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The Relationship Between Swallowing and Cognitive Functions

Year 2024, Volume: 10 Issue: 2, 381 - 389, 01.05.2024
https://doi.org/10.53394/akd.1192565

Abstract

Cognitive functions are important brain function that enables the acquisition, storage and use of information. Cognitive functions play an important role in the regulation and adjustment of swallowing function, as all body functions. Therefore, the characteristics of the individual, food and environment are percieved and predicted, and swallowing is carried out safely by adapting to changing conditions. In particular, basic cognitive functions including visual perception, orientation, attention, memory and executive functions are necessary for effective and safe swallowing. Swallowing function is examined as pre-swallowing phase, oral preparation, pharyngeal and esophageal phases. Although cognitive functions are primarily needed in the pre-swallowing phase and oral preparation phase, different levels of cognitive function are needed in the whole swallowing process. The relationship between cognitive disorders and swallowing disorders is clearly seen in conditions such as Alzheimer's, dementia and stroke where cognitive functions are affected. There is a need for more studies examining the relationship between cognitive functions and swallowing function, and new approaches in rehabilitation of swallowing disorders in line with these studies.

References

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Yutma ve Kognitif Fonksiyonların İlişkisi

Year 2024, Volume: 10 Issue: 2, 381 - 389, 01.05.2024
https://doi.org/10.53394/akd.1192565

Abstract

Kognitif fonksiyonlar; bilgi edinme, saklama ve kullanmayı sağlayan önemli beyin işlevlerindendir. Tüm vücut fonksiyonları gibi yutma fonksiyonunun düzenlenmesi ve ayarlanmasında kognitif fonksiyonlar önemli rol almaktadır. Bu sayede birey, besin ve çevreye ait özellikler algılanıp yordanmakta ve değişen koşullara uyum sağlanarak yutma güvenli şekilde gerçekleştirilmektedir. Özellikle görsel algılama, oryantasyon, dikkat, hafıza ve yürütücü işlevleri içeren temel kognitif fonksiyonlar etkin ve güvenli yutma için gereklidir. Yutma fonksiyonu yutma öncesi faz, oral hazırlık, farengeal ve özofageal faz olarak incelenmektedir. Yutma öncesi faz ve oral hazırlık fazında kognitif fonksiyonlara daha fazla ihtiyaç duyulmakla birlikte tüm yutma sürecinde farklı düzeylerde kognitif fonksiyona ihtiyaç olmaktadır. Kognitif bozuklukların yutma bozukluğu ile ilişkisi kognitif fonksiyonların etkilendiği Alzheimer, demans ve inme gibi durumlarda açıkça görülmektedir. Kognitif fonksiyonlar ile yutma fonksiyonu ilişkisini inceleyen daha fazla çalışmaya ve bu çalışmalar doğrultusunda yutma bozukluğu rehabilitasyonunda yeni yaklaşımlara ihtiyaç bulunmaktadır.

References

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  • 2. Rudney JD, Ji Z, Larson CJ. The prediction of saliva swallowing frequency in humans from estimates of salivary flow rate and the volume of saliva swallowed. Arch Oral Biol. 1995;40(6):507-512.
  • 3. Ertekin C. Voluntary versus spontaneous swallowing in man. Dysphagia. 2011;26(2):183-92.
  • 4. Vesey S. Dysphagia and quality of life. Br J Community Nurs. 2013;18(Sup5):S14-S9.
  • 5. Lang IM. Brain stem control of the phases of swallowing. Dysphagia. 2009;24(3):333-48.
  • 6. Thexton A, Crompton A. The control of swallowing. The scientific basis of eating Frontiers of Oral Biology. 1998;9:168-222.
  • 7. Suzuki M, Asada Y, Ito J, Hayashi K, Inoue H, Kitano H. Activation of cerebellum and basal ganglia on volitional swallowing detected by functional magnetic resonance imaging. Dysphagia. 2003;18(2):71-77.
  • 8. Rajmohan V, Mohandas E. The limbic system. Indian J Psychiatry. 2007;49(2):132-139.
  • 9. Sasegbon A, Hamdy S. The anatomy and physiology of normal and abnormal swallowing in oropharyngeal dysphagia. Neurogastroenterol Motil. 2017;29(11):e13100.
  • 10. Shune SE, Moon JB. Effects of age and non-oropharyngeal proprioceptive and exteroceptive sensation on the magnitude of anticipatory mouth opening during eating. J Oral Rehabil. 2016;43(9):662-669.
  • 11. Leopold NA, Kagel MC. Dysphagia--ingestion or deglutition?: a proposed paradigm. Dysphagia. 1997;12(4):202-206.
  • 12. Dodderi T, Umesh L, Hakkeem S. Measuring Effects of Competing Swallowing‑Cognitive Task on 100‑ml Water Swallowing and Number Recognition: A Crossover Comparative Study in Healthy Young and Middle‑Aged Adults. J Nat Sci Biol Med.. 2021;12(1):76
  • 13. Muhle P, Claus I, Labeit B, et al. Effects of cognitive and motor dual-tasks on oropharyngeal swallowing assessed with FEES in healthy individuals. Sci Rep. 2020;10(1):20403. Published 2020 Nov 23.
  • 14. Horner J, Alberts MJ, Dawson DV, Cook GM. Swallowing in Alzheimer's disease. Alzheimer Dis Assoc Disord. 1994;8(3):177-189.
  • 15. Winchester J, Winchester CG. Cognitive dysphagia and effectively managing the five systems. Perspect Gerontol. 2015;20(3):116-32.
  • 16. Wagemans J, Feldman J, Gepshtein S, Kimchi R, Pomerantz JR, Van der Helm PA, et al. A century of Gestalt psychology in visual perception: II. Conceptual and theoretical foundations. Psychological bulletin. 2012;138(6):1218.
  • 17. van der Heijden AH. Two stages in visual information processing and visual perception? Vis cogn. 1996;3(4):325-62.
  • 18. Nishijo H, Ono T. Neural Mechanisms of Feeding Behavior and Its Disorders. New Insights Into Metabolic Syndrome: IntechOpen; 2020
  • 19. Yoshikawa T, Tanaka M, Ishii A, Yamano Y, Watanabe Y. Visual food stimulus changes resting oscillatory brain activities related to appetitive motive. Behav Brain Funct. 2016;12(1):26. Published 2016 Sep 26.
  • 20. Tashiro N, Sugata H, Ikeda T, et al. Effect of individual food preferences on oscillatory brain activity. Brain Behav. 2019;9(5):e01262.
  • 21. Rizzolatti G, Craighero L. The mirror-neuron system. Annu Rev Neurosci. 2004;27:169-92.
  • 22. Jing Y-h, Lin T, Li W-q, Wu C, Li X, Ding Q, et al. Comparison of activation patterns in mirror neurons and the swallowing network during action observation and execution: a task-based fMRI study. Front Neurosci.. 2020;14:867.
  • 23. Zeng M, Wang Z, Chen X, Shi M, Zhu M, Ma J, et al. The Effect of Swallowing Action Observation Therapy on Resting fMRI in Stroke Patients with Dysphagia. Neural Plast. 2023;2023:2382980.
  • 24. Peer M, Lyon R, Arzy S. Orientation and disorientation: lessons from patients with epilepsy. Epilepsy Behav. 2014;41:149-157.
  • 25. Lee S, Liu M, Hu M. Relationship between future time orientation and item nonresponse on subjective probability questions: A cross-cultural analysis. J Cross Cult Psychol. 2017;48(5):698-717.
  • 26. Pu L, Chavalitdhamrong D, Summerlee RJ, Zhang Q. Effects of Posture and Swallow Volume on Esophageal Motility Morphology and Probability of Bolus Clearance: A Study Using High-Resolution Impedance Manometry. Gastroenterol Nurs. 2020;43(6):440-7.
  • 27. Alghadir AH, Zafar H, Al-Eisa ES, Iqbal ZA. Effect of posture on swallowing. Afr Health Sci. 2017;17(1):133-7.
  • 28. Arvedson JC, Brodsky L, Lefton-Greif MA. Pediatric swallowing and feeding: Assessment and management: Plural Publishing; 2019.
  • 29. Camina E, Güell F. The neuroanatomical, neurophysiological and psychological basis of memory: Current models and their origins. Front Pharmacol.2017;8:438.
  • 30. Higgs S, Spetter MS. Cognitive Control of Eating: the Role of Memory in Appetite and Weight Gain. Curr Obes Rep. 2018;7(1):50-9.
  • 31. Loret C, Walter M, Pineau N, Peyron MA, Hartmann C, Martin N. Physical and related sensory properties of a swallowable bolus. Physiol Behav. 2011;104(5):855-64.
  • 32. Tucha O, Mecklinger L, Maier K, Hammerl M, Lange KW. Chewing gum differentially affects aspects of attention in healthy subjects. Appetite. 2004;42(3):327-9.
  • 33. Viana RB, da Silva WF, de Lira CA. Effects of chewing training on orofacial and cognitive function in healthy individuals: A systematic review. Cosmetics. 2020;7(2):23.
  • 34. Kim C, Miquel S, Thuret S. A 3-month mastication intervention improves recognition memory. Nutr Healthy Aging. 2019;5(1):33-42.
  • 35. Hirano Y, Obata T, Takahashi H, Tachibana A, Kuroiwa D, Takahashi T, et al. Effects of chewing on cognitive processing speed. Brain Cogn. 2013;81(3):376-81.
  • 36. Shiba Y, Nitta E, Hirono C, Sugita M, Iwasa Y. Evaluation of mastication‐induced change in sympatho‐vagal balance through spectral analysis of heart rate variability. J Oral Rehabil. 2002;29(10):956-60.
  • 37. Signorini AV, Dornelles S, Ardenghi LG, Maahs GS, Rieder CRdM. Does dual-tasking, swallow performance and attention, influence dysphagia in Parkinson disease? Revista brasileira de neurologia Rio de Janeiro vol 54, no 3 (jul/set 2018), p 9-15. 2018.
  • 38. Muhle P, Claus I, Labeit B, Ogawa M, Dziewas R, Suntrup-Krueger S, et al. Effects of cognitive and motor dual-tasks on oropharyngeal swallowing assessed with FEES in healthy individuals. Sci Rep. 2020;10(1):20403.
  • 39. Brodsky MB, Abbott KV, McNeil MR, Palmer CV, Grayhack JP, Martin-Harris B. Effects of divided attention on swallowing in persons with idiopathic Parkinson’s disease. Dysphagia. 2012;27:390-400.
  • 40. Labeit B, Claus I, Muhle P, Regner L, Suntrup‐Krueger S, Dziewas R, et al. Effect of cognitive and motor dual‐task on oropharyngeal swallowing in Parkinson's disease. Eur J Neurol. 2021;28(3):754-62.
  • 41. Troche MS, Okun MS, Rosenbek JC, Altmann LJ, Sapienza CM. Attentional resource allocation and swallowing safety in Parkinson's disease: a dual task study. Parkinsonism Relat Disord. 2014;20(4):439-43.
  • 42. Dodderi T, Philip NE, Mutum K. Effects of a dual swallow-attention task on swallow and cognitive performance measures. Percept Mot Skills.2018;125(1):109-25.
  • 43. Riddle DR. Brain Aging: Models, Methods, and Mechanisms. Boca Raton (FL): CRC.
  • 44. Güneş E. DİKKAT MEKANİZMALARI. Ankara Üniversitesi Tıp Fakültesi Mecmuası.57(2).
  • 45. Stuss DT. Frontal lobes and attention: processes and networks, fractionation and integration. J Int Neuropsychol Soc. 2006;12(2):261-71.
  • 46. Dziewas R, Sörös P, Ishii R, Chau W, Henningsen H, Ringelstein EB, et al. Neuroimaging evidence for cortical involvement in the preparation and in the act of swallowing. Neuroimage. 2003;20(1):135-44.
  • 47. Jiang Y, Zsombok A. Regulation of neurons in the dorsal motor nucleus of the vagus by SIRT1. Front Neurosci. 2014;7:270.
  • 48. Brodsky MB, Abbott KV, McNeil MR, Palmer CV, Grayhack JP, Martin-Harris B. Effects of divided attention on swallowing in persons with idiopathic Parkinson’s disease. Dysphagia. 2012;27(3):390-400.
  • 49. Ardenghi LG, Signorini AV, Maahs GS, Selaimen F, Deutsch KM, Dornelles S, et al. Deglutition impairment during dual task in Parkinson disease is associated with cognitive status. Int Arch Otorhinolaryngol. 2021;25(01):e41-e7.
  • 50. Ashiga H, Takei E, Magara J, Takeishi R, Tsujimura T, Nagoya K, et al. Effect of attention on chewing and swallowing behaviors in healthy humans. Sci Rep. 2019;9(1):1-9.ashi
  • 51. Samulski B, Prebor J, Armitano-Lago C, Morrison S. Age-related changes in neuromotor function when performing a concurrent motor task. Exp Brain Res. 2020;238(3):565-74.
  • 52. Gilbert SJ, Burgess PW. Executive function. Curr Biol. 2008;18(3):R110-R4.
  • 53. Hopfinger JB, Slotnick SD. Attentional control and executive function. Cogn Neurosci. 2020. p. 1-4.
  • 54. De Stefano A, Di Giovanni P, Kulamarva G, Gennachi S, Di Fonzo F, Sallustio V, et al. Oropharyngeal dysphagia in elderly population suffering from mild cognitive impairment and mild dementia: Understanding the link. Am J Otolaryngol.2020;41(4):102501.
  • 55. Suh MK, Kim H, Na DL. Dysphagia in patients with dementia: Alzheimer versus vascular. Alzheimer Dis Assoc Disord. 2009;23(2):178-84.
  • 56. Seçil Y, Arıcı Ş, İncesu TK, Gürgör N, Beckmann Y, Ertekin C. Dysphagia in Alzheimer's disease. Neurophysiol Clin. 2016;46(3):171-8.
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There are 77 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Collection
Authors

Sena Nur Begen 0000-0003-2913-2712

Selen Serel Arslan 0000-0002-2463-7503

Early Pub Date May 10, 2024
Publication Date May 1, 2024
Submission Date October 21, 2022
Published in Issue Year 2024 Volume: 10 Issue: 2

Cite

APA Begen, S. N., & Serel Arslan, S. (2024). Yutma ve Kognitif Fonksiyonların İlişkisi. Akdeniz Tıp Dergisi, 10(2), 381-389. https://doi.org/10.53394/akd.1192565