RISK FACTOR ANALYSIS OF CHEWING AND SWALLOWING PERFORMANCE IN GERIATRICS

ANALYSIS OF FACTORS INFLUENCING CHEWING AND SWALLOWING PERFORMANCE IN GERIATRICS WITHIN THE SCOPE OF INTERNATIONAL CLASSİFİCATION OF FUNCTIONING, DISABILITY, AND HEALTH

Various structural and functional problems in neural, sensory and perceptual, cardiovascular, pulmonary, gastrointestinal, endocrine, and musculoskeletal systems occur in geriatrics not associated with a specific disease. One of the problems observed in geriatrics is chewing and swallowing disorders. Failure to detect changes in chewing and swallowing performance in elderly individuals at an early stage may lead to chewing and swallowing disorders and serious complications in later stages. Therefore, it is necessary to comprehensively and systematically address the possible factors affecting chewing and swallowing performance in geriatric individuals.

The first aim of the study is to analyze the factors affecting chewing and swallowing performance in geriatric individuals within the scope of the International Classification of Functioning, Disability, and Health (ICF). The second aim of the study is to create a dysphagia risk prediction model for geriatric individuals based on the results of the analyses to be conducted.

In the study, the dependent variables, chewing performance, will be evaluated with the Chewing and Swallowing Test of Solids, and swallowing performance will be assessed with the Repetitive Saliva Swallowing Test and Dysphagia Limit. Independent variables affecting chewing and swallowing performance have been considered within the scope of the ICF, and all possible factors determined for both geriatrics and swallowing have been listed, and the evaluation parameters and assessment tools have been decided. The evaluation parameters have been categorized under ICF headings such as personal factors, body structures, body functions, activity and participation, and environmental factors, and the evaluations to be conducted have been divided into two groups: geriatric and physiotherapy evaluations. The geriatric evaluations are part of routine geriatric assessment and do not include any specific evaluation for the study. Physiotherapy evaluations will be applied in a certain order to use time efficiently and will take approximately 35-45 minutes. Through geriatric and physiotherapy evaluations, a holistic assessment of participants within the scope of ICF will be ensured.

Study Overview

• Status: Recruiting
• Conditions: Geriatrics; Chewing Problem; Swallowing Disorder
• Intervention / Treatment: Diagnostic test: Chewing and swallowing performance assessment and related factors

• Study Type: Observational
• Enrollment (Estimated): 240

Contacts and Locations

• Study Contact: Name: sena N begen, MSc; Phone Number: 05380929826; Email: sena.begen7@gmail.com
• Study Contact Backup: Name: sena N begen, msc; Phone Number: 05380929826; Email: sena.begen@atilim.edu.tr

Study Locations

• Turkey
  • Incek
    • Ankara, Incek, Turkey, 06830
      • Recruiting
      • Atılım Uiveristy
      • Contact: Sena N Begen; Phone Number: +905380929826; Email: sena.begen7@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: N/A

• Sampling Method: Non-Probability Sample

Study Population

Geriatrics over the age of 65 who come for routine examination for Hacettepe University Hospital Geriatri Clinis will be included in the study.

Description

Inclusion Criteria:

• being voluntary to participation,
• Being over 65 years old,
• Understanding and following simple instructions,
• Being able to walk independently for 4 meters.

Exclusion Criteria:

• Having a problem that prevents communication and/or following simple instructions.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Geriatrics; >65 years old individuals

Diagnostic test: Chewing and swallowing performance assessment and related factors; In the study, the dependent variables, chewing performance, will be evaluated with the Chewing and Swallowing Test of Solids, and swallowing performance will be assessed with the Repetitive Saliva Swallowing Test and Dysphagia Limit. Independent variables affecting chewing and swallowing performance have been considered within the scope of the ICF, and all possible factors determined for both geriatrics and swallowing have been listed, and the evaluation parameters and assessment tools have been decided.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Chewing performance	1 day
Swallowing performance	1 day

Secondary Outcome Measures

Outcome Measure	Time Frame
Deccriptive informations	1 day
Fragility Assessment	1 day
posture assessment	1 day
oral structure assessment	1 day
cognitive assessment	1 day
emotional status assessment	1 day
appetite assessment	1 day
sleep assessment	1 day
hearing and vision assessment	1 day
taste and smell assessment	1 day
intraoral sensation assessment	1 day
Temporomandibular pain assessment	1 day
fonation assessment	1 day
articulation assessment	1 day
Respiratory assessment	1 day
exercise tolerance assessment	1 day
Feeding and oral intake assessment	1 day
Laryngeopharyngeal reflux assessment	1 day
oral health assessment	1 day
oral dryness assessment	1 day
swallow problems assessment	1 day
Temporomandibular joint range of motion	1 day
jaw openin force	1 day
hand grip	1 day
5 repetetion sit to stand test	1 day
Timed up and go	1 day
basic functional independance assessment	1 day
enstrümental functional independance assessment	1 day
social support assessment	1 day

Collaborators and Investigators

• Sponsor: Atılım University
• Collaborators: Hacettepe University
• Investigators: Study Director: Selen serel arslan, Prof, Hacettepe University

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2024
• Primary Completion (Estimated): July 1, 2024
• Study Completion (Estimated): October 1, 2024

Study Registration Dates

• First Submitted: July 1, 2024
• First Submitted That Met QC Criteria: July 1, 2024
• First Posted (Actual): July 9, 2024

Study Record Updates

• Last Update Posted (Actual): July 9, 2024
• Last Update Submitted That Met QC Criteria: July 1, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: geriatrics; risk factor; swallow; chewing
• Additional Relevant MeSH Terms: Digestive System Diseases; Gastrointestinal Diseases; Pharyngeal Diseases; Otorhinolaryngologic Diseases; Esophageal Diseases; Deglutition Disorders
• Other Study ID Numbers: SBA 23/421

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No