PDF(Pubmed)
Abstract：
Oral function evaluation in older adults with dementia is important for determining appropriate and practical dietary support plans; however, it can be challenging due to their difficulties in comprehending instructions and cooperating during assessments. The feasibility of oral function evaluation has not been well studied. This cross-sectional study aimed to determine the feasibility of oral function evaluation in older adults with Alzheimer\'s disease (AD) according to Functional Assessment Staging of Alzheimer\'s Disease (FAST) stages. In total, 428 older adults with AD (45 men and 383 women; mean age: 87.2 ± 6.2 years) were included. Multilevel logistic regression models were used to examine the prevalence of participants who were unable to perform oral function evaluations, including oral diadochokinesis (ODK), repeated saliva swallow test (RSST), and modified water swallow test (MWST). In comparison to the reference category (combined FAST stage 1-3), FAST stage 7 was associated with the infeasibility of ODK (adjusted odds ratio, 95% confidence interval = 26.7, 4.2-168.6), RSST (5.9, 2.2-16.1), and MWST (8.7, 1.6-48.5, respectively). Oral function evaluation is difficult in older adults with severe AD. Simpler and more practical swallowing function assessments and indicators that can be routinely observed are required.
摘要：
老年痴呆症患者的口腔功能评估对于确定适当和实用的饮食支持计划很重要；然而，由于他们难以理解指示和在评估过程中进行合作，因此可能具有挑战性。口腔功能评估的可行性尚未得到很好的研究。这项横断面研究旨在根据阿尔茨海默病（FAST）阶段的功能评估分期，确定对患有阿尔茨海默病（AD）的老年人进行口腔功能评估的可行性。总的来说,包括428名患有AD的老年人（45名男性和383名女性；平均年龄：87.2±6.2岁）。使用多水平逻辑回归模型来检查无法进行口腔功能评估的参与者的患病率，包括口交运动（ODK），重复唾液吞咽试验（RSST），和改性水吞咽试验(MWST)。与参考类别(组合FAST阶段1-3)相比，FAST阶段7与ODK的不可行性相关(调整后的优势比，95%置信区间=26.7，4.2-168.6)，RSST(5.9,2.2-16.1),和MWST（分别为8.7、1.6-48.5）。患有严重AD的老年人难以进行口腔功能评估。需要更简单和更实用的吞咽功能评估和可以常规观察的指标。
