Current status and related factors of dysphagia among community elderly

Abstract

Objective To understand the current status of dysphagia among community elderly of Dongcheng District of Beijing Municipality and to explore its related factors. Methods From May 2016 to February 2017, the International Resident Assessment Instrument Home Care (InterRAI HC) was used for data of home care needs assessment of community elderly (≥60 years old) to carry out the focused analysis of dysphagia. The evaluation result of the term nutrition intake patterns of InterRAI HC was taken as the standard to determine whether to be with or without dysphagia. The chi-square test and Logistic regression were used to analyze the influencing factors of dysphagia among community elderly. Results Among 229 community elderly, there were 49 cases with dysphagia with 21.4% for the incidence. The related factors of dysphagia among community elderly included the impaired balanced capacity (OR=4.913, 95%CI: 1.772-13.618, P=0.002) , yield of drinking water<1 000 ml/d (OR=2.600, 95%CI: 1.253-5.396, P=0.010) , ages (OR=1.048, 95%CI: 1.004-1.095, P=0.024) , body mass index<18.5 kg/m2 (OR=4.576, 95%CI: 1.220-17.172, P=0.024) and history of Parkinson's disease (OR=2.505, 95%CI: 1.015-6.180, P=0.046) . Conclusions The current status of dysphagia in community elderly of Dongcheng District of Beijing Municipality is worth attaching importance to. The dysphagia of the aged should be prevented, discovered and treated early by active measures such as paying close attention to related factors and effective screening. Key words: Aged; Deglutition disorders; Community; Related factors