İnal Özün Özgü, Demirdel Senem, Ün Yıldırım Necmiye, Naharci Mehmet İlkin
Department of Neurologic Physiotherapy and Rehabilitation, Gulhane Faculty of Physiotherapy and Rehabilitation, University of Health Sciences, Ankara, Turkey.
Department of Orthopedic Physiotherapy and Rehabilitation, Gulhane Faculty of Physiotherapy and Rehabilitation, University of Health Sciences, Ankara, Turkey.
Dysphagia. 2025 Jun 25. doi: 10.1007/s00455-025-10849-9.
Slow gait speed and subjective cognitive decline in older adults are characteristics of motoric cognitive risk syndrome (MCRS). Dysphagia and oral health may be connected to MCRS because they are linked to both motor function and cognitive performance. This study aimed to investigate dysphagia and oral health among older adults with MCRS. Community-dwelling adults over 65 years of age who visited the geriatric outpatient clinic for regular check-ups were included (N = 152). Socio-demographic and clinical data were collected, and the Eating Assessment Tool (EAT-10) and Geriatric Oral Health Assessment Index (GOHAI) were implemented. Participants were divided into two groups as MCRS (N = 36) and non-MCRS (N = 116). Poorer GOHAI and EAT-10 scores were observed in the MCRS group (all p < 0.05 for all). After adjusting for potential confounding factors, higher EAT-10 scores were found to be independently associated with MCRS (OR = 1.13, 95% CI: 1.04-1.23, p = 0.005), but not GOHAI scores. Our findings indicated an association between dysphagia and MCRS in older adults. This is the first study in the literature to examine the association between dysphagia and oral health among older adults with MCRS. MCRS is a very recent topic in the literature and the parameters associated with MCRS are not clear. This study will contribute to the literature filling an important gap because a better understanding of the mechanisms linking these two comorbidities is vital for the development of targeted interventions aimed at reducing swallowing difficulties in patients with MCRS.
老年人步态缓慢和主观认知能力下降是运动认知风险综合征（MCRS）的特征。吞咽困难和口腔健康可能与MCRS有关，因为它们与运动功能和认知表现都有关联。本研究旨在调查患有MCRS的老年人的吞咽困难和口腔健康状况。纳入了65岁以上到老年门诊进行定期检查的社区居住成年人（N = 152）。收集了社会人口学和临床数据，并实施了饮食评估工具（EAT - 10）和老年口腔健康评估指数（GOHAI）。参与者被分为MCRS组（N = 36）和非MCRS组（N = 116）。在MCRS组中观察到GOHAI和EAT - 10得分较低（所有p均<0.05）。在调整潜在混杂因素后，发现较高的EAT - 10得分与MCRS独立相关（OR = 1.13，95%CI：1.04 - 1.23，p = 0.005），但与GOHAI得分无关。我们的研究结果表明老年人吞咽困难与MCRS之间存在关联。这是文献中第一项研究患有MCRS的老年人吞咽困难与口腔健康之间关联的研究。MCRS是文献中一个非常新的主题，与MCRS相关的参数尚不清楚。本研究将为文献填补一个重要空白，因为更好地理解这两种合并症之间的联系机制对于开发旨在减少MCRS患者吞咽困难的针对性干预措施至关重要。
