OR = 2.90, p < 0.01) and stroke patients (OR = 2.27, p < 0.01) were significantly more likely to exhibit signs of dysphagia. Dysphagic participants were at significantly greater risk of malnutrition (OR = 1.91, p < 0.01) compared to those without dysphagia.ConclusionDysphagia is prevalent in China among older individuals and people who have suffered a stroke, HNCs, or NDDs. The prevalence of dysphagia increases steadily with increasing age and presence of comorbid disease. People with dysphagia are more likely to suffer from malnutrition.
AB - ObjectiveTo determine the prevalence of dysphagia among an older population and patients with stroke, head and neck cancers (HNCs) or neurodegenerative diseases (NDDs) in China, to identify the factors associated with this condition, and to explore the relationship between dysphagia and nutritional status.MethodsThis study included participants 65 years and older living in the community or in nursing homes and patients who had sustained a stroke, HNC, or NDD also recruited in hospitals from 14 provinces of China. The presence of dysphagia was determined by use of a questionnaire, water swallowing test, and/or a videofluoroscopic swallowing study. Logistic regression analysis was used to assess the possible associated risk factors. Body mass index was assessed as an indicator of malnutrition.ResultsA total of 5943 persons met the inclusion criteria and 2341 (39.4%) were identified with dysphagia, including the following: 51.14% of patients with stroke, 34.4% in HNCs, 48.3% in NDDs, and 19.2% of otherwise healthy older adults. The elderly with comorbidity (OR = 2.90, p < 0.01) and stroke patients (OR = 2.27, p < 0.01) were significantly more likely to exhibit signs of dysphagia. Dysphagic participants were at significantly greater risk of malnutrition (OR = 1.91, p < 0.01) compared to those without dysphagia.ConclusionDysphagia is prevalent in China among older individuals and people who have suffered a stroke, HNCs, or NDDs. The prevalence of dysphagia increases steadily with increasing age and presence of comorbid disease. People with dysphagia are more likely to suffer from malnutrition.
KW - Dysphagia
KW - Prevalence
U2 - 10.1007/s00455-020-10138-7
DO - 10.1007/s00455-020-10138-7
M3 - Article
SN - 0179-051X
JO - Dysphagia
JF - Dysphagia
ER -
