Aspects of Swallowing in Healthy Dentate Elderly Persons Older Than 80 Years

Background. Although age-related changes resulting in slowing of the swallowing reflex and a decline in the neuromuscular control system have been reported, there have been few reports on swallowing function in dentate elderly persons. The purpose of this study was to clarify the primary influence o...

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Bibliographic Details
Published in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2005-04, Vol.60 (4), p.506-509
Main Authors: Yoshikawa, Mineka, Yoshida, Mitsuyoshi, Nagasaki, Toshikazu, Tanimoto, Keiji, Tsuga, Kazuhiro, Akagawa, Yasumasa, Komatsu, Teruki
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Aging
Aging - physiology
Angiography, Digital Subtraction
Barium Sulfate
Cineradiography
Contrast Media
Deglutition - physiology
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - physiopathology
Dentition
Dentures
Female
Humans
Image Processing, Computer-Assisted
Larynx - diagnostic imaging
Larynx - physiology
Male
Medical research
Mouth - diagnostic imaging
Mouth - physiology
Older people
Pharynx - diagnostic imaging
Pharynx - physiology
Teeth
Time Factors
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Summary:Background. Although age-related changes resulting in slowing of the swallowing reflex and a decline in the neuromuscular control system have been reported, there have been few reports on swallowing function in dentate elderly persons. The purpose of this study was to clarify the primary influence of aging on swallowing in healthy dentate elderly persons older than 80 years who have more than 20 teeth. Methods. Dentate elderly persons (12 male, 7 female; mean age: 81.2 years) and dentate young participants (9 male, 5 female; mean age: 26.8 years) as a control group participated voluntarily. Participants reported no clinical symptoms relating to dysphagia, neurologic impairments, or degenerative diseases, and were asked to swallow 10 ml of barium sulfate solution (10% w/v) three times. Functional swallowing was recorded on 35 mm cinefilm at 30 frames per second with a digital subtraction angiography system. Lateral images of cinefluorography of seated participants' mouth, pharynx, and larynx were obtained. Visual image analysis for qualitative and quantitative evaluation was made with a cine projector. Results. No participants exhibited aspiration during three trials. Occurrence and frequencies of piecemeal deglutition, premature loss of liquid, oral and pharyngeal residues, and laryngeal penetration were significantly greater in dentate elderly persons (p
ISSN:1079-5006
1758-535X
DOI:10.1093/gerona/60.4.506