L’effet du vieillissement sur les scores totaux obtenus à l’eating assessment tool-10 (Eat-10) par des adultes en santé vivant à domicile
Kendrea L Focht Garand, Elizabeth G. Hill, K. Armeson, Bonnie Martin-Harris
2020Canadian Journal of Speech-Language Pathology and Audiology
tlooto Summary
The Eating Assessment Tool-10, therefore, may not demonstrate the sensitivity needed to capture sub-clinical changes of the aging swallowing mechanism, and should be reconsidered for use in patients with gastroesophageal reflux disease.
Abstract
The purpose of this study was to examine how aging and sex impacted scores on the Eating Assessment Tool-10 in a large sample of healthy, non-dysphagic adults. Differences in Eating Assessment Tool-10 total normal (< 3) and abnormal (≥ 3) scores were examined across four age categories (21–39 years, 40–59 years, 60–79 years, 80 years and older) and between sexes. The mean (± SD) Eating Assessment Tool-10 total score for this healthy cohort of 167 individuals was 0.6 (± 1.6), with the majority of participants (75%) earning a score of zero. No significant differences were found in Eating Assessment Tool-10 total scores across age categories (p = .53) or between sexes (p = .79). Post-hoc analyses further explored relationships between Eating Assessment Tool-10 total scores and swallow performance measures as observed during videofluoroscopy. All participants (n = 15) scoring 3 and greater on the Eating Assessment Tool-10 passed an aspiration screen (i.e., 3-ounce water swallow challenge). Nine participants scoring less than 3 and failing the aspiration screen were not observed to have airway invasion as measured by the Penetration-Aspiration Scale during videofluoroscopy. A significant relationship was not observed between Eating Assessment Tool-10 total scores and highest Penetration-Aspiration Scale score. Eating Assessment Tool-10 total scores reported in the current study for patients with gastroesophageal reflux disease were significantly lower (p < .001) than total scores reported in the Eating Assessment Tool-10 validation study by Belafsky et al. (2008). In summary, aging or sex effects did not appear to impact self-report of dysphagia-related symptoms as measured by the Eating Assessment Tool-10. The Eating Assessment Tool-10, therefore, may not demonstrate the sensitivity needed to capture sub-clinical changes of the aging swallowing mechanism. Kendrea L. (Focht) Garand Elizabeth G. Hill Kent Armeson Bonnie Martin-Harris Aging Effects on Eating Assessment Tool-10 (EAT-10) Total Scores in Healthy, Community-Dwelling Adults L’effet du vieillissement sur les scores totaux obtenus à l’Eating Assessment Tool-10 (EAT-10) par des adultes en santé vivant à domicile Kendrea L. (Focht) Garand University of South Alabama, Mobile, AL, USA Elizabeth G. Hill and Kent Armeson Medical University of South Carolina, Charleston, SC, USA Bonnie Martin-Harris Northwestern University, Evanston, IL, USA Editor: Emily Zimmerman Editor-in-Chief: David H. McFarland
Citation format
GARAND, Kendrea L Focht, et al. L’effet du vieillissement sur les scores totaux obtenus à l’eating assessment tool-10 (eat-10) par des adultes en santé vivant à domicile. Canadian Journal of Speech-Language Pathology and Audiology, 2020, 44: 1–8.