Evidence map›Paper›PMID 37254012›Full record

ArticleJournal of general internal medicine2023

Self-Reported Dysphagia and Psychosocial Health Among Community-Dwelling Older Adults: Results of a National Study.

David A Leiman, Harrison N Jones, Rebecca North, Kathryn N Porter Starr, Carl F Pieper, Seth M Cohen

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.4field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  8. Self-perception and clinical presentation of eating and swallowing difficulties within elderly care.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

David A LeimanDivision of Gastroenterology, Duke University School of Medicine, Durham, NC, USA. david.leiman@duke.edu.ORCID 0000-0001-6350-3906
Harrison N JonesDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Rebecca NorthCenter for the Study of Aging, Duke University School of Medicine, Durham, NC, USA.
Kathryn N Porter StarrCenter for the Study of Aging, Duke University School of Medicine, Durham, NC, USA.
Carl F PieperCenter for the Study of Aging, Duke University School of Medicine, Durham, NC, USA.
Seth M CohenDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Duke University · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC, Susan Nicole Hastings · 2006 to 2026
$24.6M
Nutritional (High Protein) Perihabilitation in Older Veterans Undergoing SurgeryIK2RX002348 · VA · DURHAM VA MEDICAL CENTER · PI STARR, KATHRYN N · 2017 to 2021
–
NIA NIH HHS P30 AG028716RRD VA IK2 RX002348
6 · The paper itself

Abstract

backgroundThe risk of dysphagia increases with age, affecting up to 33% of adults over the age of 65. Older adults with dysphagia are at increased risk for negative physical health outcomes such as aspiration pneumonia and death. However, the relationship between dysphagia and psychosocial health is uncertain in this population.

objectiveWe aimed to assess the associations between dysphagia and psychosocial health among older adults (≥ 65) with self-reported dysphagia.

designWe performed a cross-sectional assessment of the National Health and Aging Trends Study (NHATS) conducted in 2019. MAIN MEASURES: Weighted logistic and linear regression models were used to assess the relationship between self-reported dysphagia and psychosocial health using established patient-reported outcome measures including those for depression, anxiety, and social isolation previously used in NHATS analyses, while adjusting for demographics, comorbid conditions, and risk factors for dysphagia identified by purposeful selection. KEY

resultsAmong the 4041 adults in this cohort, almost half (40%) were between 70 and 74 years old, more than half were female (55%), and a significantly higher proportion were White, non-Hispanic respondents (78.1%, p < 0.01) compared with other races and ethnicities. There were 428 (10.5%) respondents reporting dysphagia symptoms within the previous month. In the multivariable model, dysphagia was associated with significantly increased odds of anxiety (OR 1.33 [1.06, 1.67]) and a significantly decreased sense of well-being (coefficient - 1.10 [- 1.66, - 0.54]), but no association was detected for social isolation.

conclusionsWhen accounting for factors associated with underlying physical health status, self-reported dysphagia is independently associated with negative psychosocial health and warrants attention by healthcare providers. Future studies should aim to identify causal factors and the extent to which interventions may mitigate these factors.

Indexed as

Deglutition DisordersIndependent LivingAgedCross-Sectional StudiesFemaleHumansMaleSelf ReportSocial Isolationcommunity dwellingdysphagiaNational Health and Aging Trends Study (NHATS)older adultspsychosocial health

Identifiers

PMID37254012
PMCPMC10681967
OpenAlexW4378782545

What OpenQuestion holds

Textmetadata
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.