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The Impact of Swallowing Difficulties on Quality of Life in Adults with Intellectual Disabilities in Residential Care

Cross-Sectional Study

Bibliographic Data

ID15490353
AuthorsMaya Izumi (Kyushu Dental University), Seijun Ganaha (KM Biologics (Japan)), Yuko Kai (0000-0002-7176-0352, KM Biologics (Japan)), Yuki Kai (Kumamoto Kizuna Dental Office, Kumamoto 861-5255, Japan), Ikuo Konishi (0000-0002-4284-9569, KM Biologics (Japan)), Ikuri Konishi (Aso Kizuna Dental Office, Kumamoto 869-2612, Japan), Risa Kira (KM Biologics (Japan)), Sumio Akifusa (0000-0001-7962-8762, Kyushu Dental University, corresponding author)
Year2025
Volume22
Issue10
Pages1470-1470
Publication date2025-09-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph22101470
PMID41154874
OpenAlexW4414477179
LanguageEN
References cited37

Dysphagia is a common but often overlooked concern among individuals with intellectual disabilities and may negatively impact their quality of life. This study aimed to examine the association between swallowing function and health-related quality of life (HRQOL) among adults with intellectual disabilities in residential care. Methods: We conducted a cross-sectional study involving 48 individuals in residential care facilities in Japan. Swallowing function was assessed with the Eating Assessment Tool-10 (EAT-10), and HRQOL with the EuroQol-5 Dimension, five-level version (EQ-5D-5L), in which higher index values denote better HRQOL. A generalized linear model (GLM) with gamma distribution was used to identify factors associated with EQ-5D-5L scores. Participants with lower EAT-10 scores (≤2) showed significantly higher EQ-5D-5L scores. In the GLM, better swallowing function was positively associated with EQ-5D-5L score (B = 0.21, p = 0.012). Sensitivity analysis confirmed the robustness of this association. Conclusions: Swallowing dysfunction is linked to reduced HRQOL in individuals with intellectual disabilities, underscoring the need for regular screening and intervention

Borderline intellectual functioning · Dysphagia · Intellectual disability · Intellectual impairment · Quality of life (healthcare · Swallowing · Young adult · Chronic Disease Management Strategies · Dysphagia Assessment and Management · Family and Disability Support Research

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