Table 9 - Aging-related changes and swallowing


From the following article

How to perform video-fluoroscopic swallowing studies

Gary D. Gramigna

GI Motility online (2006)

doi:10.1038/gimo95

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Aging is accompanied by many subtle changes in swallowing function. In otherwise healthy subjects over 85 years, the following changes are observed:
Tongue muscle atrophy, which leads to reduced lingual propulsion
Hardening of flexible cartilages and age-related ossification
Sagging of the larynx (laryngoptosis)
Transit times are increased (delayed)
Residue increased
UES opening reduced
Timing of swallow response delayed (though not beyond norm of 1 second)
Frequent penetration into the airway but it is never beyond the vocal cords, and aspiration is never normal
Reduced sensations
Reduced cough reflex dysphagia and aspiration is never due to normal aging