Clinical trial NCT06491407: RISK FACTOR ANALYSIS OF CHEWING AND SWALLOWING PERFORMANCE IN GERIATRICS
Official title: ANALYSIS OF FACTORS INFLUENCING CHEWING AND SWALLOWING PERFORMANCE IN GERIATRICS WITHIN THE SCOPE OF INTERNATIONAL CLASSİFİCATION OF FUNCTIONING, DISABILITY, AND HEALTH
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Swallowing Disorder
Chewing Problem
Geriatrics
Keywords: swallow
chewing
geriatrics
risk factor
Lead sponsor: Atılım University
Sponsor class: OTHER
Collaborators: name: Hacettepe University
First posted: 2024-07-09
Enrollment: 240
Sex: ALL
Minimum age (years): 65
Maximum age (years): 120
Standard ages: OLDER_ADULT
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Geriatrics over the age of 65 who come for routine examination for Hacettepe University Hospital Geriatri Clinis will be included in the study.

Brief summary: Various structural and functional problems in neural, sensory and perceptual, cardiovascular, pulmonary, gastrointestinal, endocrine, and musculoskeletal systems occur in geriatrics not associated with a specific disease. One of the problems observed in geriatrics is chewing and swallowing disorders. Failure to detect changes in chewing and swallowing performance in elderly individuals at an early stage may lead to chewing and swallowing disorders and serious complications in later stages. Therefore, it is necessary to comprehensively and systematically address the possible factors affecting chewing and swallowing performance in geriatric individuals.

The first aim of the study is to analyze the factors affecting chewing and swallowing performance in geriatric individuals within the scope of the International Classification of Functioning, Disability, and Health (ICF). The second aim of the study is to create a dysphagia risk prediction model for geriatric individuals based on the results of the analyses to be conducted.

In the study, the dependent variables, chewing performance, will be evaluated with the Chewing and Swallowing Test of Solids, and swallowing performance will be assessed with the Repetitive Saliva Swallowing Test and Dysphagia Limit. Independent variables affecting chewing and swallowing performance have been considered within the scope of the ICF, and all possible factors determined for both geriatrics and swallowing have been listed, and the evaluation parameters and assessment tools have been decided. The evaluation parameters have been categorized under ICF headings such as personal factors, body structures, body functions, activity and participation, and environmental factors, and the evaluations to be conducted have been divided into two groups: geriatric and physiotherapy evaluations. The geriatric evaluations are part of routine geriatric assessment and do not include any specific evaluation for the study. Physiotherapy evaluations will be applied in a certain order to use time efficiently and will take approximately 35-45 minutes. Through geriatric and physiotherapy evaluations, a holistic assessment of participants within the scope of ICF will be ensured.


Eligibility criteria: Inclusion Criteria:

* being voluntary to participation,
* Being over 65 years old,
* Understanding and following simple instructions,
* Being able to walk independently for 4 meters.

Exclusion Criteria:

* Having a problem that prevents communication and/or following simple instructions.

Primary outcomes:
measure: Chewing performance
timeFrame: 1 day
measure: Swallowing performance
timeFrame: 1 day
Secondary outcomes:
measure: Deccriptive informations
timeFrame: 1 day
measure: Fragility Assessment
timeFrame: 1 day
measure: posture assessment
timeFrame: 1 day
measure: oral structure assessment
timeFrame: 1 day
measure: cognitive assessment
timeFrame: 1 day
measure: emotional status assessment
timeFrame: 1 day
measure: appetite assessment
timeFrame: 1 day
measure: sleep assessment
timeFrame: 1 day
measure: hearing and vision assessment
timeFrame: 1 day
measure: taste and smell assessment
timeFrame: 1 day
measure: intraoral sensation assessment
timeFrame: 1 day
measure: Temporomandibular pain assessment
timeFrame: 1 day
measure: fonation assessment
timeFrame: 1 day
measure: articulation assessment
timeFrame: 1 day
measure: Respiratory assessment
timeFrame: 1 day
measure: exercise tolerance assessment
timeFrame: 1 day
measure: Feeding and oral intake assessment
timeFrame: 1 day
measure: Laryngeopharyngeal reflux assessment
timeFrame: 1 day
measure: oral health assessment
timeFrame: 1 day
measure: oral dryness assessment
timeFrame: 1 day
measure: swallow problems assessment
timeFrame: 1 day
measure: Temporomandibular joint range of motion
timeFrame: 1 day
measure: jaw openin force
timeFrame: 1 day
measure: hand grip
timeFrame: 1 day
measure: 5 repetetion sit to stand test
timeFrame: 1 day
measure: Timed up and go
timeFrame: 1 day
measure: basic functional independance assessment
timeFrame: 1 day
measure: enstrümental functional independance assessment
timeFrame: 1 day
measure: social support assessment
timeFrame: 1 day
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Atılım Uiveristy
state: Incek
Study officials:
affiliation: Hacettepe University
name: Selen serel arslan, Prof
role: STUDY_DIRECTOR
References: