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http://www.codas.periodikos.com.br/article/doi/10.1590/2317-1782/e20240124pt
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Pressão de língua em idosos sarcopênicos e dinapênicos

Tongue pressure in sarcopenic and dynapenic elderly

Ívina Thaiana de Almeida Menezes; Igor de Matos Pinheiro; Júlia Canto e Souza; Débora Matias dos Santos; Jaiele Freitas do Nascimento; Manuela Oliveira de Cerqueira Magalhães; Ana Caline Nóbrega

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Resumo

RESUMO: Objetivo: Descrever pressão de língua em idosos com sarcopenia e dinapenia.

Método: Estudo observacional, exploratório, de delineamento transversal. Coletaram-se dados de 29 idosos institucionalizados (>60 anos) e realizou-se avaliação de sarcopenia – força de preensão manual (dinamômetro), massa muscular (bioimpedância elétrica e circunferência de panturrilha) e de desempenho físico - e de pressão de língua. Na análise descritiva, utilizaram-se as médias e medianas para as variáveis quantitativas e frequências absolutas e relativas para as qualitativas. Na análise inferencial, utilizou-se Pearson ou Spearman para os testes de correlação e Qui-quadrado ou Fisher para os de associação, nível de significância de 5%.

Resultados: A amostra se caracterizou por ser predominantemente feminina (79,31%), com idade mediana de 81 anos (QI=12). Identificou-se que 79,31% eram sarcopênicos, 17,24% dinapênicos e 3,45% sem sarcopenia. De toda amostra, 58,6% apresentaram baixa pressão de língua, sendo 88,2% com idade entre 70 e 79 anos. No grupo de idosos sarcopênicos, 65,2% apresentaram declínio na pressão de língua e no grupo dos dinapênicos, 40%. Observou-se correlação positiva e estatisticamente significante entre força de preensão manual e pressão de língua nos idosos entre 70 e 79 anos (p=0,03). No grupo das mulheres, ocorreu associação entre pressão de língua e sarcopenia (p=0,039) e correlação positiva entre pressão de língua e preensão manual (p=0,003).

Conclusão: O declínio da pressão de língua foi observado nos dois grupos estudados, sendo identificado pior desfecho no grupo com sarcopenia.

Palavras-chave

Idoso, Envelhecimento, Língua, Pressão, Deglutição

Abstract

Purpose  We aimed to describe tongue pressure in sarcopenic and dynapenic older adults.

Methods  An exploratory observational cross-sectional study was performed. Data were gathered from 29 institutionalized older adults (over 60 years old) and several methods were used in order to assess sarcopenia - handgrip strength (dynamometer), muscle mass (bioelectrical impedance analysis and calf circumference); physical performance (Short Physical Performance Balance); and tongue pressure (PLL Pró-Fono). For descriptive analysis, means and medians were described for quantitative variables and absolute and relative frequencies were described for qualitative variables. In the inferential analysis, Pearson's and Spearman's coefficients were used for correlation measurements and Chi-square and Fisher’s were used for association, 5% significance level.

Results  Most patients were female (79.31%), with a median age of 81 years (IQR 12). Regarding diagnosis, 79.31% were sarcopenic, 17.24% were dynapenic and 3.45% did not present sarcopenia. Fifty-eight point six percent of patients presented low tongue pressure, being 88.2% aged 70-79 years old. Among sarcopenic older adults, 65.2% showed a decline in tongue pressure, while 40% showed similar results in the dynapenic group. There was a statistically significant positive correlation between handgrip and tongue pressure in the 70-79 years age group (p=0.03). With regards to women, there was an association between tongue pressure and sarcopenia (p=0.039) and a positive correlation between tongue pressure and handgrip (p=0.003).

Conclusion  A decline in tongue strength was observed in the two studied groups, with worse outcomes in sarcopenic older adults.

Keywords

Aged; Aging; Tongue; Pressure; Deglutition

Referências

1 Brasil. Ministério da Saúde. Protocolo de manejo clínico para o novo coronavírus(2019-nCoV). Brasília; 2020.

2 Lini EV, Portella MR, Doring M. Factors associated with the institucionalization of the eldery: a case-control study. Rev Bras Geriatr Gerontol. 2016;19(6):1004-14. http://doi.org/10.1590/1981-22562016019.160043.

3 Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. http://doi.org/10.1093/ageing/afy169.

4 Ortega O, Martin A, Clave P. Diagnosis and management of oropharyngeal dysphagia among older persons, state of the art. J Am Med Dir Assoc. 2017;18(7):576-82. http://doi.org/10.1016/j.jamda.2017.02.015.

5 Miyashita T, Kikutani T, Nagashima K, Igarashi K, Tamura F. The effects of sarcopenic dysphagia on the dynamics of swallowing organs observed on videofluoroscopic swallowing studies. J Oral Rehabil. 2020;47(5):584-90. http://doi.org/10.1111/joor.12936.

6 Ballard J, Mooney M, Dempsey O. Prevalence of frailty‐related risk factors in older adults seen by community nurses. J Adv Nurs. 2013;69(3):675-84. http://doi.org/10.1111/j.1365-2648.2012.06054.x.

7 Reis MM, Arantes PMM. Medida da força de preensão manual-validade e confiabilidade do dinamômetro saehan. Fisioter Pesqui. 2011;18(2):176-81. http://doi.org/10.1590/S1809-29502011000200013.

8 Fess EE. Grip strength: clinical assessment recommendations. 2nd ed. Chicago: American Society of Hand Therapists; 1992.

9 Hallal PC, Victora CG. Reliability and validity of the international physical activity questionnaire (IPAQ). Med Sci Sports Exerc. 2004;36(3):556. http://doi.org/10.1249/01.MSS.0000117161.66394.07.

10 Chumlea WMC, Steinbaugh ML, Roche AF, Mukherjee D, Gopalaswamy N. Nutritional anthropometric assessment in eldery persons 65 to 90 years of age. J Nutr Elder. 1985;4(4):39-52. http://doi.org/10.1300/J052v04n04_05.

11 Barbosa-Silva TG, Bielemann RM, Gonzalez MC, Menezes AMB. Prevalence of sarcopenia among community-dwelling elderly of a medium-sized South American city: results of the COMO VAI? study. J Cachexia. 2016;7(2):136-43. http://doi.org/10.1002/jcsm.12049.

12 Pró-Fono. Biofeedback pró-fono: pressão de lábios e de língua (PLL Pró-Fono): manual de instruções. São Paulo; 2016.

13 Mori T, Fujishima I, Wakabayashi H, Oshima F, Itoda M, Kunieda K, et al. Development, reliability, and validity of a diagnostic algorithm for sarcopenic dysphagia. JCSM Clin Rep. 2017;2(2):1-10. http://doi.org/10.17987/jcsm-cr.v2i2.17.

14 Fonsêca ICDA, Chaves SPL, Ricardo T, Franco RTL, Diniz IDA, Andrade WTL, et al. Disfagia sarcopênica em idosos: revisão integrativa. Res Soc Dev. 2022;11(6):e34911629067. http://doi.org/10.33448/rsd-v11i6.29067.

15 Hara K, Tohara H, Kenichiro K, Yamaguchic K, Ariya C, Yoshimi K, et al. Association between tongue muscle strength and masticatory muscle strength. J Oral Rehabil. 2019;46(2):135-9. http://doi.org/10.1111/joor.12737.

16 Delmonico MJ, Harris TB, Visser M, Park SW, Conroy MB, Velasquez-Mieyer P, et al. Longitudinal study of muscle strength, quality, and adipose tissue infiltration. Am J Clin Nutr. 2009;90(6):1579-85. http://doi.org/10.3945/ajcn.2009.28047.

17 Sakai K, Nakayama E, Tohara H, Takahashi O, Ohnishi S, Tsuzuki H, et al. Diagnostic accuracy of lip force and tongue strength for sarcopenic dysphagia in older inpatients: a cross-sectional observational study. Clin Nutr. 2019;38(1):303-9. http://doi.org/10.1016/j.clnu.2018.01.016.

18 Chen KC, Lee TM, Wu WT, Wang TG, Han DS, Chang K-V. Assessment of tongue strength in sarcopenia and sarcopenic dysphagia: a systematic review and meta-analysis. Front Nutr. 2021;8:684840. http://doi.org/10.3389/fnut.2021.684840.

19 Gutmann VLR, Santos D, Silva CD, Vallejos CCC, Acosta DF, Mota MS. Reasons that take women and men to seek the basic health units. J Nutr Health. 2022;12(2):e2212220880.

20 Miyashita T, Kikutani T, Nagashima K, Igarashi K, Tamura F. The effects of sarcopenic dysphagia on the dynamics of swallowing organs observed on videofluoroscopic swallowing studies. J Oral Rehabil. 2020;47(5):584-90. http://doi.org/10.1111/joor.12936.

21 Yiğman ZA, Umay E, Cankurtaran D, Güzel Ş. Swallowing difficulty in the older adults: presbyphagia or dysphagia with sarcopenia? Int J Rehabil Res. 2021;44(4):336-42. http://doi.org/10.1097/MRR.0000000000000494.

22 Venites JP, Roque FP, Chiari BM. Difficulties self-reported of chewing and swallowing by active elderly. Dent Oral Craniofac Res. 2017;3(6):1-6. http://doi.org/10.15761/DOCR.1000222.

23 Maia AV, Furlan RMMM, Moraes KO, Amaral MS, Medeiros AM, Motta AR. Reabilitação da força da língua utilizando o biofeedback: relato de caso. CoDAS. 2019;31(5):e20180163. http://doi.org/10.1590/2317-1782/20182018163.

24 Labeit B, Muhle P, von Itter J, Slavik J, Wollbrink A, Sporns P, et al. Clinical determinants and neural correlates of presbyphagia in community-dwelling older adults. Front Aging Neurosci. 2022;14:912691. http://doi.org/10.3389/fnagi.2022.912691.

25 Mendes AE, Nascimento L, Mansur LL, Callegaro D, Jacob W Fo. Tongue forces and handgrip strength in normal individuals: association with swallowing. Clinics. 2015;70(1):41-5. http://doi.org/10.6061/clinics/2015(01)08.

26 Higa C, Mori T, Hiraoka A, Takeda C, Kuroki A, Yoshikawa M, et al. Five-year change in maximum tongue pressure and physical function in community-dwelling elderly adults. J Dent Sci. 2020;15(3):265-9. http://doi.org/10.1016/j.jds.2020.05.027.

27 Alexandre T, Duarte Y, Lebrão M, Santos J. Prevalência e fatores associados à sarcopenia, dinapenia e sarcodinapenia em idosos residentes no Município de São Paulo: estudo SABE. Rev Bras Epidemiol. 2018;21(Supl 2):E180009.SUPL.2. http://doi.org/10.1590/1980-549720180009.supl.2.

28 Pitts LL, Morales S, Stierwalt J. lingual pressure as a clinical indicator of swallowing function in Parkinson’s disease. J Speech Lang Hear Res. 2018;61(2):257-65. http://doi.org/10.1044/2017_JSLHR-S-17-0259.

29 Kobuchi R, Okuno K, Kusunoki T, Inoue T, Takahashi K. The relationship between sarcopenia and oral sarcopenia in elderly people. J Oral Rehabil. 2020;47(5):636-42. http://doi.org/10.1111/joor.12948.

30 Andrade NO, Montalvão GHMR, Gama ICS, Santana MP, Luchesi BM, Kwiatkoski M. Avaliação da sarcopenia em idosos em extrema longevidade utilizando diferentes métodos e sua relação com o desempenho cognitivo. Acta Fisiatr. 2020;27(3):139-45. http://doi.org/10.11606/issn.2317-0190.v27i3a174634.

31 Pagotto V, Santos KF, Malaquias SG, Bachion MM, Silveira EA. Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Rev Bras Enferm. 2018;71(2):322-8. http://doi.org/10.1590/0034-7167-2017-0121.
 


Submetido em:
06/05/2024

Aceito em:
08/09/2024

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