Deng Wei, Zeng Xiao-Feng, Zhang Li-Ying, Yue Ji-Rong, Huang Xiao-Li
The Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Aging Dis. 2024 Sep 26;16(5):2752-2769. doi: 10.14336/AD.2024.0741.
With the continuous improvement of people's understanding of healthy aging, how to age decently and healthily has become a new topic of human exploration. Various factors make sarcopenia and dysphagia very common in the elderly, and the concept of "sarcopenic dysphagia" was born. This review synthesizes and extends the current understanding of sarcopenic dysphagia, emphasizing novel diagnostic and therapeutic strategies, particularly emerging technologies and multidisciplinary approaches. We begin by discussing pathophysiology and overlap with malnutrition and oral frailty. Next, we explore cutting-edge diagnostic tools and treatment modalities, focusing on how recent technological advancements have reshaped clinical practices. This review highlights the significance of integrating care across specialties, including nutrition, physical therapy, and speech-language pathology, to offer holistic care. It is hoped that our review will contribute to further understanding of sarcopenic dysphagia and thus provide new insights into promoting healthy aging in the elderly.
随着人们对健康老龄化认识的不断提高,如何体面而健康地衰老已成为人类探索的新课题。多种因素导致肌肉减少症和吞咽困难在老年人中非常普遍,“肌少症性吞咽困难”的概念由此诞生。本综述综合并拓展了目前对肌少症性吞咽困难的认识,强调了新颖的诊断和治疗策略,特别是新兴技术和多学科方法。我们首先讨论病理生理学以及与营养不良和口腔衰弱的重叠情况。接下来,我们探索前沿的诊断工具和治疗方式,重点关注近期的技术进步如何重塑临床实践。本综述强调了跨专业整合护理的重要性,包括营养、物理治疗和言语语言病理学,以提供全面的护理。希望我们的综述将有助于进一步理解肌少症性吞咽困难,从而为促进老年人健康老龄化提供新的见解。