Department of Speech Therapy, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Dysphagia. 2010 Sep;25(3):216-20. doi: 10.1007/s00455-009-9245-9. Epub 2009 Aug 13.
This prospective, cross-sectional study evaluated the impact of dysphagia on quality of life in healthy ageing and in subjects with Parkinson's disease (PD) using the Swallowing Quality of Life (SWAL-QOL) questionnaire. Sixteen healthy young adults (8 males, mean age = 25.1 years) and 16 healthy elders (8 males, mean age = 72.8 years) were recruited. Thirty-two subjects with idiopathic PD (mean age = 68.5 years) were recruited from a movement disorders clinic. The severity of PD was staged using the Hoehn and Yahr scale. Results revealed that elders experienced symptoms of dysphagia more frequently than young adults but the overall SWAL-QOL scores were not significantly different. Subjects with PD who experienced dysphagia reported greatly reduced QOL, and significant differences were found in all but one subsection of the SWAL-QOL. Disease progression detrimentally impacts QOL, with subjects in later-stage PD experiencing further reduction in the desire to eat, difficulty with food selection, and prolonged eating duration. These features, which increase with disease severity, are likely to impact negatively upon nutritional status, which is already under threat from PD-related dysphagia.
这项前瞻性、横断面研究使用吞咽生活质量问卷(SWAL-QOL)评估了吞咽困难对健康老年人和帕金森病(PD)患者生活质量的影响。招募了 16 名健康的年轻成年人(8 名男性,平均年龄=25.1 岁)和 16 名健康的老年人(8 名男性,平均年龄=72.8 岁)。从运动障碍诊所招募了 32 名特发性 PD 患者(平均年龄=68.5 岁)。使用 Hoehn 和 Yahr 量表对 PD 的严重程度进行分期。结果表明,老年人比年轻人更频繁地出现吞咽困难症状,但总体 SWAL-QOL 评分没有显著差异。有吞咽困难症状的 PD 患者报告生活质量显著降低,除了 SWAL-QOL 的一个小节外,其他小节都有显著差异。疾病进展对生活质量产生不利影响,晚期 PD 患者的进食欲望、食物选择困难和进食时间延长进一步降低。这些特征随着疾病严重程度的增加而增加,可能会对营养状况产生负面影响,而 PD 相关的吞咽困难已经对营养状况构成威胁。