노인 근감소증 환자의 연하장애 중재에 관한 체계적 고찰
Interventions for Sarcopenic Dysphagia: A Systematic Review
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Objective: Sarcopenic dysphagia is common in elderly subjects with sarcopenia and dysphagia and is not only the result of aspiration pneumonia but also an important cause of its recurrence. The prevention, assessment, and intervention of sarcopenic dysphagia are thus important aspects in management. Methods: This systematic review aimed to analyze the method and effect of interventions for sarcopenic dysphagia, and to provide clinical evidence for the same. Electronic databases, such as Pubmed, CINAHL, and MEDLINE from 2010 to 2020 were used to research theses. “Sarcopenia” AND (“Sarcopenic dysphagia” OR “Dysphagia” OR “Swallowing disorder”) AND (“Intervention” OR “Therapy” OR “Treatment” OR “Program” OR “Strategy”) were used as the main search terminology. The final seven short-listed theses were used for the analysis. Results: The qualitative level analysis included case reports (six articles), and one group non-randomized study (one article). The most common methods of intervention were nutrition, and physical and swallowing rehabilitation. Furthermore, the intervention was provided with a multidisciplinary approach through the cooperation of experts in various fields. Conclusion: We suggest that, in the future, intervention methods could be established by conducting intervention studies with a greater number of subjects. Such studies should be actively carried out and used as clinical evidence for formulating methods for evaluation and intervention in patients with sarcopenic dysphagia.
Abstract
Objective: Sarcopenic dysphagia is common in elderly subjects with sarcopenia and dysphagia and is not only the result of aspiration pneumonia but also an important cause of its recurrence. The prevention, assessment, and intervention of sarcopenic dysphagia are thus important aspects in management. Methods: This systematic review aimed to analyze the method and effect of interventions for sarcopenic dysphagia, and to provide clinical evidence for the same. Electronic databases, such as Pubmed, CINAHL, and MEDLINE from 2010 to 2020 were used to research theses. “Sarcopenia” AND (“Sarcopenic dysphagia” OR “Dysphagia” OR “Swallowing disorder”) AND (“Intervention” OR “Therapy” OR “Treatment” OR “Program” OR “Strategy”) were used as the main search terminology. The final seven short-listed theses were used for the analysis. Results: The qualitative level analysis included case reports (six articles), and one group non-randomized study (one article). The most common methods of intervention were nutrition, and physical and swallowing rehabilitation. Furthermore, the intervention was provided with a multidisciplinary approach through the cooperation of experts in various fields. Conclusion: We suggest that, in the future, intervention methods could be established by conducting intervention studies with a greater number of subjects. Such studies should be actively carried out and used as clinical evidence for formulating methods for evaluation and intervention in patients with sarcopenic dysphagia.
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