Swallowing Changes in Community-Dwelling Older Adults

Rachel W. Mulheren, Alba M. Azola, Stephanie Kwiatkowski, Eleni Karagiorgos, Ianessa Humbert, Jeffrey B. Palmer, Marlís González-Fernández

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Older adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3 oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by paired t tests, and multivariate logistic regression models were generated to determine whether these ratings and VFSS analysis of swallowing function were associated with failure of one or both swallow screen trials. Archived VFSS of 33 younger adults were compared to older adults with Wilcoxon rank-sum tests. The DHI scores of older adults were higher than published non-dysphagic adults but lower than dysphagic adults. Older participants with greater Oral Residue scores were more likely to fail both swallow screen trials. Older adults received higher median MBSImP™

Original languageEnglish (US)
Pages (from-to)848-856
Number of pages9
Issue number6
StatePublished - Dec 1 2018


  • Aging swallow
  • Dysphagia
  • Dysphagia Handicap Index
  • MBSImP
  • Presbyphagia
  • Swallow screen

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing


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