Abstract

ABSTRACT Purpose: to describe the changes in the body composition and swallowing of an older-people group from a community-based speech therapy and nutrition program. Methods: a pre-experimental study of a single group was carried out, with prospective timing and pre-post evaluation for three months. The Body Mass Index (BMI), percentage of body fat (%BF), percentage of muscle mass (%MM), percentage of visceral fat (%VF), swallowing performance, and Swallowing Quality of Life (Swall-QoL) were evaluated. The Spearman correlation coefficient and the Mann-Whitney U test were used, significance level p<0.05. Results: 13 older people participated in the study. The average age of the group was 73.8 years (SD= 4.6). The BMI (pre=28.17; post=28.38), %BF (pre=38.5; post=38.7), %MM (pre=24.8; post=24.9) and %VF (pre=14.3; post=14.8) did not present significant differences (p>0.05). The scores obtained in the deglutition test was pre=19.15 and post=18.9. An association between BMI and VF (Rho=0.74; p=0.02) was detected. Conclusion: the program represented a community-based instance of health promotion focus on oral feeding of older people.

Highlights

  • Aging represents a social phenomenon[1] characterized by anatomical, physiological changes that increase the susceptibility of the elderly to risk factors that can affect their health[2]

  • The group of older people was evaluated by professional speech therapists and nutritionists-dieticians, identifying a total of 13 subjects that made up the final sample

  • The body composition, nutritional status, and swallowing in older people are relevant health dimensions to address for the identification, screening, and prompt treatment of aging-related symptoms and the possible effects these may have on the well-being and quality of life of this population[23]

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Summary

Introduction

Aging represents a social phenomenon[1] characterized by anatomical, physiological changes that increase the susceptibility of the elderly to risk factors that can affect their health[2]. As of 2013, there were 2,855,157 people over 60 years old[3] in Chile, and this number seems to be increasing as a result of the growing life expectancy of this population[4]. Older people notice a generalized deterioration of systems that can affect functions such as food intake, an act that, if compromised, can be life-threatening[6]. Physiological changes in the body composition happen, which can impair swallowing[9], resulting in an increased risk for the development of swallowing disorders[10] Swallowing is a complex process that involves voluntary and reflex behaviors, its purpose is to move food from the mouth to the stomach[7], and it is a relevant activity for the maintenance of life[8].

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