Evidence map›Paper›PMID 37198547›Full record

ArticleBMC geriatrics2023

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer's disease.

Merve Güner, Arzu Okyar Baş, Serdar Ceylan, Zeynep Kahyaoğlu, Süheyla Çöteli, Pelin Ünsal, Çağatay Çavuşoğlu, Cemile Özsürekci, Burcu Balam Doğu, Mustafa Cankurtaran and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  8. Observational
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Merve GünerFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey. mguner54@gmail.com.
Arzu Okyar BaşFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Serdar CeylanFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Zeynep KahyaoğluFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Süheyla ÇöteliFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Pelin ÜnsalFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Çağatay ÇavuşoğluFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Cemile ÖzsürekciFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Burcu Balam DoğuFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Mustafa CankurtaranFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Meltem Gülhan HalilFaculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University, Ankara, 06280, Turkey.
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysical phenotype and the cumulative deficit model are two well-known concepts of frailty. One of the main components of frailty is loss of muscle mass and function, which may also include swallowing muscles, therefore is a risk factor for dysphagia. Since dysphagia is seen starting from the early stages of Alzheimer's Disease (AD), in this study we aimed to reveal the relationship between frailty and dysphagia and dysphagia-related quality of life through Swallow Quality of Life (SwalQoL) tool in patients with AD and compare them with cognitively intact older adults.

methodsComprehensive geriatric assessment, dysphagia evaluation by Eating-Assessment Tool (EAT-10) and SwalQoL questionnaire, and frailty assessment via FRAIL and Clinical Frailty Scale (CFS) were performed on all 101 participants of the study. Thirty-five patients were cognitively intact, 36 patients were diagnosed with mild AD, and 30 patients were diagnosed with moderate AD.

resultsSex distribution was similar between the groups, however, there was a statistically significant age difference. The prevalence of frailty increased according to both frailty indexes as the cognitive status deteriorated. All parameters of SwalQoL except fear and sleep parameters deteriorated as cognitive status impaired. In quantile regression of the total score of the SwalQoL questionnaire and multivariable logistic regression of EAT-10, frailty, as defined by CFS and FRAIL, was associated with dysphagia and poor quality of life regardless of age, presence of dementia, as well as nutritional status.

conclusionSwallowing difficulties in AD negatively affects the quality of life, and it is closely related to frailty in mild-to-moderate AD.

Indexed as

Alzheimer DiseaseDeglutition DisordersFrailtyAgedFrail ElderlyGeriatric AssessmentHumansQuality of LifeDementiaDysphagiaFrailtyQuality of life

Identifiers

PMID37198547
PMCPMC10189997
OpenAlexW4376874482

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.