Association between oropharyngeal dysphagia, oral functionality, and oral sensorimotor alteration

• Published in: Oral diseases Vol. 24; no. 4; pp. 664 - 672
• Main Authors: Rech, RS, Baumgarten, A, Colvara, BC, Brochier, CW, Goulart, BNG, Hugo, FN, Hilgert, JB
• Format: Journal Article
• Language: English
• Published: Denmark Wiley Subscription Services, Inc 01.05.2018
• Subjects: aging; deglutition; deglutition disorders; Dentistry; Dysphagia; oral health; Oral hygiene; Population studies; Sensorimotor system; stomatognathic system; deglutition; oral health; aging; deglutition disorders; stomatognathic system
• ISSN: 1354-523X; 1601-0825
• DOI: 10.1111/odi.12809

Objective To evaluate whether the oral functionality and the oral sensorimotor alterations are associated with oropharyngeal dysphagia in community‐dwelling older persons and long‐term care older residents. Methods An exploratory study with 265 independent older persons of the southern state of Brazil. The diagnosis of dysphagia, as well as the condition of the oral sensorimotor system, was assessed by a speech‐language therapist and the oral health status by a dentist. Poisson Regression with robust variance was used to calculate the crude and adjusted Prevalence Ratios (PR) and their respective confidence intervals of 95%. Results The mean age was 73.5 (±8.9) years, women represented 59.2% of the sample. The frequency of dysphagia in the studied population was 45.3% (n = 120), being more frequent in the long‐term care older residents (62.5%; n = 75) than in the community‐dwelling older persons (37.5%; n = 45). Individuals with four or more oral sensorimotor alterations (PR = 2.01; 95% CI 1.27–3.18), as well as those who presented a non‐functional oral status (PR = 1.61; 95% CI 1.02–2.54) presented a higher frequency of dysphagia. Subgroup analysis indicates the same trend of results, when stratified by community‐dwelling older persons and long‐term older residents. Conclusion A non‐functional oral health status and oral sensorimotor alterations are associated with a higher prevalence of oropharyngeal dysphagia.