Malnutrition is associated with dysphagia in patients with Parkinsonism
10.16352/j.issn.1001-6325.2024.09.1274
- VernacularTitle:帕金森综合征患者营养不良与吞咽困难相关
- Author:
Rui WANG
1
;
Jin FU
;
Rui LI
;
Yuping ZHANG
;
Han WANG
;
Yanping LIU
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院临床营养科,北京 100730
- Keywords:
Parkinsonism;
multi-disciplinary team;
nutritional status;
dysphagia
- From:
Basic & Clinical Medicine
2024;44(9):1274-1278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the characteristics of nutritional problems in patients with Parkinsonism who par-ticipated in multi-disciplinary team(MDT)and to investigate the correlation between nutritional status and dyspha-gia in these patients.The predictive value of video fluoroscopic swallowing study(VFSS)and EAT-10 scale for malnutrition was compared.Methods Subjects were patients with Parkinsonism participated in joint MDT consulta-tion project in Peking Union Medical College Hospital from November 2020 to January 2023.Subjective and objec-tive dysphagia were evaluated by EAT-10 scale score and VFSS dysphagia score.Nutritional status of the patients was evaluated by geriatric nutrition risk index(GNRI),albumin,prealbumin,serum folic acid,vitamin B12 and temporal muscle thickness.Results A total of 30 participants met the criteria and were included in the study.The age was 45-82(66.1±9.0)years old.Six(20%)were at risk of malnutrition shown b a comprehensive nutri-tional status assessment using GNRI.The areas under receiver operating characteristic(ROC)curves(AUC)of VFSS dysphagia score and EAT-10 score to predict malnutrition were 0.781(0.568-0.995)and 0.927(0.827-1.000),respectively.EAT-10 score was correlated with GNRI(r=-0.524,P＜0.01),BMI(r=-0.618,P＜0.001),prealbumin(r=-0.616,P＜0.001).The VFSS dysphagia score was only correlated with BMI(r=-0.446,P＜0.05)and prealbumin(r=-0.387,P＜0.05).Conclusions Patients with Parkin-sonism requiring MDT often have multiple micronutrient imbalance.Patients' subjective perception of dysphagia has a greater impact on their nutritional status than objective assessment of dysphagia.
