{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T16:11:41Z","timestamp":1770221501143,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T00:00:00Z","timestamp":1395014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["NIDCD 1K23DC011056"],"award-info":[{"award-number":["NIDCD 1K23DC011056"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["NIDCD 1K23DC010776"],"award-info":[{"award-number":["NIDCD 1K23DC010776"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["NIAR 37AG11703"],"award-info":[{"award-number":["NIAR 37AG11703"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine whether symptoms and clinical signs of swallowing dysfunction could be easily identified in community\u2010dwelling elderly adults and to examine the association between self\u2010report and direct observation of symptoms and signs of swallowing dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Physiological substudy conducted as a home visit within an observational cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Baltimore City and County, Maryland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Community\u2010dwelling elderly women without history of dysphagia or neurological disease aged 85 to 94 enrolled in the\n                      <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>\n                      omen's\n                      <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                      ealth and\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      ging\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      tudy\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      (N\u00a0=\u00a047).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Three trials of the 3\u2010ounce water swallowing test, swallowing function questionnaire, and frailty status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010four (72%) subjects demonstrated swallowing dysfunction in at least one swallowing trial and 16 (34%) in all three trials. The most common signs of dysfunction were throat clear and wet voice. Conversely, participants reported few symptoms of dysphagia on a swallowing function questionnaire. The most common symptom, reported by approximately 15% of participants, was the sensation of the food going \u201cdown the wrong way,\u201d 8.5% or fewer participants reported other symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Signs of swallowing dysfunction were present in a large majority of community\u2010dwelling old\u2010old women, but they were largely unrecognized and reported. Formal evaluation of swallowing function in community\u2010dwelling elderly adults is necessary to determine the clinical consequences of these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12745","type":"journal-article","created":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T15:43:25Z","timestamp":1395071005000},"page":"716-720","source":"Crossref","is-referenced-by-count":52,"title":["Dysphagia in Old\u2010Old Women: Prevalence as Determined According to Self\u2010Report and the 3\u2010Ounce Water Swallowing Test"],"prefix":"10.1111","volume":"62","author":[{"given":"Marl\u00eds","family":"Gonz\u00e1lez\u2010Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation School of Medicine Johns Hopkins University Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ianessa","family":"Humbert","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation School of Medicine Johns Hopkins University Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Winegrad","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health Johns Hopkins University Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne R.","family":"Cappola","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes and Metabolism Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda P.","family":"Fried","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health Columbia University New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,17]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"U.S. Census Bureau.2012 National Population Projections: Summary tables; Table 12. 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