Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2023-2874pt
Audiology - Communication Research
Review Article

Deglutição e cognição na doença de Parkinson: revisão integrativa

Swallowing and cognition in Parkinson’s disease: an integrative review

Jullyane Florencio Pachêco da Silva; Adriana de Oliveira Camargo Gomes; Tatiany Cintia da Silva Brito; Jamilly Henrique Costa da Silva; Paula Rejane Beserra Diniz

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Resumo

Objetivo: compreender a relação entre a deglutição e a cognição nos indivíduos com a doença de Parkinson.

Estratégia de pesquisa: revisão integrativa guiada pela pergunta condutora: “Qual a relação entre a deglutição e cognição na doença de Parkinson?”. Foram utilizados os seguintes descritores em saúde: Doença de Parkinson, Cognição, Disfunção Cognitiva, Mastigação, Deglutição e Transtornos de Deglutição. As bases de dados pesquisadas foram LILACS, MEDLINE/PubMed, SciELO, Web of Science, Embase e Scopus.

Critérios de seleção: a seleção se deu de forma independente, por meio da leitura por pares, sendo inclusas publicações disponibilizadas na íntegra em português, inglês ou espanhol, sem restrição de ano. Estudos que descreviam o comprometimento cognitivo e oral associado a outras síndromes parkinsonianas ou diferentes doenças neurodegenerativas foram excluídos.

Resultados: dos 1701 estudos, foram excluídos 306 duplicados. A partir da leitura dos resumos, aplicando-se os critérios de seleção, foram selecionados 24 estudos para leitura na íntegra, dos quais, 14 foram incluídos nesta revisão. Observou-se associação entre o declínio cognitivo e a fase oral da deglutição.

Conclusão: os achados sugerem que a cognição pode influenciar o desempenho da deglutição, estando o declínio cognitivo associado à disfagia e à sialorreia. Essa relação se mostrou mais evidente na fase oral da deglutição, mas ainda controversa na fase faríngea.

Palavras-chave

Doença de Parkinson; Cognição; Disfunção cognitiva; Deglutição; Transtornos de deglutição

Abstract

Purpose:  to understand the relationship between swallowing and cognition in individuals with Parkinson’s disease.

Research strategy:  this integrative review was based on the research question, “What is the relationship between swallowing and cognition in Parkinson’s disease?”. It used the following health descriptors: Parkinson’s disease, Cognition, Cognitive Dysfunction, Mastication, Swallowing, and Swallowing Disorders, to search the LILACS, MEDLINE/PubMed, SciELO, Web of Science, EMBASE, and Scopus databases.

Selection criteria:  the selection was based on independent reading by peers, including publications available in full text in Portuguese, English, or Spanish, with no restriction on the year. The review excluded studies that described cognitive and oral impairment associated with other parkinsonian syndromes or different neurodegenerative diseases.

Results:  altogether, 1701 studies were found, of which 306 duplicates were excluded. Based on abstract reading and the selection criteria, 24 studies were selected to be read in full text, and 14 of them were included in this review. Association was observed between cognitive decline and the oral phase of swallowing.

Conclusion:  the findings suggest that cognition can influence swallowing performance, with cognitive decline associated with dysphagia and sialorrhea. This relationship proved to be more evident in the oral phase of swallowing, but still controversial in the pharyngeal phase.

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Submitted date:
11/06/2023

Accepted date:
05/09/2024

69dd008ba95395620723b6d3 acr Articles
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