Banca de DEFESA: Vera Regina Cerceau

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Vera Regina Cerceau
DATE: 01/09/2022
TIME: 09:00
LOCAL: Plataforma Teams
TITLE:

Prevalence and factors associated with risk of dysphagia in
community-dwelling elderly women

KEY WORDS:

Elderly. Swallowing Disorders. Sarcopenia. malnutrition.

PAGES: 108
BIG AREA: Outra
AREA: Defesa
SUMMARY:

dysphagia is a condition frequently found in the elderly and has
been related to other health problems, such as sarcopenia, malnutrition, incontinence
and difficulties in performing daily activities. OBJECTIVE: to evaluate factors related
to the risk of dysphagia in community-dwelling elderly women treated at a Secondary
Health Unit in the Federal District (DF). METHOD: a cross-sectional study was carried
out with a quantitative approach, with 258 elderly women, at the Outpatient Clinic of
Geriatrics and Gerontology Policlínica of Taguatinga (GSAS 3), in the Southwest
region of the DF Health Department, from September 2021 to February 2022. The
elderly women underwent physical tests (TUG, hand grip and gait speed), body
composition assessment (BIA), interviews and research in the Institution's medical
records (exams and clinical information). The instruments used were: EAT-10 (risk of
dysphagia), MAN (nutritional assessment), Barthel Index (activities of daily living),
SARC-F (risk of sarcopenia) and MMSE (cognitive assessment). Sarcopenia was
assessed according to the European Consensus criteria. A descriptive statistical analysis,
Spearman correlations and Poisson regression were performed in SPSS 25.0 to identify
the variables associated with the risk of dysphagia. RESULTS: the median age of the
elderly women was 74.0 years, 59.7% were sedentary, 81.0% had edentulism, 50.4%
had urinary incontinence and 42.2% consumed 7 or more medications a day. The
prevalence of malnutrition/risk of malnutrition was 24.4%. The prevalence of risk of
dysphagia was 41.1% and there was a higher prevalence of incontinence (p=0.001) and
a worse TUG performance (p=0.002) in elderly women at risk of dysphagia. Elderly
women at risk of dysphagia had a lower score on the Barthel Index (p<0.001). The
prevalence of probable sarcopenia was 26.0%, significantly higher in elderly women at
risk of dysphagia (p=0.006), with low schooling (p=0.028), sedentary (p=0.004), with
edentulism (p=0.038) and with incontinence (p=0.009). There was a negative
correlation of SARC-F with MNA (p<0.001) and with Barthel Index (p<0.001).
Sarcopenia was confirmed in 20.2% of the elderly, significantly associated with older
age (p<0.001), low schooling (p=0.002), sedentary lifestyle (p=0.028) and edentulism
(p=0.036). Barthel indices were lower in elderly women with sarcopenia (p=0.037).
After Poisson regression analysis, the variable TUG ≥ 12.47 seconds remained
associated with risk of dysphagia (adjusted PR=1.37; 95%CI: 1.07-1.88).
CONCLUSION: the results of this study point to a relationship between risk of
dysphagia, sarcopenia and dependence in activities of daily living, highlighting the
importance of early diagnosis and adequate geriatric assessment at primary and
secondary levels of health care for the elderly. It was found that similar characteristics
and health problems are found in sarcopenic elderly women at risk of dysphagia. It has
been shown that low-cost and easy-to-apply instruments can be used.

BANKING MEMBERS:
Externa à Instituição - Ana Lucia Ribeiro Salomon
Interna - 2344297 - MARGO GOMES DE OLIVEIRA KARNIKOWSKI
Presidente - 1738681 - MARINA MORATO STIVAL LIMA
Externa ao Programa - 1772842 - PATRICIA AZEVEDO GARCIA