Description of Swallowing and Chewing Processes in Adults with Down Syndrome: An Exploratory Review
##plugins.themes.bootstrap3.article.details##
Background: Down syndrome is the most prevalent genetic condition among people with disabilities. Given the increased life expectancy of these patients, it is important to improve their general and oral health conditions in adult life. During this stage of their life cycle, effects of aging such as loss of muscle mass, strength, and coordination, are added to their condition, which also impacts the stomatognathic system and causes alterations in vital functions such as swallowing and chewing. Purpose: To explore and describe the characteristics of the orofacial functions of swallowing and chewing in adults with Down syndrome. Methods: A search for titles was performed in the PubMed, LiLACS and SciELO databases. The terms and Boolean operators used were (down syndrome) AND (feeding disorders); (down syndrome) AND ((deglutition disorders) OR (dysphagia)); and (down syndrome) AND ((chewing disorders) OR (masticatory dysfunction)). Findings: The search yielded 82 articles and, after carrying out a selection process, 11 articles were included to prepare the review. Conclusions: Adults with Down syndrome have anatomical and functional features that affect the chewing and swallowing processes. Likewise, the characteristics of the food can also influence the performance of both orofacial functions. It is recommended to study, in future research, the parental or caregiver perspectives of swallowing and chewing of adults with Down syndrome to determine how they influence the feeding process and identify the actions they perform to facilitate this process.
adultos, deglución, discapacidad, funciones orofaciales, masticación, medicina oral, odontología, paciente especial, síndrome de Downadults, chewing, dentistry, disability, Down syndrome, mastication, oral medicine, orofacial functions, special patient, swallowingadultos, deficiência, deglutição, funções orofaciais, mastigação, medicina oral, odontologia, paciente especial, síndrome de Down
2. Nazer H J, Cifuentes O L. Malformaciones congénitas en Chile y Latino América: una visión epidemiológica del ECLAMC del período 1995-2008. Rev Med Chile. 2011 Jan; 139(1): 72-78.
3. Glasson EJ, Dye DE, Bittles AH. The triple challenges associated with age-related comorbidities in Down syndrome. J Intellect Disabil Res. 2014 Apr; 58(4): 393-398. https://dx.doi.org/10.1111/jir.12026
4. Hawkins BA, Eklund SJ, James DR, Foose AK. Adaptive behavior and cognitive function of adults with down syndrome: modeling change with age. Ment Retard. 2003 Feb; 41(1): 7-28. https://dx.doi.org/10.1352/0047-6765(2003)041<0007:ABACFO>2.0.CO;2
5. Head E, Lott IT, Wilcock DM, Lemere CA. Aging in Down Syndrome and the Development of Alzheimer's Disease Neuropathology. Curr Alzheimer Res. 2016; 13(1): 18-29. https://dx.doi.org/10.2174/1567205012666151020114607
6. Lazenby T. The impact of aging on eating, drinking, and swallowing function in people with Down's syndrome. Dysphagia. 2008 Mar; 23(1): 88-97. https://dx.doi.org/10.1007/s00455-007-9096-1
7. Prasher VP, Metseagharun T, Haque S. Weight loss in adults with Down syndrome and with dementia in Alzheimer's disease. Res Dev Disabil. 2004 Jan-Feb;25(1): 1-7. https://dx.doi.org/10.1016/j.ridd.2003.04.005
8. Hennequin M, Faulks D, Veyrune JL, Bourdiol P. Significance of oral health in persons with Down syndrome: a literature review. Dev Med Child Neurol. 1999 Apr; 41(4): 275-283. https://dx.doi.org/10.1017/s0012162299000596
9. Hashimoto M, Igari K, Hanawa S, Ito A, Takahashi A, Ishida N, Koyama S, Ono T, Sasaki K. Tongue pressure during swallowing in adults with down syndrome and its relationship with palatal morphology. Dysphagia. 2014 Aug; 29(4): 509-518. https://dx.doi.org/10.1007/s00455-014-9538-5
10. Smith CH, Teo Y, Simpson S. An observational study of adults with Down syndrome eating independently. Dysphagia. 2014 Feb; 29(1): 52-60. https://dx.doi.org/10.1007/s00455-013-9479-4
11. Zárate N, Mearin F, Hidalgo A, Malagelada JR. Prospective evaluation of esophageal motor dysfunction in Down's syndrome. Am J Gastroenterol. 2001 Jun; 96(6): 1718-1724. https://dx.doi.org/10.1111/j.1572-0241.2001.03864.x
12. Allison PJ, Peyron MA, Faye M, Hennequin M. Video evaluation for mastication validation in persons with Down's syndrome. Dysphagia. 2004 Spring; 19(2): 95-99. https://dx.doi.org/10.1007/s00455-003-0506-8
13. Hennequin M, Mazille MN, Cousson PY, Nicolas E. Increasing the number of inter-arch contacts improves mastication in adults with Down syndrome: a prospective controlled trial. Physiol Behav. 2015 Jun 1; 145: 14-21. https://dx.doi.org/10.1016/j.physbeh.2015.03.034
14. Thacker A, Abdelnoor A, Anderson C, White S, Hollins S. Indicators of choking risk in adults with learning disabilities: a questionnaire survey and interview study. Disabil Rehabil. 2008; 30(15): 1131-1138. https://dx.doi.org/10.1080/09638280701461625
15. Chenbhanich J, Wu A, Phupitakphol T, Atsawarungruangkit A, Treadwell T. Hospitalisation of adults with Down syndrome: lesson from a 10-year experience from a community hospital. J Intellect Disabil Res. 2019 Mar; 63(3): 266-276. https://dx.doi.org/10.1111/jir.12572
16. Bermudez BEBV, de Oliveira CM, de Lima Cat MN, Magdalena NIR, Celli A. Gastrointestinal disorders in Down syndrome. Am J Med Genet A. 2019 Aug; 179(8): 1426-1431. https://dx.doi.org/10.1002/ajmg.a.61258
17. Pinheiro DLDSA, Alves GÂDS, Fausto FMM, Pessoa LSF, Silva LAD, Pereira SMF, Almeida LNA. Effects of electrostimulation associated with masticatory training in individuals with down syndrome. Codas. 2018; 30(3): e20170074. https://dx.doi.org/10.1590/2317-1782/20182017074
18. Hennequin M, Allison PJ, Faulks D, Orliaguet T, Feine J. Chewing indicators between adults with Down syndrome and controls. J Dent Res. 2005 Nov; 84(11): 1057-1061. https://dx.doi.org/10.1177/154405910508401117
19. Mazille MN, Woda A, Nicolas E, Peyron MA, Hennequin M. Effect of occlusal appliance wear on chewing in persons with Down syndrome. Physiol Behav. 2008 Mar 18; 93(4-5): 919-929. https://dx.doi.org/10.1016/j.physbeh.2007.12.010
This work is licensed under a Creative Commons Attribution 4.0 International License.