{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T13:52:48Z","timestamp":1793713968295,"version":"4.6.1"},"reference-count":37,"publisher":"Korean Society of Community Nutrition","issue":"5","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["kjcn.or.kr"],"crossmark-restriction":true},"short-container-title":["Korean J Community Nutr"],"published-print":{"date-parts":[[2025,10,31]]},"abstract":"<jats:p>Objectives: This review aimed to elucidate the characteristics of dysphagia and age-related swallowing changes (presbyphagia) in older adults and to comprehensively examine assessment tools and standardized meal management strategies applicable in community settings to propose effective meal management strategies for healthy longevity.Methods: Domestic and international literatures were analyzed regarding the definition and causes of dysphagia, physiological and structural characteristics and clinical impacts of presbyphagia, assessment and diagnostic tools (K-EAT-10 and K-DRACE), and the International Dysphagia Diet Standardization Initiative (IDDSI).Results: Dysphagia compromises safe swallowing and nutritional intake in older adults, leading to serious complications, such as aspiration pneumonia, dehydration, malnutrition, sarcopenia, and reduced quality of life. The K-EAT-10 and K-DRACE proved effective for rapid screening of dysphagia risk in community-dwelling older adults. Moreover, texture-modified meals and viscosity adjustments based on the IDDSI standards are useful for reducing the risk of aspiration and improving nutrient intake. Meals can be classified as liquidized, minced, chopped, or regular, allowing for individualized management.Conclusion: Presbyphagia is a multidimensional problem, and the integrated use of assessment tools and standardized meals is crucial. Community-based dysphagia management programs and collaboration among dietitians and healthcare professionals are needed to improve the nutritional status and quality of life of older adults.<\/jats:p>","DOI":"10.5720\/kjcn.2025.00290","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T05:47:17Z","timestamp":1762235237000},"page":"323-330","update-policy":"https:\/\/doi.org\/10.5720\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation and standardized dietary strategies for dysphagia in older adults: a narrative review"],"prefix":"10.5720","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0393-0353","authenticated-orcid":true,"given":"Jean Kyung","family":"Paik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3694","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.6107\/jkha.2025.36.1.031"},{"key":"ref2","volume-title":"2025 Elderly Statistics [Internet]","year":"2025"},{"key":"ref3","volume-title":"","author":"Kim","year":"2020"},{"key":"ref4","first-page":"727","volume-title":"Current research trends on prevalence, correlates with cognitive function, and intervention on sarcopenia in community-dwelling older adults: systematic review","author":"Ahn","year":"2016"},{"key":"ref5","first-page":"271","volume-title":"Physiological parameters related to health of the elderly","author":"Kim","year":"2020"},{"key":"ref6","volume-title":"2023 Survey on the status of older adults","author":"Kang","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.20878\/cshr.2023.29.10.002"},{"key":"ref8","volume-title":"Geriatrics fact sheet 2018 [Internet]","year":"2018"},{"key":"ref9","volume-title":"8th Korean Standard Classification of Diseases: digestive system and abdominal symptoms and signs. 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