{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T14:07:04Z","timestamp":1787407624414,"version":"build-2736575974"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005760","name":"University of Gothenburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005760","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Dysphagia"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Swallowing difficulties commonly co-occur with malnutrition in the elderly. However, there is no consensus on which assessment tools to use, and thus reported prevalence varies. The aim of this study was to survey the prevalence of dysphagia and risk of malnutrition in elderly people in nursing homes, evaluate the possible associations between swallowing function and malnutrition and survey whether there were associations between self-perceived function and the results of a screening of dysphagia. A total of 35 residents (aged 67\u2013100\u00a0years old) without serious cognitive impairment in the general wards of two nursing homes in Gothenburg were investigated. Swallowing ability was assessed with the Gugging Swallowing Screen (GUSS) test, self-rated swallowing ability with the 4QT and the Swedish Eating Assessment Tool-10 (S-EAT-10) and risk of malnutrition with the Minimal Eating Observation and Nutrition Form-Version 2 (MEONF-II). Eleven participants (31.4%) exhibited dysphagia according to the GUSS and 10 participants (29.4%) showed moderate or high risk of malnutrition. In total 16 (46%) participants reported abnormal swallowing on 4QT and 14 (40%) participants reported abnormal swallowing on S-EAT-10. However, less than half of these had dysphagia according to the GUSS. No association was found between swallowing ability measured by the GUSS and risk of malnutrition, although a tendency towards a weak association was noted, or self-rated swallowing ability measured by the 4QT and S-EAT-10. The study found that approximately one-third of the tested participants presented with signs of dysphagia as measured with the screening instrument GUSS, even though only a few were known to have any difficulties prior to testing. This highlights that dysphagia is probably more prevalent than patients themselves and caregivers are aware of, thus, screening is of importance, to enable safer nutritional intake.<\/jats:p>","DOI":"10.1007\/s00455-024-10682-6","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T09:02:41Z","timestamp":1709629361000},"page":"1065-1070","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Prevalence of Dysphagia and Risk of Malnutrition in Elderly Living in Nursing Homes"],"prefix":"10.1007","volume":"39","author":[{"given":"Alva Vilpi","family":"Engberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustav","family":"R\u00e5ngevall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Eriksson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2081-3589","authenticated-orcid":false,"given":"Lisa","family":"Tuomi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"10682_CR1","doi-asserted-by":"publisher","first-page":"189","DOI":"10.2147\/CIA.S97481","volume":"11","author":"R Wirth","year":"2016","unstructured":"Wirth R, Dziewas R, Beck AM, Clav\u00e9 P, Hamdy S, Heppner HJ, Langmore S, Leischker AH, Martino R, Pluschinski P, R\u00f6sler A, Shaker R, Warnecke T, Sieber CC, Volkert D. Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging. 2016;11:189\u2013208.","journal-title":"Clin Interv Aging"},{"key":"10682_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103813","volume":"114","author":"C Estupi\u00f1\u00e1n Artiles","year":"2021","unstructured":"Estupi\u00f1\u00e1n Artiles C, Regan J, Donnellan C. Dysphagia screening in residential care settings: a scoping review. Int J Nurs Stud. 2021;114: 103813.","journal-title":"Int J Nurs Stud"},{"key":"10682_CR3","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.gerinurse.2013.02.014","volume":"34","author":"YH Park","year":"2013","unstructured":"Park YH, Han HR, Oh BM, Lee J, Park JA, Yu SJ, Chang H. Prevalence and associated factors of dysphagia in nursing home residents. Geriatr Nurs. 2013;34:212\u20137.","journal-title":"Geriatr Nurs"},{"key":"10682_CR4","doi-asserted-by":"publisher","first-page":"2948","DOI":"10.1161\/STROKEAHA.107.483933","volume":"38","author":"M Trapl","year":"2007","unstructured":"Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007;38:2948\u201352.","journal-title":"Stroke"},{"issue":"9","key":"10682_CR5","doi-asserted-by":"publisher","first-page":"2605","DOI":"10.3390\/jcm11092605","volume":"11","author":"TN Doan","year":"2022","unstructured":"Doan TN, Ho WC, Wang LH, Chang FC, Nhu NT, Chou LW. Prevalence and methods for assessment of oropharyngeal dysphagia in older adults: a systematic review and meta-analysis. J Clin Med. 2022;11(9):2605.","journal-title":"J Clin Med"},{"key":"10682_CR6","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1016\/j.jamda.2018.10.025","volume":"20","author":"EK Lindroos","year":"2019","unstructured":"Lindroos EK, Saarela RKT, Suominen MH, Muurinen S, Soini H, Kautiainen H, Pitk\u00e4l\u00e4 KH. Burden of oral symptoms and its associations with nutrition, well-being, and survival among nursing home residents. J Am Med Dir Assoc. 2019;20:537\u201343.","journal-title":"J Am Med Dir Assoc"},{"key":"10682_CR7","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1186\/s12877-022-03114-3","volume":"22","author":"P H\u00e4gglund","year":"2022","unstructured":"H\u00e4gglund P, Gustafsson M, L\u00f6vheim H. Oropharyngeal dysphagia and associated factors among individuals living in nursing homes in northern Sweden in 2007 and 2013. BMC Geriatr. 2022;22:421.","journal-title":"BMC Geriatr"},{"key":"10682_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/21551197.2014.1002656","volume":"34","author":"AM Namasivayam","year":"2015","unstructured":"Namasivayam AM, Steele CM. Malnutrition and dysphagia in long-term care: a systematic review. J Nutr Gerontol Geriatr. 2015;34:1\u201321.","journal-title":"J Nutr Gerontol Geriatr"},{"key":"10682_CR9","volume-title":"\u00d6vers\u00e4ttning av sv\u00e4ljtestet GUSS f\u00f6r att uppt\u00e4cka dysfagi efter stroke [English: Translation of the swallowing test Gugging Swallowing Screen to detect dysphagia following stroke]","author":"RM Said","year":"2020","unstructured":"Said RM, Salem D. \u00d6vers\u00e4ttning av sv\u00e4ljtestet GUSS f\u00f6r att uppt\u00e4cka dysfagi efter stroke [English: Translation of the swallowing test Gugging Swallowing Screen to detect dysphagia following stroke]. Ume\u00e5: Ume\u00e5 University; 2020."},{"key":"10682_CR10","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1111\/ene.13251","volume":"24","author":"T Warnecke","year":"2017","unstructured":"Warnecke T, Im S, Kaiser C, Hamacher C, Oelenberg S, Dziewas R. Aspiration and dysphagia screening in acute stroke - the Gugging Swallowing Screen revisited. Eur J Neurol. 2017;24:594\u2013601.","journal-title":"Eur J Neurol"},{"key":"10682_CR11","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1007\/s41999-019-00249-2","volume":"10","author":"E Umay","year":"2019","unstructured":"Umay E, Eyigor S, Karahan AY, Gezer IA, Kurkcu A, Keskin D, Karaca G, Unlu Z, T\u0131k\u0131z C, Vural M, Aydeniz B, Alemdaroglu E, Bilir EE, Yal\u0131man A, Sen EI, Akaltun MS, Alt\u0131ndag O, Keles BY, Bilgilisoy M, Ozcete ZA, Demirhan A, Gundogdu I, Inanir M, Calik Y. The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study. Eur Geriatr Med. 2019;10:879\u201387.","journal-title":"Eur Geriatr Med"},{"key":"10682_CR12","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. Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: the IDDSI framework. Dysphagia. 2017;32:293\u2013314.","journal-title":"Dysphagia"},{"key":"10682_CR13","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/1472-6955-13-18","volume":"13","author":"A Westergren","year":"2014","unstructured":"Westergren A, Torfad\u00f3ttir O, Hagell P. Inter- and intrarater reliability of minimal eating observation and nutrition form - version II (MEONF-II) nurse assessments among hospital inpatients. BMC Nurs. 2014;13:18.","journal-title":"BMC Nurs"},{"key":"10682_CR14","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/1472-6955-10-24","volume":"10","author":"A Westergren","year":"2011","unstructured":"Westergren A, Norberg E, Hagell P. Diagnostic performance of the minimal eating observation and nutrition form - version II (MEONF-II) and nutritional risk screening 2002 (NRS 2002) among hospital inpatients - a cross-sectional study. BMC Nurs. 2011;10:24.","journal-title":"BMC Nurs"},{"key":"10682_CR15","doi-asserted-by":"publisher","first-page":"749","DOI":"10.3109\/00016489.2016.1146411","volume":"136","author":"R M\u00f6ller","year":"2016","unstructured":"M\u00f6ller R, Safa S, \u00d6stberg P. Validation of the Swedish translation of eating assessment tool (S-EAT-10). Acta Otolaryngol. 2016;136:749\u201353.","journal-title":"Acta Otolaryngol"},{"issue":"1","key":"10682_CR16","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3390\/geriatrics5010011","volume":"5","author":"K Tsang","year":"2020","unstructured":"Tsang K, Lau ES, Shazra M, Eyres R, Hansjee D, Smithard DG. A new simple screening Tool-4QT: can it identify those with swallowing problems? A Pilot Study. Geriatrics (Basel). 2020;5(1):11.","journal-title":"Geriatrics (Basel)"},{"key":"10682_CR17","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1097\/MRR.0000000000000494","volume":"44","author":"ZA Yi\u011fman","year":"2021","unstructured":"Yi\u011fman ZA, Umay E, Cankurtaran D, G\u00fczel \u015e. Swallowing difficulty in the older adults: presbyphagia or dysphagia with sarcopenia? Int J Rehabil Res. 2021;44:336\u201342.","journal-title":"Int J Rehabil Res"},{"key":"10682_CR18","doi-asserted-by":"publisher","DOI":"10.4081\/gc.2023.10972","author":"S Portinha","year":"2023","unstructured":"Portinha S, Sa-Couto P, Matos MA. A preliminary cross-sectional study to investigate the presence of sarcopenic dysphagia in a Portuguese geriatric population. Geriatr Care. 2023. https:\/\/doi.org\/10.4081\/gc.2023.10972.","journal-title":"Geriatr Care"},{"key":"10682_CR19","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1016\/j.otc.2013.08.005","volume":"46","author":"KW Altman","year":"2013","unstructured":"Altman KW, Richards A, Goldberg L, Frucht S, McCabe DJ. Dysphagia in stroke, neurodegenerative disease, and advanced dementia. Otolaryngol Clin North Am. 2013;46:1137\u201349.","journal-title":"Otolaryngol Clin North Am"},{"key":"10682_CR20","first-page":"602","volume":"68","author":"BA Moncayo-Hern\u00e1ndez","year":"2021","unstructured":"Moncayo-Hern\u00e1ndez BA, Herrera-Guerrero JA, Vinazco S, Ocampo-Chaparro JM, Reyes-Ortiz CA. Sarcopenic dysphagia in institutionalised older adults. Endocrinol Diabetes Nutr (Engl Ed). 2021;68:602\u201311.","journal-title":"Endocrinol Diabetes Nutr (Engl Ed)"},{"key":"10682_CR21","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1007\/s12603-014-0006-6","volume":"18","author":"JM Meijers","year":"2014","unstructured":"Meijers JM, Schols JM, Halfens RJ. Malnutrition in care home residents with dementia. J Nutr Health Aging. 2014;18:595\u2013600.","journal-title":"J Nutr Health Aging"},{"key":"10682_CR22","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.clnu.2009.12.013","volume":"29","author":"K Vanderwee","year":"2010","unstructured":"Vanderwee K, Clays E, Bocquaert I, Gobert M, Folens B, Defloor T. Malnutrition and associated factors in elderly hospital patients: a Belgian cross-sectional, multi-centre study. Clin Nutr. 2010;29:469\u201376.","journal-title":"Clin Nutr"},{"key":"10682_CR23","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1007\/s00455-023-10555-4","volume":"38","author":"M Noorani","year":"2023","unstructured":"Noorani M, Bolognone RK, Graville DJ, Palmer AD. The association between dysphagia symptoms, DIGEST Scores, and severity ratings in individuals with Parkinson\u2019s disease. Dysphagia. 2023;38:1295\u2013307.","journal-title":"Dysphagia"}],"container-title":["Dysphagia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-024-10682-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00455-024-10682-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-024-10682-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T08:07:55Z","timestamp":1732867675000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00455-024-10682-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,5]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10682"],"URL":"https:\/\/doi.org\/10.1007\/s00455-024-10682-6","relation":{},"ISSN":["0179-051X","1432-0460"],"issn-type":[{"value":"0179-051X","type":"print"},{"value":"1432-0460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,5]]},"assertion":[{"value":"16 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2024","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 have no relevant financial or non-financial interests to disclose. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Swedish Ethical Review Authority. All participants signed an informed consent before inclusion in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}