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习惯性饮用碳酸饮料与社区居住的老年人主观吞咽困难有关:一项基于调查的横断面研究。

Habitual intake of carbonated drinks is associated with subjective difficulty in swallowing in community-dwelling older adults: a survey-based cross-sectional study.

机构信息

Department of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12, Wajirogaoka, Higashi-ku, Fukuoka-City, Fukuoka, 811-0213, Japan.

Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20, Shin-suna, Kouto-ku, Tokyo, 136-0075, Japan.

出版信息

Sci Rep. 2024 Aug 26;14(1):19774. doi: 10.1038/s41598-024-70878-6.

Abstract

Carbonated drinks have been reported to increase muscle activity during swallowing compared with water. Older adults who habitually consume carbonated drinks may use their swallowing-related muscles to a greater extent, thereby preserving their swallowing function. This study investigated the relationship between habitual carbonated drink intake, amount of carbonated drink consumed, and subjective difficulty in swallowing in community-dwelling older adults. We administered a questionnaire to determine subjective difficulty in swallowing, nutritional status, presence of sarcopenia, and habitual intake of carbonated drinks. Statistical analysis of the subjective difficulty in swallowing was performed using logistic regression analysis with the presence or absence of suspected dysphagia, using the Eating Assessment Tool-10 as the dependent variable. The results showed that older age (odds ratio [OR]: 1.077; p = 0.011), nutritional status (OR: 0.807; p = 0.040), systemic sarcopenia (OR: 1.753, p < 0.001), and habitual intake of carbonated drinks (OR: 0.455; p = 0.039) were associated with subjective difficulty in swallowing. In conclusion, the daily habits of community-dwelling older adults impact their swallowing function.

摘要

碳酸饮料被报道在吞咽时比水更能增加肌肉活动。习惯性饮用碳酸饮料的老年人可能会更大程度地使用与吞咽相关的肌肉,从而保持他们的吞咽功能。本研究调查了社区居住的老年人中习惯性碳酸饮料摄入、碳酸饮料摄入量和主观吞咽困难之间的关系。我们通过问卷调查确定了主观吞咽困难、营养状况、是否存在肌肉减少症以及习惯性饮用碳酸饮料的情况。使用 Eating Assessment Tool-10 作为因变量,采用逻辑回归分析对疑似吞咽困难的存在与否进行了主观吞咽困难的统计分析。结果表明,年龄较大(比值比 [OR]:1.077;p=0.011)、营养状况(OR:0.807;p=0.040)、全身肌肉减少症(OR:1.753,p<0.001)和习惯性饮用碳酸饮料(OR:0.455;p=0.039)与主观吞咽困难有关。总之,社区居住的老年人的日常习惯会影响他们的吞咽功能。

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