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CTRI Number  CTRI/2026/04/107890 [Registered on: 08/04/2026] Trial Registered Prospectively
Last Modified On: 07/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   How Lifestyle and Health Knowledge Affect Swallowing in Older Adults 
Scientific Title of Study   Association Between Physical Activity & Health Literacy with Self-Perceived Dysphagia in Community Dwelling Older Adults 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kaveri C 
Designation  Student 
Affiliation  Manipal College of Health Professions, MAHE 
Address  Department of Speech and Hearing, MCHP, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8754936897  
Fax    
Email  kaveri.mchpmpl2025@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Usha Devadas 
Designation  Professor & HOD 
Affiliation  Manipal College of Health Professions, MAHE 
Address  Department of Speech and Hearing, MCHP, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9448930882  
Fax    
Email  usha.d@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Janet Jaison Varghese 
Designation  Assistant Professor 
Affiliation  Manipal College of Health Professions, MAHE 
Address  Department of Speech and Hearing, MCHP, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  7045385800  
Fax    
Email  janet.v@manipal.edu  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Kaveri c 
Address  Department of Speech and Hearing, MCHP, Madhav Nagar, Manipal 576104,Karnataka, India 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Ms Kaveri C  Manipal College of Health Professions  Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Madhav Nager, Manipal
Udupi
KARNATAKA 
8754936897

kaveri.mchpmpl2025@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee of Kasturba Medical College and Hospital, Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Community Dwelling Older Adults aged 60 to 80 years 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Male and female community dwelling older adults aged 60 to 80 years.
2. Able to read and understand Kannada language
 
 
ExclusionCriteria 
Details  1. Individuals with a history of neurological disorder (e.g., stroke, Parkinson’s disease, dementia, motor neurone disease (MND), or Multiple sclerosis)
2. Individuals with known psychiatric illnesses (e.g., major depression, schizophrenia, or other severe mental health conditions that may affect participation)
3. Individuals with medical conditions known to influence swallowing or physical activity (e.g., chronic respiratory diseases, chronic renal failure, or head and neck cancers).
4. Individuals with severe cognitive deficits.
5. Individuals who are bedridden, institutionalised, or currently undergoing dysphagia therapy or rehabilitation.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The level of dysphagia will be measured by using EAT-10.
The health literacy level will be measured by using HLS-IND-KAN 16.
The level of physical activity will be measured by using GPAQ.  
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Summary of Review

Physical activity and physical performance showed an inverse association with dysphagia and oropharyngeal dysfunction, indicating that higher level of exercise and better physical performance are linked to  lower risk of dysphagia in older adults. Similarly, health literacy demonstrated an inverse association with dysphagia, with lower health literacy levels associated with a higher risk of swallowing difficulties among older adults. Together these findings indicate that physical activity and health literacy play crucial roles in preventing dysphagia among older adults. Higher activity levels are linked to better muscle strength, swallowing function, and quality of life, while low health literacy is linked with greater dysphagia risk and delayed care-seeking.

Research gap

Dysphagia is increasingly recognized as a prevalent and clinically significant problem among community-dwelling older adults worldwide. Few Western studies have demonstrated that physical activity and health literacy play a crucial role in the prevention and management of dysphagia in older adults. However, no such studies have been reported from India

Need for the study

Patterns of physical activity, literacy levels, and health behaviors among older adults in India may differ substantially from those observed in Western population. Understanding how physical activity and health literacy interact to affect self-perceived dysphagia in older adults in India is essential for designing targeted, community-based screening, education, and preventive programs that can enhance swallowing health and promote healthy aging.

Outcome measures:

·       The level of dysphagia symptoms  will be measures by using EAT-10.The  health literacy level will be measured by using HLS-IND-KAN 16. The level of physical activity will be measures by using GPAQ. 

 
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