Sumihisa Honda, Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8520, Japan, TEL.: +81-95-819-7945, FAX.: +81-95-819-7907, E-mail:
J Nutr Health Aging. 2020;24(1):3-8. doi: 10.1007/s12603-019-1256-0.
The aim of the present study was to verify the associations between dysphagia as screened by the Eating Assessment Tool-10 (EAT-10) and indicators in the 100-mL water swallowing test (WST) or medical history among community-dwelling older people.
A cross-sectional study.
The study participants were 202 community-dwelling older Japanese adults aged ≥65 years.
We investigated the participants' basic attributes, including age, sex, body mass index, medical history (cerebrovascular disease, respiratory disease: chronic obstructive pulmonary disease [COPD], and history of pneumonia within the previous year), and number of prescribed medications. Dysphagia assessment was performed using the EAT-10 and the 100-mL WST as subjective and objective examinations, respectively. The 100-mL WST used four indicators (SC: swallowing capacity, VS: volume per swallow, TS: time per swallow, and choking signs). Patients with and without dysphagia according to the EAT-10 were divided into two groups according to a cutoff score of 3, and the two groups were then compared in terms of their characteristics including medical history and 100-mL WST indicators. A multiple logistic regression model was used to determine whether the indicators of the 100-mL WST or medical history were independently associated with dysphagia in the EAT-10.
The multiple logistic regression analysis revealed that dysphagia in the EAT-10 was independently associated with male sex (odds ratio [OR] = 2.78; 95% confidence interval [CI] = 0.98-7.90), COPD (OR = 14.68; 95% CI = 3.14-68.85), and VS and TS in the 100-mL WST (OR = 0.85; 95% CI = 0.80-0.90 and OR = 3.03; 95% CI = 1.78-5.16, respectively).
Our results revealed that the EAT-10 was independently associated with the 100-mL WST and respiratory disease. We propose that swallowing rehabilitation incorporating respiratory training could be effective for older people screened using the EAT-10.
本研究旨在验证经 10 毫升饮水吞咽测试（100mlWST）或病史筛查的吞咽障碍与社区老年人 Eating Assessment Tool-10（EAT-10）之间的相关性。
横断面研究。
研究对象为 202 名年龄≥65 岁的社区居住的日本老年人。
我们调查了参与者的基本属性，包括年龄、性别、体重指数、既往病史（脑血管疾病、呼吸系统疾病：慢性阻塞性肺疾病[COPD]和肺炎）和处方药数量。使用 EAT-10 进行吞咽障碍评估，100mlWST 作为主观和客观检查。100mlWST 使用四个指标（SC：吞咽能力、VS：每口吞咽量、TS：每口吞咽时间和呛咳迹象）。根据 EAT-10 的得分，将有和无吞咽障碍的患者分为两组，根据 3 分为界值，并比较两组的病史和 100mlWST 指标。采用多因素逻辑回归模型确定 100mlWST 指标或病史是否与 EAT-10 中的吞咽障碍独立相关。
多因素逻辑回归分析显示，EAT-10 中的吞咽障碍与男性（比值比[OR] = 2.78；95%置信区间[CI] = 0.98-7.90）、COPD（OR = 14.68；95%CI = 3.14-68.85）和 100mlWST 中的 VS 和 TS（OR = 0.85；95%CI = 0.80-0.90 和 OR = 3.03；95%CI = 1.78-5.16）独立相关。
我们的结果表明，EAT-10 与 100mlWST 和呼吸系统疾病独立相关。我们建议，对使用 EAT-10 筛查的老年人进行吞咽康复和呼吸训练可能是有效的。
