Publicación: EFFECTS OF FOOD AND LIQUID PROPERTIES ON SWALLOWING PHYSIOLOGY AND FUNCTION IN ADULTS
Fecha
2022
Autores
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DYSPHAGIA
Resumen
FOODS AND LIQUIDS HAVE PROPERTIES THAT ARE OFTEN MODIFED AS PART OF CLINICAL DYSPHAGIA MANAGEMENT TO PROMOTE SAFE AND EFCIENT SWALLOWING. HOWEVER, RECENT STUDIES HAVE QUESTIONED WHETHER THIS PRACTICE IS SUPPORTED BY THE EVIDENCE. TO ADDRESS THIS, A SCOPING REVIEW WAS CONDUCTED TO ANSWER THE QUESTION: CAN PROPERTIES OF FOOD AND LIQUIDS MODIFY SWALLOWING PHYSIOLOGY AND FUNCTION IN ADULTS? ONLINE SEARCH IN SIX DATABASES YIELDED A SET OF 4235 NON-DUPLICATE ARTICLES. USING COVIDENCE SOFTWARE, TWO INDEPENDENT REVIEWERS SCREENED THE ARTICLES BY TITLE AND ABSTRACT, AND 229 FULL-TEXT ARTICLES WERE SELECTED FOR FULL-TEXT REVIEW. ONE-HUNDRED ELEVEN STUDIES MET THE INCLUSION CRITERIA FOR QUALITATIVE SYNTHESIS AND ASSESSMENT OF RISK OF BIAS. THREE RANDOMIZED CONTROLLED TRIALS AND 108 NON-RANDOMIZED STUDIES WERE ANALYZED. LARGE AMOUNTS OF VARIABILITY IN INSTRUMENTAL ASSESSMENT, PROPERTIES OF FOOD AND LIQUIDS, AND SWALLOWING MEASURES WERE FOUND ACROSS STUDIES. SOUR, SWEET, AND SALTY TASTE, ODOR, CARBONATION, CAPSAICIN, VISCOSITY, HARDNESS, ADHESIVENESS, AND COHESIVENESS WERE REPORTED TO MODIFY THE ORAL AND PHARYNGEAL PHASE OF SWALLOWING IN BOTH HEALTHY PARTICIPANTS AND PATIENTS WITH DYSPHAGIA. MAIN SWALLOW MEASURES MODIFED BY PROPERTIES OF FOOD AND LIQUIDS WERE ENETRATION/ASPIRATION, ORAL TRANSIT TIME, LINGUAL PRESSURES, SUBMENTAL MUSCLE CONTRACTION, ORAL AND PHARYNGEAL RESIDUE, HYOID AND LARYNGEAL MOVEMENT, PHARYNGEAL AND UPPER ESOPHAGEAL SPHINCTER PRESSURES, AND TOTAL SWALLOW DURATION. THE EVIDENCE POOLED IN THIS REVIEW SUPPORTS THE CLINICAL PRACTICE OF FOOD TEXTURE AND LIQUID CONSISTENCY MODIFCATION IN THE MANAGEMENT OF DYSPHAGIA WITH THE CAVEAT THAT ALL CLINICAL ENDEAVORS MUST BE UNDERTAKEN WITH A CLEAR RATIONALE AND PATIENT-SPECIFC EVIDENCE THAT MODIFYING FOOD OR LIQUID BENEFTS SWALLOW SAFETY AND EFCIENCY WHILE MAINTAINING QUALITY OF LIFE.
Descripción
Palabras clave
SWALLOWING, FOOD AND BEVERAGES, FOOD, DYSPHAGIA, DEGLUTITION DISORDERS, DEGLUTITION
