Sarcopenic Dysphagia, Malnutrition, and Oral Frailty in Elderly: A Comprehensive Review.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
25 Feb 2022
Historique:
received: 11 02 2022
revised: 23 02 2022
accepted: 24 02 2022
entrez: 10 3 2022
pubmed: 11 3 2022
medline: 15 3 2022
Statut: epublish

Résumé

Frailty is a highly prevalent condition in the elderly that has been increasingly considered as a crucial public health issue, due to the strict correlation with a higher risk of fragility fractures, hospitalization, and mortality. Among the age-related diseases, sarcopenia and dysphagia are two common pathological conditions in frail older people and could coexist leading to dehydration and malnutrition in these subjects. "Sarcopenic dysphagia" is a complex condition characterized by deglutition impairment due to the loss of mass and strength of swallowing muscles and might be also related to poor oral health status. Moreover, the aging process is strictly related to poor oral health status due to direct impairment of the immune system and wound healing and physical and cognitive impairment might indirectly influence older people's ability to carry out adequate oral hygiene. Therefore, poor oral health might affect nutrient intake, leading to malnutrition and, consequently, to frailty. In this scenario, sarcopenia, dysphagia, and oral health are closely linked sharing common pathophysiological pathways, disabling sequelae, and frailty. Thus, the aim of the present comprehensive review is to describe the correlation among sarcopenic dysphagia, malnutrition, and oral frailty, characterizing their phenotypically overlapping features, to propose a comprehensive and effective management of elderly frail subjects.

Identifiants

pubmed: 35267957
pii: nu14050982
doi: 10.3390/nu14050982
pmc: PMC8912303
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Alessandro de Sire (A)

Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.

Martina Ferrillo (M)

Department of Health Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.

Lorenzo Lippi (L)

Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 28100 Novara, Italy.

Francesco Agostini (F)

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy.

Roberto de Sire (R)

Department of Clinical Medicine and Surgery, University Federico II of Naples, 80126 Naples, Italy.

Paola Emilia Ferrara (PE)

University Polyclinic Foundation Agostino Gemelli IRCSS, Catholic University of Sacred Heart, 00168 Rome, Italy.

Giuseppe Raguso (G)

Department of Otolaryngology-Head and Neck Surgery, University of Verona, 37129 Verona, Italy.

Sergio Riso (S)

Dietetic and Clinical Nutrition Unit, Maggiore della Carità Hospital, 28100 Novara, Italy.

Andrea Roccuzzo (A)

Department of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland.
Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital (Rigshospitalet), 2100 Copenhagen, Denmark.

Gianpaolo Ronconi (G)

University Polyclinic Foundation Agostino Gemelli IRCSS, Catholic University of Sacred Heart, 00168 Rome, Italy.

Marco Invernizzi (M)

Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 28100 Novara, Italy.
Translational Medicine, Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.

Mario Migliario (M)

Dental Clinic, Department of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.

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