FACTORS ASSOCIATED WITH VOICE DISORDERS: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.53555/nnmhs.v9i8.1785Keywords:
Voice disorder, Elderly, Associated factorsAbstract
Introduction: During the ageing process, the larynx and structures involved in phonation undergo natural changes that account for the distinctive characteristics of geriatric voices. A voice disorder has occurred when, at any time, a person's voice fails and causes communication difficulties. This can have an adverse effect on communicative efficacy and quality of life, compromising mechanisms of socialisation, the maintenance of autonomy, and the feeling of wellbeing. However, there appears to be a lack of clarity regarding the factors associated with voice disorders in this population, particularly from an epidemiological standpoint.
Objective: This study aims to identify factors associated with voice disorders in elderly through a comprehensive systematic review.
Methods: A systematic review of literature published between 2004 and July 2023 was performed across several databases including MEDLINE/PubMed, Cochrane Library, and Google Scholar. Duplicate publications, review articles, and incomplete articles were excluded.
Results: We included four appropriate studies in this systematic review, involving 65.112 patients in total. The population of the study was elderly, aged 60 years and older. The factors associated with voice disorders include, but are not limited to, age, gender, comorbid conditions such as colds, sore throats, gastroesophageal reflux, arthritis, thyroid problems, bronchitis, sleep disorders, asthma, chronic obstructive pulmonary disease, vocal fold disease, depression or anxiety, and geographic locations.
Conclusion: Physical and psychosocial factors were associated with voice disorders in the elderly. However, the methodological differences between the studies included in this review, particularly in terms of sample selection and the instruments used, indicate a great deal of variability and undermine the results' reliability.
References
Kost KM, Sataloff RT. Voice Disorders in the Elderly. Clin Geriatr Med [Internet] 2018;34(2):191–203. Available from: https://doi.org/10.1016/j.cger.2018.01.010
Roy N, Stemple J, Merrill RM, Thomas L. Epidemiology of voice disorders in the elderly: Preliminary findings. Laryngoscope. 2007;117(4).
Davids T, Klein AM, Johns MM. Current dysphonia trends in patients over the age of 65: Is vocal atrophy becoming more prevalent? Laryngoscope. 2012;122(2).
de Araújo Pernambuco L, Espelt A, Balata PMM, de Lima KC. Prevalence of voice disorders in the elderly: a systematic review of population-based studies. Eur Arch Oto-Rhino-Laryngology. 2015;272(10):2601–9.
Roy N, Merrill RM, Gray SD, Smith EM. Voice disorders in the general population: Prevalence, risk factors, and occupational impact. Laryngoscope. 2005;115(11).
Ryu CH, Han S, Lee MS, Kim SY, Nam SY, Roh JL, et al. Voice Changes in Elderly Adults: Prevalence and the Effect of Social, Behavioral, and Health Status on Voice Quality. J Am Geriatr Soc. 2015;63(8).
Roy N, Kim J, Courey M, Cohen SM. Voice disorders in the elderly: A national database study. Laryngoscope. 2016;126(2):421–8.
Vertanen-Greis H, Löyttyniemi E, Uitti J. Voice Disorders are Associated With Stress Among Teachers: A CrossSectional Study in Finland. J Voice. 2020;34(3):488.e1-488.e8.
Góis ACB, Pernambuco L, de Lima KC. Prevalence and Associated Factors With Voice Disorders in Brazilian Community-dwelling Older Adults. J Voice [Internet] 2019;33(5):806.e1-806.e7. Available from: https://doi.org/10.1016/j.jvoice.2018.02.025
Tong JY, Sataloff RT. Respiratory Function and Voice: The Role for Airflow Measures. J Voice. 2022;36(4):542– 53.
Cohen SM. Self-reported impact of dysphonia in a primary care population: An epidemiological study. Laryngoscope. 2010;120(10).
Abaza MM, Levy S, Hawkshaw MJ, Sataloff RT. Effects of Medications on the Voice. Vol. 40, Otolaryngologic Clinics of North America. 2007.
Gallivan GJ, Gallivan KH, Gallivan HK. Inhaled Corticosteroids: Hazardous Effects on Voice-An Update. J Voice. 2007;21(1).
Burhan R, Moradzadeh J, Smallwood E, Kiwanuka T, Ajayi S. The Association between Pathologies of Voice and Gastro-Oesophageal Reflux Disease (GORD). OALib. 2020;07(11):1–10.
Pribuisiene R, Uloza V, Kupcinskas L, Jonaitis L. Perceptual and acoustic characteristics of voice changes in reflux laryngitis patients. J Voice. 2006;20(1).
Henry MAC de A, Martins RHG, Lerco MM, Carvalho LR, Lamônica-Garcia VC. Gastroesophageal reflux disease and vocal disturbances. Arq Gastroenterol. 2011;48(2).
Lombardi CP, Raffaelli M, D’Alatri L, Marchese MR, Rigante M, Paludetti G, et al. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery. 2006;140(6).
Ximenes Filho JA, Tsuji DH, Saldiva Do Nascimento PH, Sennes LU. Histologic changes in human vocal folds correlated with aging: A histomorphometric study. Ann Otol Rhinol Laryngol. 2003;112(10).
Beirith SC, Ikino CMY, Pereira IA. Laryngeal involvement in rheumatoid arthritis. Braz J Otorhinolaryngol. 2013;79(2).
Hah JH, An SY, Sim S, Kim SY, Oh DJ, Park B, et al. A population-based study on the association between rheumatoid arthritis and voice problems. Clin Rheumatol. 2016;35(7).
Gómez-Puerta JA, Cisternas A, Victoria Hernández M, Ruiz-Esquide V, Vilaseca I, Sanmartí R. Laryngeal Assessment by Videolaryngostroboscopy in Patients With Rheumatoid Arthritis. Reumatol Clínica (English Ed. 2014;10(1).
Yorkston KM, Bourgeois MS, Baylor CR. Communication and aging. Vol. 21, Physical Medicine and Rehabilitation Clinics of North America. 2010.
Cohen SM, Turley R. Coprevalence and impact of dysphonia and hearing loss in the elderly. Laryngoscope. 2009;119(9).
Verdonck-de Leeuw IM, Mahieu HF. Vocal aging and the impact on daily life: A longitudinal study. J Voice. 2004;18(2).
Woo P, Casper J, Colton R, Brewer D. Dysphonia in the aging: physiology versus disease. Laryngoscope. 1992;102(2).
Wolkove N, Elkholy O, Baltzan M, Palayew M. Sleep and aging: 1. Sleep disorders commonly found in older people. Vol. 176, CMAJ. Canadian Medical Association Journal. 2007.
O’Brien EM, Waxenberg LB, Atchison JW, Gremillion HA, Staud RM, McCrae CS, et al. Intraindividual variability in daily sleep and pain ratings among chronic pain patients: Bidirectional association and the role of negative mood. Clin J Pain. 2011;27(5).
Merrill RM, Anderson AE, Sloan A. Quality of life indicators according to voice disorders and voice-related conditions. Laryngoscope. 2011;121(9).
Schultz P. Vocal fold cancer. Vol. 128, European Annals of Otorhinolaryngology, Head and Neck Diseases. 2011.
Zygogianni AG, Kyrgias G, Karakitsos P, Psyrri A, Kouvaris J, Kelekis N, et al. Oral squamous cell cancer: Early detection and the role of alcohol and smoking. Vol. 3, Head and Neck Oncology. 2011.
Pinto AGL, Crespo AN, Mourão LF. Influence of smoking isolated and associated to multifactorial aspects in vocal acoustic parameters. Braz J Otorhinolaryngol. 2014;80(1).
Acar B, Yurekli MF, Babademez MA, Karabulut H, Karasen RM. Effects of hearing aids on cognitive functions and depressive signs in elderly people. Arch Gerontol Geriatr. 2011;52(3).
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