Epidemiology and correlation of dysphagia in community-dwelling elderly patients with chronic diseases
10.3969/j.issn.1001-1242.2025.03.015
- VernacularTitle:社区老年慢性病患者吞咽障碍的流行病学及相关性研究
- Author:
Chang AN
1
;
Zulin DOU
;
Xiaomei WEI
Author Information
1. 广州市天河区石牌街道社区卫生服务中心,广州市,510630
- Publication Type:Journal Article
- Keywords:
community;
elderly;
chronic diseases;
dysphagia;
epidemiology;
prevalence rate;
correlation
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(3):416-422
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of dysphagia in community-dwelling elderly patients with chronic dis-eases and to analyze the correlation between the categories of chronic diseases and the prevalence of dysphagia.Method:Elderly people(aged ≥60 years)with one of five common chronic diseases(hypertension,diabetes,coronary heart disease,respiratory diseases,and hepatobiliary diseases)were recruited from Shipai Community health service center of Tianhe District.Eating assessment tool-10 and Water Swallow Test were used to evalu-ate swallowing function.Age-adjusted Charlson comorbidity index(ACCI)classification,grip strength test and 4-meter walking test were used to evaluate physical endurance of patients.The prevalence of dysphagia was de-termined among individuals with these chronic diseases and varying degrees of multimorbidity.The correlation between dysphagia and gender,age,chronic diseases,grip strength and walking endurance was analyzed.Result:The total number of respondents was 2352,of which 2121 were effectively surveyed.Among them,252 cases were positive for dysphagia,and the prevalence of dysphagia was 11.88％.The prevalence of dys-phagia was 63.89％for hypertension,28.57％for diabetes,39.68％for coronary heart disease,8.73％for respi-ratory diseases,and 2.78％for hepatobiliary diseases.There was no statistically significant difference in the cor-relation between gender,age and grip strength and dysphagia.Univariate regression analysis showed that respi-ratory diseases(t=3.987,P＜0.001),hepatobiliary diseases(t=2.158,P＜0.05),ACCI(t=2.745,P＜0.05),4-meter walk test(t=7.082,P＜0.001),the results were statistically significant(P＜0.05).Conclusion:Dysphagia is highly prevalent among elderly individuals with chronic diseases in the community.Respiratory diseases,hepatobiliary diseases,ACCI score,and 4m walk test are positively correlated with the prevalence of dysphagia.
