The effect of tongue strength on meal consumption in long term care

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Ashwini M NamasivayamHeather Keller

Abstract

As many as 74% of residents in long-term care (LTC) are anticipated to have swallowing difficulties (dysphagia). Low food intake is commonly reported in persons with swallowing problems, but food intake may also be affected by fatigue in the swallowing muscles. As fatigue sets in during mealtimes, the strength of the tongue may decline. Tongue strength is also known to decline with age but it is unclear how this functional change may influence food intake. In this pilot study, we explored the relationship between tongue strength and meal consumption in persons not previously diagnosed with dysphagia. The Iowa Oral Performance Instrument was used to collect maximum anterior isometric tongue-palate pressures from 12 LTC residents (5 male; mean age: 85, range 65-99). Residents were also screened for dysphagia with applesauce and a water swallow test. Each resident was observed at three different meals to record the length of time taken to eat the meal, amount of food consumed, and any indication of overt signs of swallowing difficulty (e.g. coughing). Residents who displayed observable swallowing difficulties at mealtimes had significantly lower tongue strength than those without swallowing difficulties (p < 0.01). Those with lowe...Continue Reading

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Citations

Feb 24, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Keisuke MaedaHiroshi Shamoto
Oct 2, 2017·Dysphagia·Brittany N KrekelerNicole Rogus-Pulia
Oct 31, 2017·American Journal of Speech-language Pathology·Ashwini M Namasivayam-MacDonaldCatriona M Steele
Mar 26, 2019·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Ashwini M Namasivayam-MacdonaldHeather H Keller
Jun 13, 2018·Journal of Speech, Language, and Hearing Research : JSLHR·Sonja M MolfenterCathy Lazarus
Jul 25, 2017·Dysphagia·Ashwini M Namasivayam-MacDonaldHeather Keller
Jul 12, 2020·American Journal of Speech-language Pathology·Nicole M Rogus-Pulia, Emily K Plowman
Jul 31, 2020·Auris, Nasus, Larynx·Chun-Hao LinYueh-Juen Hwu
Jun 3, 2021·International Journal of Environmental Research and Public Health·Wen-Yu LinYueh-Juen Hwu
Jun 10, 2021·Nutrition·Akio ShimizuUNKNOWN Japanese Working Group on Sarcopenic Dysphagia
Aug 11, 2021·Dysphagia·Ashwini M Namasivayam-MacDonaldLuis F Riquelme
Apr 19, 2019·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Nicole PizzorniAntonio Schindler
Apr 18, 2019·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Nicole PizzorniAntonio Schindler
Jul 15, 2021·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Kristine GalekGiselle Marquez

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