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DOI: 10.1055/s-0045-1810025
Self-Reported Dysphagia and Laryngopharyngeal Reflux among a Community-Dwelling Elderly Rural Population
Authors
Funding The author(s) received no financial support for the research.

Abstract
Introduction
There is a lack of community-dwelling population-based examinations of geriatric dysphagia and laryngopharyngeal reflux (LPR).
Objective
To assess the prevalence of geriatric dysphagia and laryngopharyngeal reflux (LPR) in a community-dwelling population from a rural area.
Methods
Volunteers from Velestino, a 4,000-person community, were given the Eating Assessment Tool (EAT-10) and Reflux Symptom Index (RSI) questionnaires at the health center. Demographic, medical, and pharmaceutical histories were recorded.
Results
160 participants (92 females, 68 males) self-presented. Ages were between 65–95 years (Mean 76.04). 27 (16.88%) scored an abnormal EAT-10 and 13 (8.13%) RSI over 13. RSI was statistically correlated with total and positive only EAT-10 scores. Age and gender did not affect EAT-10 or RSI scores. The EAT-10 score decreased with age progression.
Conclusion
This is one of the few studies to investigate the relationship between geriatric dysphagia and LPR in a rural population. A 23.0% prevalence of dysphagia was observed in elderly adults as well as an increase in both EAT-10 and RSI scores with age progression. More studies are needed to explore this field.
Authors' Contribution
Conceptualization: E.P and A.D.; Formal analysis and investigation: J.P. and I.G.; Methodology: G.S. and A.D.; Supervision: E.P. and A.D.; Visualization: M.K.; Writing - original draft preparation: G.S. and A.D.; Writing - review and editing: G.S., M.K., E.P. and A.D.
Ethics Statement
The study protocol was reviewed and approved by the Ethics Committee of the Athens University Medical School and the Peripheral General Hospital of Volos with reference number 10161/01-07-2013. All participants signed an informed consent.
Publication History
Received: 20 March 2024
Accepted: 24 May 2025
Article published online:
09 October 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
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Giorgos Sideris, Melina Kourklidou, John Plioutas, Ilias Georgantis, Eleni Petridou, Alexander Delides. Self-Reported Dysphagia and Laryngopharyngeal Reflux among a Community-Dwelling Elderly Rural Population. Int Arch Otorhinolaryngol 2025; 29: s00451810025.
DOI: 10.1055/s-0045-1810025
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            References
- 1 Ekberg O, Feinberg MJ. Altered swallowing function in elderly patients without dysphagia: radiologic findings in 56 cases. AJR Am J Roentgenol 1991; 156 (06) 1181-1184
- 2 Baijens LW, Clavé P, Cras P. et al. European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging 2016; 11: 1403-1428
- 3 Morley JE. Dysphagia and Aspiration. J Am Med Dir Assoc 2015; 16 (08) 631-634
- 4 Noguchi S, Yatera K, Kato T. et al. Using oral health assessment to predict aspiration pneumonia in older adults. Gerodontology 2018; 35 (02) 110-116
- 5 Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice 2002; 16 (02) 274-277
- 6 Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 2002; 17 (02) 139-146
- 7 Streicher M, Wirth R, Schindler K, Sieber CC, Hiesmayr M, Volkert D. Dysphagia in Nursing Homes-Results From the NutritionDay Project. J Am Med Dir Assoc 2018; 19 (02) 141-147.e2
- 8 Ebenso B, Otu A, Giusti A. et al. Nature-Based One Health Approaches to Urban Agriculture Can Deliver Food and Nutrition Security. Front Nutr 2022; 9: 773746
- 9 Zheng M, Zhou S, Hur K, Chambers T, O'Dell K, Johns M. Disparities in the prevalence of self-reported dysphagia and treatment among U.S. adults. Am J Otolaryngol 2023; 44 (02) 103774
- 10 Mendelsohn AH. The Effects of Reflux on the Elderly: The Problems with Medications and Interventions. Otolaryngol Clin North Am 2018; 51 (04) 779-787
- 11 Khan A, Carmona R, Traube M. Dysphagia in the elderly. Clin Geriatr Med 2014; 30 (01) 43-53
- 12 Printza A, Kyrgidis A, Oikonomidou E, Triaridis S. Assessing laryngopharyngeal reflux symptoms with the Reflux Symptom Index: validation and prevalence in the Greek population. Otolaryngol Head Neck Surg 2011; 145 (06) 974-980
- 13 Printza A, Kyrgidis A, Pavlidou E, Triaridis S, Constantinidis J. Reliability and validity of the Eating Assessment Tool-10 (Greek adaptation) in neurogenic and head and neck cancer-related oropharyngeal dysphagia. Eur Arch Otorhinolaryngol 2018; 275 (07) 1861-1868
- 14 Chang BA, MacNeil SD, Morrison MD, Lee PK. The Reliability of the Reflux Finding Score Among General Otolaryngologists. J Voice 2015; 29 (05) 572-577
- 15 Pilotto A, Franceschi M, Leandro G. et al. Clinical features of reflux esophagitis in older people: a study of 840 consecutive patients. J Am Geriatr Soc 2006; 54 (10) 1537-1542
- 16 Belafsky PC, Mouadeb DA, Rees CJ. et al. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol 2008; 117 (12) 919-924
- 17 Namasivayam-MacDonald A, Lam B, Ma J, Affoo R. Prevalence, Incidence, and Predictors of Self-reported Swallowing Difficulties in Community-Dwelling Adults: A Population-Based Study from the Canadian Longitudinal Study on Aging (CLSA). Dysphagia 2023; 38 (05) 1406-1420
- 18 Namasivayam-MacDonald AM, Morrison JM, Steele CM, Keller H. How Swallow Pressures and Dysphagia Affect Malnutrition and Mealtime Outcomes in Long-Term Care. Dysphagia 2017; 32 (06) 785-796
- 19 Clavé P, Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol 2015; 12 (05) 259-270
- 20 Wakabayashi H, Matsushima M. Dysphagia Assessed by the 10-Item Eating Assessment Tool Is Associated with Nutritional Status and Activities of Daily Living in Elderly Individuals Requiring Long-Term Care. J Nutr Health Aging 2016; 20 (01) 22-27
- 21 Rofes L, Arreola V, Mukherjee R, Clavé P. Sensitivity and specificity of the Eating Assessment Tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia. Neurogastroenterol Motil 2014; 26 (09) 1256-1265
- 22 Lou Z, Lou ZH. Laryngopharyngeal reflux disease in the elderly. Eur Arch Otorhinolaryngol 2018; 275 (01) 315-316
- 23 Lindgren S, Janzon L. Prevalence of swallowing complaints and clinical findings among 50-79-year-old men and women in an urban population. Dysphagia 1991; 6 (04) 187-192
- 24 Serra-Prat M, Hinojosa G, López D. et al. Prevalence of oropharyngeal dysphagia and impaired safety and efficacy of swallow in independently living older persons. J Am Geriatr Soc 2011; 59 (01) 186-187
 
     
      
         
      
    
