The Impact of Modifiable Preoral Factors on Swallowing and Nutritional Outcomes in Healthy Adults: A Scoping Review.

Purpose: Swallowing has previously been characterized as consisting of four phases; however, it has become apparent that these four phases are not truly discrete and may be influenced by factors occurring prior to bolus entrance into the oral cavity (i.e., preoral factors). Still, the relationship b...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 12; pp. 4860 - 4896
Autores principales: Burdick, Ryan, Bayne, David, Hitchcock, Mary, Gilmore-Bykovskyi, Andrea, Shune, Samantha, Rogus-Pulia, Nicole
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Dec2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00062
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        atl: The Impact of Modifiable Preoral Factors on Swallowing and Nutritional Outcomes in Healthy Adults: A Scoping Review.
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        au:
          Burdick, Ryan
          Bayne, David
          Hitchcock, Mary
          Gilmore-Bykovskyi, Andrea
          Shune, Samantha
          Rogus-Pulia, Nicole
        affil:
          Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin--Madison
          Geriatric Research Education and Clinical Center, William S. Middleton Veterans' Hospital, Madison, WI
          Communication Disorders and Sciences Program, University of Oregon, Eugene
          Ebling Library, University of Wisconsin--Madison
          BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin--Madison
      su:
        Food habits
        Hearing
        Drinking behavior
        Nutritional status
        Adults
        Online information services
        CINAHL database
        Medical databases
        Psychology information storage & retrieval systems
        Proprioception
        Oral health
        Systematic reviews
        Deglutition disorders
        Acquisition of data
        Medical records
        Vision
        MEDLINE
      sug:
        subj:
          Food habits
          Hearing
          Drinking behavior
          Nutritional status
          Adults
          Online information services
          CINAHL database
          Medical databases
          Psychology information storage & retrieval systems
          Proprioception
          Oral health
          Systematic reviews
          Deglutition disorders
          Acquisition of data
          Medical records
          Vision
          MEDLINE
      ab: Purpose: Swallowing has previously been characterized as consisting of four phases; however, it has become apparent that these four phases are not truly discrete and may be influenced by factors occurring prior to bolus entrance into the oral cavity (i.e., preoral factors). Still, the relationship between these factors and swallowing remains poorly understood. The aim of this review was to synthesize and characterize the literature pertaining to the influence of preoral factors on swallowing and nutritional outcomes in healthy individuals. Method: We performed a scoping review, searching the databases of PubMed, CINAHL, Cochrane, and Scopus. Search terms included those related to swallowing, experience of preoral factors, and exclusionary terminology to reduce animal and pediatric literature. Our initial search revealed 5,560 unique articles, of which 153 met our inclusionary criteria and were accepted into the review. Results: Of the accepted articles, 78% were focused exclusively on nutritional outcomes, 17% were focused on both swallowing and nutritional outcomes, and 5% were focused on solely swallowing outcomes. Of the preoral factors examined, 99% were exteroceptive in nature (17% olfactory, 44% visual, 21% auditory, 7% tactile, 11% other), while 1% were proprioceptive in nature. Conclusions: This review supports the influence of preoral factors on swallowing and nutritional outcomes. However, there is a large emphasis on the visual modality and on nutritional outcomes. Nearly none of the literature found in this review directly measured swallowing safety, efficiency, or physiology. Future work will benefit from a larger focus on proprioceptive preoral factors as they relate to swallowing outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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