Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living

Akinari Inui,1 Ippei Takahashi,2 Sizuka Kurauchi,2 Yuki Soma,2 Toshiaki Oyama,1 Yoshihiro Tamura,1 Takao Noguchi,1 Kouichi Murashita,3 Shigeyuki Nakaji,2 Wataru Kobayashi1 1Department of Oral and Maxillofacial Surgery, 2Department of Social Medicine, 3COI Research Initiatives Organization, Hirosaki...

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Autores principales: Inui A, Takahashi I, Kurauchi S, Soma Y, Oyama T, Tamura Y, Noguchi T, Murashita K, Nakaji S, Kobayashi W
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:1dfbda0be71c4efabc6d024f39f955782021-12-02T02:43:41ZOral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living1178-1998https://doaj.org/article/1dfbda0be71c4efabc6d024f39f955782017-03-01T00:00:00Zhttps://www.dovepress.com/oral-conditions-and-dysphagia-in-japanese-community-dwelling-middle--a-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Akinari Inui,1 Ippei Takahashi,2 Sizuka Kurauchi,2 Yuki Soma,2 Toshiaki Oyama,1 Yoshihiro Tamura,1 Takao Noguchi,1 Kouichi Murashita,3 Shigeyuki Nakaji,2 Wataru Kobayashi1 1Department of Oral and Maxillofacial Surgery, 2Department of Social Medicine, 3COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture, Japan Purpose: Prevention, early detection and effective rehabilitation of dysphagia are important issues to be considered in an aging society. Previous studies have shown conflicting findings regarding the association between dysphagia and its potential risk factors, including age, malnutrition, oral conditions, lifestyle and medical history. Herein, we assessed the prevalence and association of dysphagia with potential risk factors in 50- to 79-year-old adults dwelling in a community in Japan. Patients and methods: In this study, there were 532 participants (185 males and 347 females). Participants who responded positively to the question “Do you sometimes choke on drinks/food such as tea and soup?” or those who presented with abnormal repetitive saliva swallowing test findings were diagnosed with dysphagia. The data collected from these participants included the following: number of teeth, occurrence of oral dryness, age, body mass index, serum albumin concentration, smoking, drinking and exercise habits, presence of diseases, such as diabetes mellitus and hypertension, and questions from the Mini–Mental State Examination. Results: Dysphagia was observed in 33 males (17.8%) and 76 females (21.9%). To explore the effect of the potential risk factors on the prevalence of dysphagia, a model was built by multivariate logistic regression analysis. Using the forced entry method, oral dryness (odds ratio [OR] =3.683 and P=0.003 in males; OR =1.797 and P=0.032 in females) and the number of teeth (OR =0.946 and P=0.038 in males) were found to be significantly related to dysphagia. Conclusion: This cross-sectional study demonstrated associations between oral conditions and dysphagia. Factors such as oral dryness and number of teeth may contribute to dysphagia more so than aging, lifestyle and comorbidity in community-dwelling adults over the age of 50. Keywords: oral dryness, number of teeth, swallow, nutrition, lifestyleInui ATakahashi IKurauchi SSoma YOyama TTamura YNoguchi TMurashita KNakaji SKobayashi WDove Medical Pressarticleoral drynessnumber of teethswallownutritioncognitive statusGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 515-521 (2017)
institution DOAJ
collection DOAJ
language EN
topic oral dryness
number of teeth
swallow
nutrition
cognitive status
Geriatrics
RC952-954.6
spellingShingle oral dryness
number of teeth
swallow
nutrition
cognitive status
Geriatrics
RC952-954.6
Inui A
Takahashi I
Kurauchi S
Soma Y
Oyama T
Tamura Y
Noguchi T
Murashita K
Nakaji S
Kobayashi W
Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
description Akinari Inui,1 Ippei Takahashi,2 Sizuka Kurauchi,2 Yuki Soma,2 Toshiaki Oyama,1 Yoshihiro Tamura,1 Takao Noguchi,1 Kouichi Murashita,3 Shigeyuki Nakaji,2 Wataru Kobayashi1 1Department of Oral and Maxillofacial Surgery, 2Department of Social Medicine, 3COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture, Japan Purpose: Prevention, early detection and effective rehabilitation of dysphagia are important issues to be considered in an aging society. Previous studies have shown conflicting findings regarding the association between dysphagia and its potential risk factors, including age, malnutrition, oral conditions, lifestyle and medical history. Herein, we assessed the prevalence and association of dysphagia with potential risk factors in 50- to 79-year-old adults dwelling in a community in Japan. Patients and methods: In this study, there were 532 participants (185 males and 347 females). Participants who responded positively to the question “Do you sometimes choke on drinks/food such as tea and soup?” or those who presented with abnormal repetitive saliva swallowing test findings were diagnosed with dysphagia. The data collected from these participants included the following: number of teeth, occurrence of oral dryness, age, body mass index, serum albumin concentration, smoking, drinking and exercise habits, presence of diseases, such as diabetes mellitus and hypertension, and questions from the Mini–Mental State Examination. Results: Dysphagia was observed in 33 males (17.8%) and 76 females (21.9%). To explore the effect of the potential risk factors on the prevalence of dysphagia, a model was built by multivariate logistic regression analysis. Using the forced entry method, oral dryness (odds ratio [OR] =3.683 and P=0.003 in males; OR =1.797 and P=0.032 in females) and the number of teeth (OR =0.946 and P=0.038 in males) were found to be significantly related to dysphagia. Conclusion: This cross-sectional study demonstrated associations between oral conditions and dysphagia. Factors such as oral dryness and number of teeth may contribute to dysphagia more so than aging, lifestyle and comorbidity in community-dwelling adults over the age of 50. Keywords: oral dryness, number of teeth, swallow, nutrition, lifestyle
format article
author Inui A
Takahashi I
Kurauchi S
Soma Y
Oyama T
Tamura Y
Noguchi T
Murashita K
Nakaji S
Kobayashi W
author_facet Inui A
Takahashi I
Kurauchi S
Soma Y
Oyama T
Tamura Y
Noguchi T
Murashita K
Nakaji S
Kobayashi W
author_sort Inui A
title Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
title_short Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
title_full Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
title_fullStr Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
title_full_unstemmed Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
title_sort oral conditions and dysphagia in japanese, community-dwelling middle- and older- aged adults, independent in daily living
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/1dfbda0be71c4efabc6d024f39f95578
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