{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:56:31Z","timestamp":1792058191791,"version":"4.4.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2007,11,1]],"date-time":"2007-11-01T00:00:00Z","timestamp":1193875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Epidemiological studies of dysphagia in the elderly are rare. A non-treatment-seeking, elderly cohort was surveyed to provide preliminary evidence regarding the prevalence, risks, and socioemotional effects of swallowing disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using a prospective, cross-sectional survey design, we interviewed 117 seniors living independently in Utah and Kentucky (39 men and 78 women; mean age, 76.1 years; SD, 8.5 years; range, 65 to 94 years) regarding 4 primary areas related to swallowing disorders: Lifetime and current prevalence, symptoms and signs, risk and protective factors, and socioemotional consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The lifetime prevalence of a swallowing disorder was 38%, and 33% of the participants reported a current problem. Most seniors with dysphagia described a sudden onset with chronic problems that had persisted for at least 4 weeks. Stepwise logistic regression identified 3 primary symptoms uniquely associated with a history of swallowing disorders: Taking a longer time to eat (odds ratio [OR], 9.5; 95% confidence interval [CI], 2.3 to 40.2); coughing, throat clearing, or choking before, during, or after eating (OR, 3.4; 95% CI, 1.1 to 10.2); and a sensation of food stuck in the throat (OR, 5.2; 95% CI, 1.8 to 10.0). Stroke (p = .02), esophageal reflux (p = .003), chronic obstructive pulmonary disease (p = .05), and chronic pain (p = .03) were medical conditions associated with a history of dysphagia. Furthermore, dysphagia produced numerous adverse socioemotional effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study provides preliminary evidence to suggest that chronic swallowing disorders are common among the elderly, and highlights the need for larger epidemiological studies of these disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/000348940711601112","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"858-865","source":"Crossref","is-referenced-by-count":273,"title":["Dysphagia in the Elderly: Preliminary Evidence of Prevalence, Risk Factors, and Socioemotional Effects"],"prefix":"10.1177","volume":"116","author":[{"given":"Nelson","family":"Roy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Stemple","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray M.","family":"Merrill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,11,1]]},"reference":[{"key":"bibr1-000348940711601112","first-page":"148","volume":"30","author":"Lieu PK","year":"2001","journal-title":"Ann Acad Med Singapore"},{"key":"bibr2-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.1.328"},{"key":"bibr3-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF02414428"},{"key":"bibr4-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.300.6726.721"},{"key":"bibr5-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-004-0013-6"},{"key":"bibr6-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493524"},{"key":"bibr7-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-001-0113-5"},{"key":"bibr8-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200204000-00001"},{"key":"bibr9-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(18)30465-8"},{"key":"bibr10-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1080\/14417040500055037"},{"key":"bibr11-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF00301912"},{"key":"bibr12-000348940711601112","first-page":"527","volume":"4","author":"Prasse JE","year":"2004","journal-title":"Geriatr Med"},{"key":"bibr13-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493526"},{"key":"bibr14-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493525"},{"key":"bibr15-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1002\/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-6"},{"key":"bibr16-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/023)"},{"key":"bibr17-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/042)"},{"key":"bibr18-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"bibr19-000348940711601112","first-page":"870","volume":"127","author":"Chen AY","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"bibr20-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180306da1"},{"key":"bibr21-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(97)70025-8"},{"key":"bibr22-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.02.002"},{"key":"bibr23-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1159\/000199618"},{"key":"bibr24-000348940711601112","doi-asserted-by":"publisher","DOI":"10.3109\/00016489109100771"},{"key":"bibr25-000348940711601112","doi-asserted-by":"publisher","DOI":"10.3109\/00365529009093155"},{"key":"bibr26-000348940711601112","author":"Speyer R","journal-title":"J Voice"},{"key":"bibr27-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1007\/BF02406975"},{"key":"bibr28-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.4.1096"},{"key":"bibr29-000348940711601112","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-199812000-00008"}],"container-title":["Annals of Otology, Rhinology &amp; 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