SynthesisDysphagia2020
A Systematic Review of Physiological Changes in Swallowing in the Oldest Old.
Synthesis in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Presbyphagia: A Conceptual Analysis of Contemporary Proposals and Their Influences on Clinical Diagnosis.Dysphagia · 2024Pooled it
- Article
- Longitudinal change in swallow function in patients with Parkinson's disease (PD).Journal of Parkinson's disease · 2026Article
- Influence of Bolus Location and Age on Timing Measures of Swallowing in Healthy Older Adults.Perspectives of the ASHA special interest groups · 2026Article
- Swallow screening of older adults at hospital admission.Australasian journal on ageing · 2025Observational
- The neurorehabilitation of post-stroke dysphagia: Physiology and pathophysiology.The Journal of physiology · 2025Review
- Age-defying swallowing.Frontiers in aging · 2025Review
- Characterizing Physiologic Swallowing Impairment Profiles: A Large-Scale Exploratory Study of Head and Neck Cancer, Stroke, Chronic Obstructive Pulmonary Disease, Dementia, and Parkinson's Disease.Journal of speech, language, and hearing research : JSLHR · 2024Article
- Investigation of Pharyngeal Swallow Function of Healthy Older Adults Using Visual Analysis of Swallowing Efficiency and Safety Scale.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Features of Swallowing Function in Sporadic Inclusion Body Myositis: Preliminary Evidence Using Well-Tested Assessment Frameworks.American journal of speech-language pathology · 2024Article
- The Impact of Vocal Tremor on Deglutition: A Pilot Study.The Laryngoscope · 2024Article
- Videofluoroscopic analysis of the laryngeal movement of older adults in swallowing.Odontology · 2024Article
- Defining Normal Sequential Swallowing Biomechanics.Dysphagia · 2023Article
- Profiling Number of Swallows per Bolus and Residue in Individuals With Amyotrophic Lateral Sclerosis.Journal of speech, language, and hearing research : JSLHR · 2023Article
- Gustatory stimulus interventions for older adults with dysphagia: a scoping review.Aging clinical and experimental research · 2023Article
- Latent changes in the pharyngeal stage of swallowing in non-aspirating older adults.European geriatric medicine · 2022Article
- Dysphagia, Dysphonia, and Dysarthria Outcomes Among Adults Hospitalized With COVID-19 Across Ireland.The Laryngoscope · 2022Observational
- Article
- Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H.Annals of geriatric medicine and research · 2022Article
- Noninvasive Evaluation of the Biomechanical Accommodations to Bolus Volume during Human Swallowing.Applied bionics and biomechanics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Age-related swallowing changes are well-researched in deglutology, usually distinguishing those over 60 years as older aged. World-wide, older adults are healthier and forecast to live longer: many over 85 years. It is necessary for clinicians to understand healthy swallowing changes in this 'oldest old' in order to appropriately manage swallowing complaints in older patients. This systematic review collated and critically appraised studies investigating swallowing changes in adults over 85 years using instrumental assessment. Criteria for inclusion were healthy subjects over 85 years. Exclusion criteria included studies focused on anatomy and oral processing. Studies published until December 2018 were retrieved from BIOSIS, CINAHL, Embase, Medline, and Scopus, totaling 2125 articles. During data screening, 64% of studies investigating age-related swallowing changes were excluded, as the oldest old were not recruited. After PRISMA screening, 44 articles met criteria. These were further reviewed for data extraction, bias and quality. Main quantitative age-related changes in swallowing included increases in delay in swallow onset, bolus transit times, duration of UES opening, pressure above the UES and UES relaxation pressure, and reduction in pressure at the UES. Few studies detected increased residue or airway compromise in the form of aspiration. Results were not easily comparable due to differences in age ranges, methods for deeming participants 'healthy', measures used to define swallowing physiology, and swallowing tasks. Age-related swallowing changes are identified that do not compromise safety. The oldest old are underrepresented in normative deglutition research. It is essential future studies plan accordingly to recruit those over 85 years.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.