{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T20:35:08Z","timestamp":1780086908411,"version":"3.54.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1007\/s00405-025-09947-z","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T20:33:00Z","timestamp":1770150780000},"page":"979-985","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of type\u2011II diabetes mellitus on swallowing difficulty, swallowing anxiety, laryngeal function, and water swallowing performance"],"prefix":"10.1007","volume":"283","author":[{"given":"Nurhan Aliye","family":"Sayaca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6731-1677","authenticated-orcid":false,"given":"Cetin","family":"Sayaca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"issue":"1","key":"9947_CR1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1097\/01.NHH.0000305554.40220.6d","volume":"26","author":"A Brady","year":"2008","unstructured":"Brady A (2008) Managing the patient with dysphagia. Home Healthc Nurse J 26(1):41\u201346","journal-title":"Home Healthc Nurse J"},{"key":"9947_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2011\/818979","volume":"2011","author":"L Rofes","year":"2011","unstructured":"Rofes L, Arreola V, Almirall J, Cabr\u00e9 M, Campins L, Garc\u00eda-Peris P, Speyer R, Clav\u00e9 P (2011) Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterol Res Pract 2011:1\u201313","journal-title":"Gastroenterol Res Pract"},{"key":"9947_CR3","volume-title":"Communication sciences and disorders: an introduction","author":"LM Justice","year":"2006","unstructured":"Justice LM (2006) Communication sciences and disorders: an introduction. Pearson Education, New Jersey"},{"issue":"6","key":"9947_CR4","doi-asserted-by":"publisher","first-page":"1657","DOI":"10.1152\/japplphysiol.00348.2006","volume":"101","author":"LA Humbert","year":"2006","unstructured":"Humbert LA, Poletto CJ, Saxon KG, Kearney PR, Crujido L, Wright-Harp W, Ludlow CL (2006) The effect of surface electrical stimulation on hyolaryngeal movement in normal individuals at rest and during swallowing. J Appl Physiol 101(6):1657\u20131663","journal-title":"J Appl Physiol"},{"key":"9947_CR5","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/s00455-001-0113-5","volume":"17","author":"O Ekberg","year":"2002","unstructured":"Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P (2002) Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17:139\u2013146","journal-title":"Dysphagia"},{"issue":"4","key":"9947_CR6","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s40519-017-0367-z","volume":"23","author":"E Budak","year":"2017","unstructured":"Budak E, Taymur \u0130, \u00d6nen S, Kanat BB, Akdeniz \u00d6, Demirci H (2017) Symptoms of swallowing anxiety in panic disorder patients and associated psychopathologic factors. Eat Weight Disorders-Studies Anorexia Bulimia Obes 23(4):487\u2013497","journal-title":"Eat Weight Disorders-Studies Anorexia Bulimia Obes"},{"key":"9947_CR7","first-page":"261","volume":"61","author":"A Okada","year":"2007","unstructured":"Okada A, Tsukamoto C, Hosogi M, Yamanaka E, Watanabe K, Ootyou K, Morishima T (2007) Study of psychopathology and treatment of children with phagophobia. Acta Med Okayama 61:261\u2013269","journal-title":"Acta Med Okayama"},{"key":"9947_CR8","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1001\/archneur.1992.00530360057018","volume":"49","author":"KL DePippo","year":"1992","unstructured":"DePippo KL, Holas MA, Reding MJ (1992) Validation of the 3-oz WST for aspiration following stroke. Arch Neurol 49:1259\u20131261","journal-title":"Arch Neurol"},{"issue":"2","key":"9947_CR9","first-page":"20","volume":"15","author":"AR Sarve","year":"2021","unstructured":"Sarve AR, Rahul K, Radish Kumar B (2021) The timed water test of swallowing: Reliability, Validity, and normative data from Indian population. Int J Health Sci 15(2):20","journal-title":"Int J Health Sci"},{"issue":"7","key":"9947_CR10","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1016\/j.apmr.2014.03.001","volume":"95","author":"RP Athukorala","year":"2014","unstructured":"Athukorala RP, Jones RD, Sella O, Huckabee ML (2014) Skill training for swallowing rehabilitation in patients with parkinson\u2019s disease. Arch Phys Med Rehabilitation 95(7):1374\u20131382","journal-title":"Arch Phys Med Rehabilitation"},{"issue":"4","key":"9947_CR11","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1080\/17549507.2022.2096925","volume":"25","author":"P H\u00e4gglund","year":"2023","unstructured":"H\u00e4gglund P, Karlsson P, Karlsson F (2023) The timed water swallow test (TWST): normative data on swallowing capacity for healthy people aged 60 years and older. Int J Speech Lang Pathol 25(4):479\u2013485","journal-title":"Int J Speech Lang Pathol"},{"issue":"10","key":"9947_CR12","doi-asserted-by":"publisher","first-page":"e151","DOI":"10.2337\/dci23-0036","volume":"46","author":"DB Sacks","year":"2023","unstructured":"Sacks DB, Arnold M, Bakris GL, Bruns DE, Horvath AR, Lernmark \u00c5, Metzger BE, Nathan DM, Kirkman MS (2023) Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Diabetes Care 46(10):e151\u2013e199","journal-title":"Diabetes Care"},{"issue":"Suppl 1","key":"9947_CR13","doi-asserted-by":"publisher","first-page":"81","DOI":"10.2337\/dc14-S081","volume":"37","author":"American Diabetes Association","year":"2014","unstructured":"American Diabetes Association (2014) Diagnosis and classification of diabetes mellitus. Diabetes Care 37(Suppl 1):81\u201390","journal-title":"Diabetes Care"},{"key":"9947_CR14","unstructured":"Powers AC (1997) Diabetes mellitus, 15th ed. In: Braunwald E, Hauser AL, Fauci AS, Longo DL, Kasper DL, Jameson JL (eds) Harrison\u2019s principles of internal medicine, vol. 2, Mc Graw Hill Book Company, New York, NY, pp 2109\u20132137"},{"key":"9947_CR15","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1016\/j.diabres.2009.10.007","volume":"87","author":"JE Shaw","year":"2010","unstructured":"Shaw JE, Sicree RA, Zimmet PZ (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87:4\u201314","journal-title":"Diabetes Res Clin Pract"},{"issue":"11","key":"9947_CR16","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.2337\/dc09-0264","volume":"32","author":"SW Park","year":"2009","unstructured":"Park SW, Goodpaster BH, Lee JS, Kuller LH, Boudreau R, de Rekeneire N, Harris TB, Kritchevsky S, Tylavsky FA, Nevitt M, Cho YW, Newman AB (2009) Excessive loss of skeletal muscle mass in older adults with type 2 diabetes. Diabetes Care 32(11):1993\u20131997","journal-title":"Diabetes Care"},{"issue":"4","key":"9947_CR17","doi-asserted-by":"publisher","first-page":"736","DOI":"10.2337\/dc08-1781","volume":"32","author":"JI Barzilay","year":"2009","unstructured":"Barzilay JI, Cotsonis GA, Walston J, Schwartz AV, Satterfield S, Miljkovic I, Harris TB (2009) Health ABC Study. Insulin resistance is associated with decreased quadriceps muscle strength in nondiabetic adults aged\u2009>\u2009or =\u200970 years. Diabetes Care 32(4):736\u2013738","journal-title":"Diabetes Care"},{"key":"9947_CR18","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1111\/jgs.12204","volume":"61","author":"RR Kalyani","year":"2013","unstructured":"Kalyani RR, Tra Y, Yeh HC, Egan JM, Ferrucci L, Brancati FL (2013) Quadriceps strength, quadriceps power, and gait speed in older U.S. Adults with diabetes mellitus: results from the National health and nutrition examination Survey, 1999\u20132002. J Am Geriatr Soc 61:769\u2013775","journal-title":"J Am Geriatr Soc"},{"key":"9947_CR19","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/1471-2318-9-49","volume":"9","author":"CK Kuo","year":"2009","unstructured":"Kuo CK, Lin LY, Yu YH, Wu KH, Kuo HK (2009) Inverse association between insulin resistance and gait speed in nondiabetic older men: results from the U.S. National health and nutrition examination survey (NHANES) 1999\u20132002. BMC Geriatr 9:49","journal-title":"BMC Geriatr"},{"key":"9947_CR20","doi-asserted-by":"publisher","DOI":"10.1038\/gimo40","author":"JL Wise","year":"2006","unstructured":"Wise JL, Murray JA (2006) Oral, pharyngeal and esophageal motility disorders in systemic diseases. GI Motil Online. https:\/\/doi.org\/10.1038\/gimo40","journal-title":"GI Motil Online"},{"issue":"12","key":"9947_CR21","doi-asserted-by":"publisher","first-page":"2650","DOI":"10.2337\/dc05-2486","volume":"29","author":"DA Restivo","year":"2006","unstructured":"Restivo DA, Marchese-Ragona R, Lauria G, Squatrito S, Gullo D, Vigneri R (2006) Botulinum toxin treatment for oropharyngeal dysphagia associated with diabetic neuropathy. Diabetes Care 29(12):2650\u20132653","journal-title":"Diabetes Care"},{"issue":"7","key":"9947_CR22","doi-asserted-by":"publisher","first-page":"2005","DOI":"10.1007\/s00405-020-05902-2","volume":"277","author":"C Sayaca","year":"2020","unstructured":"Sayaca C (2020) Swallowing difficulty and swallowing anxiety in patients with type-II diabetes mellitus. Eur Arch\u0131ves Oto-Rh\u0131no-Laryngology 277(7):2005\u20132010","journal-title":"Eur Arch\u0131ves Oto-Rh\u0131no-Laryngology"},{"key":"9947_CR23","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","volume":"12","author":"MF Folstein","year":"1975","unstructured":"Folstein MF, Folstein SE, McHugh PR (1975) Minimental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189\u2013198","journal-title":"J Psychiatr Res"},{"key":"9947_CR24","first-page":"273","volume":"13","author":"C G\u00fcngen","year":"2002","unstructured":"G\u00fcngen C, Ertan T, Eker E, Ya\u011far R, Engin F (2002) Standardize mini mental test\u2019in T\u00fcrk Toplumunda Hafif demans Tanisinda ge\u00e7erlik ve g\u00fcvenilirli\u011fi. Turk Psikiyatri Derg 13:273\u2013281","journal-title":"Turk Psikiyatri Derg"},{"key":"9947_CR25","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1007\/s00455-016-9723-9","volume":"31","author":"N Demir","year":"2016","unstructured":"Demir N, Serel Arslan S, \u0130nal \u00d6, Karaduman AA (2016) Reliability and validity of the Turkish eating assessment tool (T-EAT-10). Dysphagia 31:644\u2013649","journal-title":"Dysphagia"},{"key":"9947_CR26","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-1109-7","volume-title":"The clinician\u2019s guide to swallowing fluoroscopy","author":"PC Belafsky","year":"2014","unstructured":"Belafsky PC, Kuhn MA (2014) The clinician\u2019s guide to swallowing fluoroscopy. Springer Science\u2009+\u2009Business Media, New York"},{"issue":"1","key":"9947_CR27","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/S0894-1130(00)80052-6","volume":"13","author":"JV Bellace","year":"2000","unstructured":"Bellace JV, Besser MP, Byron T, Hohman L (2000) Validity of the Dexter evaluation system\u2019s Jamar dynamometer attachment for assessment of handgrip strength in a normal population. J Hand Ther 13(1):46\u201351","journal-title":"J Hand Ther"},{"issue":"6","key":"9947_CR28","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/j.jvoice.2010.10.002","volume":"25","author":"J Maslan","year":"2011","unstructured":"Maslan J, Leng X, Rees C, Blalock D, Butler SG (2011) Maximum phonation time in healthy older adults. J Voice 25(6):709\u2013713","journal-title":"J Voice"},{"issue":"1","key":"9947_CR29","first-page":"46","volume":"29","author":"\u00c7 Sayaca","year":"2018","unstructured":"Sayaca \u00c7, K\u0131l\u0131n\u00e7 HE, Sayaca NA, Demir N, Karaduman A (2018) Is there any relationship between the neck flexor muscles Endurance, phonation time and peak expiratory flow rate in young individuals? Turk J Physiother Rehabil 29(1):46\u201351","journal-title":"Turk J Physiother Rehabil"},{"key":"9947_CR30","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1016\/j.oraloncology.2009.03.012","volume":"45","author":"JM Patterson","year":"2009","unstructured":"Patterson JM, McColl E, Carding PN, Kelly C, Wilson JA (2009) Swallowing performance in patients with head and neck cancer: A simple clinical test. Oral Oncol 45:904\u2013907","journal-title":"Oral Oncol"},{"issue":"2","key":"9947_CR31","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1093\/qjmed\/89.2.109","volume":"89","author":"TA Hughes","year":"1996","unstructured":"Hughes TA, Wiles CM (1996) Clinical measurement of swallowing in health and in neurogenic dysphagia. QJM 89(2):109\u2013116","journal-title":"QJM"},{"key":"9947_CR32","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1136\/jnnp.55.9.822","volume":"55","author":"KM Nathadwarawala","year":"1992","unstructured":"Nathadwarawala KM, Nicklin J, MWiles C (1992) A timed test of swallowing capacity for neurological patients. J Neurol Neurosurg Psychiatry 55:822\u2013825","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"2","key":"9947_CR33","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s00455-016-9758-y","volume":"32","author":"JA Cichero","year":"2017","unstructured":"Cichero JA, Lam P, Steele CM, Hanson B, Chen J, Dantas RO, Duivestein J, Kayashita J, Lecko C, Murray J, Pillay M, Riquelme L, Stanschus S (2017) Development of international terminology and definitions for Texture-Modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia 32(2):293\u2013314","journal-title":"Dysphagia"},{"key":"9947_CR34","unstructured":"Boolkin L (2016) The incidence of dysphagia in diabetic patients (Doctoral dissertation). Wits Institutional Repository (WIReDSpace)"},{"issue":"2","key":"9947_CR35","first-page":"405","volume":"1","author":"MM Saleh","year":"2017","unstructured":"Saleh MM, Bekhet MM, Khodeir MS, Zakaria DA, Bassiouny SE (2017) Screening of oropharyngeal dysphagia in patients with diabetes mellitus. Biomed J Sci Tech Res 1(2):405\u2013411","journal-title":"Biomed J Sci Tech Res"},{"key":"9947_CR36","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1044\/jslhr.4305.1264","volume":"43","author":"JA Logemann","year":"2000","unstructured":"Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH (2000) Temporal and Biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res 43:1264\u20131274","journal-title":"J Speech Lang Hear Res"},{"key":"9947_CR37","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1007\/s40520-015-0481-6","volume":"28","author":"C Di Pede","year":"2016","unstructured":"Di Pede C, Mantovani ME, Del Felice A, Masiero S (2016) Dysphagia in the elderly: focus on rehabilitation strategies. Aging Clin Exp Res 28:607\u2013617","journal-title":"Aging Clin Exp Res"},{"issue":"1","key":"9947_CR38","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s00455-003-0030-x","volume":"19","author":"MC Wu","year":"2004","unstructured":"Wu MC, Chang YC, Wang TG, Lin LC (2004) Evaluating swallowing dysfunction using a 100-ml water swallowing test. Dysphagia 19(1):43\u201347","journal-title":"Dysphagia"},{"issue":"3","key":"9947_CR39","doi-asserted-by":"publisher","first-page":"425","DOI":"10.5535\/arm.2018.42.3.425","volume":"42","author":"EJ Ko","year":"2018","unstructured":"Ko EJ, Chae M, Cho SR (2018) Relationship between swallowing function and maximum phonation time in patients with parkinsonism. Ann Rehabil Med 42(3):425\u2013432","journal-title":"Ann Rehabil Med"},{"key":"9947_CR40","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/j.anl.2014.11.001","volume":"42","author":"B Barsties","year":"2015","unstructured":"Barsties B, De Bodt M (2015) Assessment of voice quality: current state-of-the-art. Auris Nasus Larynx 42:183\u2013188","journal-title":"Auris Nasus Larynx"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-025-09947-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-025-09947-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-025-09947-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T09:22:58Z","timestamp":1773393778000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-025-09947-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["9947"],"URL":"https:\/\/doi.org\/10.1007\/s00405-025-09947-z","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"7 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors confirm this study meets the guidelines of the Declaration of Helsinki and after The Uskudar University Noninvasive Clinical Research Ethics Committee approved the study protocol (Decision No: 61351342\/2020\u2009\u2212\u2009129), all subjects who accepted this study provided written informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}