Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

The Review of Interventions to Improve the Swallowing Function in the Elderly

  • Na-Yeon Tak (Departmaent of Dentistry, Kyung Hee University) ;
  • Hanna Gu (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Hyoung-Joo Kim (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Jun-Yeong Kwon (Department of Dental Hygiene, College of Nursing Health, Kyungwoon University) ;
  • Hee-Jung Lim (Department of Dental Hygiene, College of Health Science, Eulji University)
  • Received : 2023.05.03
  • Accepted : 2023.05.25
  • Published : 2023.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Swallowing function deterioration is a common problem experienced by older adults worldwide. Many studies have been conducted to improve swallowing function in older adults; however, due to differences in intervention methods and study designs, it is difficult to draw a common conclusion. This study aimed to analyze trends and intervention methods in studies of swallowing function intervention for older adults conducted from 2010 to 2022, to establish a systematic approach for developing interventions to improve swallowing function in older adults and to provide evidence for this approach. Methods: Literature research was conducted for studies published between 2010 and 2022 that applied to swallow function interventions to adults aged 60 years or older. Databases including PubMed, Medline, RISS, Science On, KISS, and KCI were used. From a total of 1,164 articles searched using keywords, 20 articles were selected for final analysis. Results: The number of published articles steadily increased over time, and the intervention period was most commonly 6 or 8 weeks. The types of interventions included focused exercises to improve oral muscle strength in 12 articles and programs incorporating education, practice, and expert management in 8 articles. Among the focused exercises, tongue-strengthening exercises were most common in 4 articles. The evaluation variables for intervention effects were muscle strength evaluation, oral function evaluation, quality of life, and oral health and hygiene status. Muscle strength and oral function evaluations were statistically significant in focused exercise interventions, while the quality of life and oral health and hygiene status was significant in program interventions. Conclusion: This literature review is meaningful as a study that can be used to select the intervention period and program contents when planning an elderly swallowing intervention program.

Keywords

References

  1. Retrieved January 12, 2023, from https://kostat.go.kr/board.es?mid=a10301010000&bid=10820&tag=& act=view&list_no= 20896& ef_bid.pdf(2022).
  2. Litwin H: Correlates of successful aging: are they universal? Int J Aging Hum Dev 61: 313-333, 2005. https://doi.org/10.2190/DUGV-AQPU-PT28-B8D7
  3. Kawashima K, Motohashi Y, Fujishima I: Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia 19: 266-271, 2004. https://doi.org/10.1007/s00455-004-0013-6
  4. Park JW: Aging process in swallowing function. J Korean Dysphagia Soc 3: 17-19,
  5. Park YH, Han HR, Oh BM, et al.: Prevalence and associated factors of dysphagia in nursing home residents. Geriatr Nurs 34: 212-217, 2013. https://doi.org/10.1016/j.gerinurse.2013.02.014
  6. Kim MS, Park YH: The risk of dysphagia and dysphagiaspecific quality of life among community dwelling older adults in senior center. Korean J Adult Nurs 26: 393-402, 2014. https://doi.org/10.7475/kjan.2014.26.4.393
  7. Riquelme LF, Soyfer A, Engelman J, Palma G, Stein L, Chao JL: Understanding oropharyngeal dysphagia: from hospital to home. Home Health Care Manag Pract 20: 462-473, 2008. https://doi.org/10.1177/1084822308318178
  8. Dalton C, Caples M, Marsh L: Management of dysphagia. Learn Disabil Pract 14: 32-38, 2011. https://doi.org/10.7748/ldp2011.11.14.9.32.c8809
  9. So JS, Ko SM: Understanding and practice of eating-swallowing disorder. J Korean Dent Assoc 56: 287-295, 2018. https://doi.org/10.22974/jkda.2018.56.5.004
  10. Kim MH, Kim KW, Lee KS: Association between oral health and oral health-related quality of life among the elderly. J Dent Hyg Sci 14: 488-494, 2014. https://doi.org/10.17135/jdhs.2014.14.4.488
  11. Kim DR, Kim YO, Choi SA: Factors influencing SWALQOL (Swallowing-Quality of Life) of elders. J Korean Gerontol Nurs 20: 86-96, 2018. https://doi.org/10.17079/jkgn.2018.20.2.86
  12. Lee GR, Kim DR, Lim HN, Kang KH: The effects of the oral care program for improving swallowing function of the elderly using welfare centers on depression, self efficacy, subjective oral health status and swallowing related quality of life. J Korean Acad Community Health Nurs 31: 166-178, 2020. https://doi.org/10.12799/jkachn.2020.31.2.166
  13. Yano J, Nagami S, Yokoyama T, et al.: Effects of tongue-strengthening self-exercises in healthy older adults: a nonrandomized controlled trial. Dysphagia 36: 925-935, 2021. https://doi.org/10.1007/s00455-020-10216-w
  14. Van den Steen L, De Bodt M, Guns C, Elen R, Vanderwegen J, Van Nuffelen G: Tongue-strengthening exercises in healthy older adults: effect of exercise frequency - a randomized trial. Folia Phoniatr Logop 73: 109-116, 2021. https://doi.org/10.1159/000505153
  15. Fujiki RB, Oliver AJ, Sivasankar MP, Craig BA, Malandraki GA: Secondary voice outcomes of a randomized clinical trial comparing two head/neck strengthening exercises in healthy older adults: a preliminary report. J Speech Lang Hear Res 62: 318-323, 2019. https://doi.org/10.1044/2018_JSLHR-S-18-0338
  16. Yun OJ, Lee YH: The effect of singing intervention for women elderly with dysphagia risk. Korean J Adult Nurs 24: 380-389, 2012. https://doi.org/10.7475/kjan.2012.24.4.380
  17. Bae SH, Baek JY: Effect of oral health care on swallowing function and swallowing-quality of life in patients with dementia. JKEIA 13: 449-459, 2019. https://doi.org/10.21184/jkeia.2019.10.13.7.449
  18. Kim HJ, Lee JY, Lee ES, et al.: Simple oral exercise with chewing gum for improving oral function in older adults. Aging Clin Exp Res 33: 1023-1031, 2021. https://doi.org/10.1007/s40520-020-01606-z
  19. Park YH, Yun HJ: Effects of non-pharmacological interventions to improve the sleep of Korean elderly: a systematic review. J Korean Acad Fundam Nurs 29: 67-83, 2022. https://doi.org/10.7739/jkafn.2022.29.1.67
  20. Szynkiewicz SH, Kamarunas E, Drulia T, Nobriga CV, Griffin L, O'Donoghue CR: A randomized controlled trial comparing physical and mental lingual exercise for healthy older adults. Dysphagia 36: 474-482, 2021. https://doi.org/10.1007/s00455-020-10164-5
  21. Ki JY, Jo SR, Cho KS, Park JE, Cho JW, Jang JH: Effect of oral health education using a mobile app (OHEMA) on the oral health and swallowing-related quality of life in community-based integrated care of the elderly: a randomized clinical trial. Int J Environ Res Public Health 18: 11679, 2021. https://doi.org/10.3390/ijerph182111679
  22. Park JS, Jung YJ, Kim MJ: Effects of neuromuscular electrical stimulation synchronized with chewing exercises on bite force and masseter muscle thickness in community-dwelling older adults in South Korea: a randomized controlled trial. Int J Environ Res Public Health 17: 4902, 2020. https://doi.org/10.3390/ijerph17134902
  23. Lee KH, Jung ES, Choi YY: Effects of lingual exercises on oral muscle strength and salivary flow rate in elderly adults: a randomized clinical trial. Geriatr Gerontol Int 20: 697-703, 2020. https://doi.org/10.1111/ggi.13944
  24. Kim HJ, Lee JY, Lee ES, Jung HJ, Ahn HJ, Kim BI: Improvements in oral functions of elderly after simple oral exercise. Clin Interv Aging 14: 915-924, 2019. https://doi.org/10.2147/CIA.S205236
  25. Agrawal D, Kern M, Edeani F, et al.: Swallow strength training exercise for elderly: a health maintenance need. Neurogastroenterol Motil 30: e13382, 2018. https://doi.org/10.1111/nmo.13382
  26. Park JS, Oh DH, Chang MY: Effect of expiratory muscle strength training on swallowing-related muscle strength in community-dwelling elderly individuals: a randomized controlled trial. Gerodontology 34: 121-128, 2017. https://doi.org/10.1111/ger.12234
  27. Kim NS: The effect of tongue strength training program combined with oral exercise to improve oral and cognitive functions of the elderly. Unpublished doctoral dissertation, Dong-Eui University, Busan, 2022.
  28. Ki JY: Effect of home visit oral health education on xerostomia and quality of life related to swallowing in older adults. Unpublished master's thesis, Dankook University, Yongin, 2021.
  29. Hong JY, Jung YJ, Kim MJ, et al.: The effects of bilateral chewing exercise on occlusion force and masseter muscle thickness in community-dwelling elderly. JKCBOT 10: 31-38, 2020. https://doi.org/10.18598/kcbot.2020.10.1.03
  30. Choi HS, Kim YJ: Current status of the elderly's swallowing disorder and changes in quality of life related to swallowing after swallowing education in the elderly in the community: around the Gangdong-gu area. Korea Aging Friendly Ind Assoc 11: 11-21, 2019. https://doi.org/10.34264/jkafa.2019.11.1.11
  31. Moon SH: Effect of integrated oral health care program for older adults in long-term care facilities. Unpublished doctoral dissertation, Hanyang University, Seoul, 2018.
  32. Jang JY, Lee DH: Effects of oral health promotion program on oral function in the elderly. KJOHSM 10: 141-151, 2016. https://doi.org/10.12811/kshsm.2016.10.4.141
  33. Kim YS, Choi HS, Kim YS, Kim GY: Effects on quality of life and oral health of the elderly in an oral health promotion program. Indian J Sci Technol 9: 1-4, 2016. https://doi.org/10.17485/ijst/2016/v9i20/94663
  34. Ha JY, Lee SM: Effects of swallowing rehabilitation program among elderly in geriatric hospitals. J Korean Public Health Nurs 28: 605-618, 2014. https://doi.org/10.5932/JKPHN.2014.28.3.605
  35. Rofes L, Arreola V, Almirall J, et al.: Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterol Res Pract 2011: 818979, 2011. https://doi.org/10.1155/2011/818979
  36. Clave P, Terre R, de Kraa M, Serra M: Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig 96: 119-131, 2004. https://doi.org/10.4321/s1130-01082004000200005
  37. McCann JJ, Hebert LE, Li Y, et al.: The effect of adult day care services on time to nursing home placement in older adults with Alzheimer's disease. Gerontologist 45: 754-763, 2005. https://doi.org/10.1093/geront/45.6.754
  38. Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P: Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17: 139-146, 2002. https://doi.org/10.1007/s00455-001-0113-5
  39. Kim MH, Park SH: A study of occupational therapy at adult day care centers. JKSIM 8: 219-228, 2020. https://doi.org/10.15268/ksim.2020.8.1.219
  40. Warren S, Kerr JR, Smith D, Schalm C: The impact of adult day programs on family caregivers of elderly relatives. J Community Health Nurs 20: 209-221, 2003. https://doi.org/10.1207/S15327655JCHN2004_02
  41. Lazarus C, Logemann JA, Huang CF, Rademaker AW: Effects of two types of tongue strengthening exercises in young normals. Folia Phoniatr Logop 55: 199-205, 2003. https://doi.org/10.1159/000071019
  42. Ohira A, Ono Y, Yano N, Takagi Y: The effect of chewing exercise in preschool children on maximum bite force and masticatory performance. Int J Paediatr Dent 22: 146-153, 2012. https://doi.org/10.1111/j.1365-263X.2011.01162.x
  43. Han GS, Yang EJ: Status of health and nutritional intake of the elderly in long-term care facilities: focus on Gwangju Metropolitan City. J Nutr Health 53: 27-38, 2020. https://doi.org/10.4163/jnh.2020.53.1.27
  44. Lee SH, Ryu JA, Yu HE, Lee JH, Shin SJ: Comparison of effects according to type of oral exercise program for elderly in Gangneung City. J Dent Hyg Sci 16: 424-431, 2016. https://doi.org/10.17135/jdhs.2016.16.6.424
  45. Choi ES, Jung IH, Kim DA, Lee ES, Lim HJ: A systematic review on oral health care programs for the elderly in Korea (2009-2020). J Dent Hyg Sci 21: 199-212, 2021. https://doi.org/10.17135/jdhs.2021.21.4.199