Effects of oral environment on frailty: particular relevance of tongue pressure
Anna Satake,1 Wataru Kobayashi,1 Yoshihiro Tamura,1 Toshiaki Oyama,1 Haruka Fukuta,1 Akinari Inui,2 Kahori Sawada,2 Kazunari Ihara,2 Takao Noguchi,1 Koichi Murashita,3 Shigeyuki Nakaji2 1Department of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori,...
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Dove Medical Press
2019
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oai:doaj.org-article:d872d43386b5465a9dad7e98071760c42021-12-02T08:10:40ZEffects of oral environment on frailty: particular relevance of tongue pressure1178-1998https://doaj.org/article/d872d43386b5465a9dad7e98071760c42019-09-01T00:00:00Zhttps://www.dovepress.com/effects-of-oral-environment-on-frailty-particular-relevance-of-tongue--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anna Satake,1 Wataru Kobayashi,1 Yoshihiro Tamura,1 Toshiaki Oyama,1 Haruka Fukuta,1 Akinari Inui,2 Kahori Sawada,2 Kazunari Ihara,2 Takao Noguchi,1 Koichi Murashita,3 Shigeyuki Nakaji2 1Department of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan; 2Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan; 3COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, JapanCorrespondence: Anna SatakeDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, 53 Honcho, Hirosaki-shi, Aomori, JapanTel +81 172 39 5127Fax +81 17 239 5128Email anna12@hirosaki-u.ac.jpPurpose: Oral frailty or the loss of oral functionality can be a symptomatic precursor of overall frailty. Previous studies have suggested that decreased tongue pressure causes a decline in ingesting and swallowing function and poor nutrition. This study investigated what factor(s) contribute to tongue pressure, thereby leading to frailty.Patients and methods: For the purposes of the present study, 467 residents of Hirosaki city in northern Japan aged≥60 years who completed a questionnaire about frailty and underwent an intraoral assessment, which included number of teeth, presence or absence of periodontitis, tongue pressure, and oral diadochokinesis (ODK) were recruited.Results: Of the 467 participants with complete data sets, frailty was identified in 13 (7.5%) of 173 males and in 34 (11.6%) of 294 females. Significantly fewer teeth, lower tongue pressure, and a reduced diadochokinetic syllable rate were more prevalent among frail than among healthy residents. Multivariable logistic regression analysis revealed that age, body mass index, number of teeth, and tongue pressure significantly contributed to frailty, whereas ODK did not. Multiple regression analysis showed that tongue pressure was positively associated with muscle index and number of teeth.Conclusion: The results of the present study suggest that fewer teeth and lower tongue pressure, but not ODK function, are risk factors for developing overall frailty among older residents.Keywords: aging, low nutrition, number of teeth, oral diadochokinesisSatake AKobayashi WTamura YOyama TFukuta HInui ASawada KIhara KNoguchi TMurashita KNakaji SDove Medical Pressarticleaginglow nutritionnumber of teethoral diadochokinesisGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 1643-1648 (2019) |
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aging low nutrition number of teeth oral diadochokinesis Geriatrics RC952-954.6 |
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aging low nutrition number of teeth oral diadochokinesis Geriatrics RC952-954.6 Satake A Kobayashi W Tamura Y Oyama T Fukuta H Inui A Sawada K Ihara K Noguchi T Murashita K Nakaji S Effects of oral environment on frailty: particular relevance of tongue pressure |
| description |
Anna Satake,1 Wataru Kobayashi,1 Yoshihiro Tamura,1 Toshiaki Oyama,1 Haruka Fukuta,1 Akinari Inui,2 Kahori Sawada,2 Kazunari Ihara,2 Takao Noguchi,1 Koichi Murashita,3 Shigeyuki Nakaji2 1Department of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan; 2Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan; 3COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, JapanCorrespondence: Anna SatakeDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, 53 Honcho, Hirosaki-shi, Aomori, JapanTel +81 172 39 5127Fax +81 17 239 5128Email anna12@hirosaki-u.ac.jpPurpose: Oral frailty or the loss of oral functionality can be a symptomatic precursor of overall frailty. Previous studies have suggested that decreased tongue pressure causes a decline in ingesting and swallowing function and poor nutrition. This study investigated what factor(s) contribute to tongue pressure, thereby leading to frailty.Patients and methods: For the purposes of the present study, 467 residents of Hirosaki city in northern Japan aged≥60 years who completed a questionnaire about frailty and underwent an intraoral assessment, which included number of teeth, presence or absence of periodontitis, tongue pressure, and oral diadochokinesis (ODK) were recruited.Results: Of the 467 participants with complete data sets, frailty was identified in 13 (7.5%) of 173 males and in 34 (11.6%) of 294 females. Significantly fewer teeth, lower tongue pressure, and a reduced diadochokinetic syllable rate were more prevalent among frail than among healthy residents. Multivariable logistic regression analysis revealed that age, body mass index, number of teeth, and tongue pressure significantly contributed to frailty, whereas ODK did not. Multiple regression analysis showed that tongue pressure was positively associated with muscle index and number of teeth.Conclusion: The results of the present study suggest that fewer teeth and lower tongue pressure, but not ODK function, are risk factors for developing overall frailty among older residents.Keywords: aging, low nutrition, number of teeth, oral diadochokinesis |
| format |
article |
| author |
Satake A Kobayashi W Tamura Y Oyama T Fukuta H Inui A Sawada K Ihara K Noguchi T Murashita K Nakaji S |
| author_facet |
Satake A Kobayashi W Tamura Y Oyama T Fukuta H Inui A Sawada K Ihara K Noguchi T Murashita K Nakaji S |
| author_sort |
Satake A |
| title |
Effects of oral environment on frailty: particular relevance of tongue pressure |
| title_short |
Effects of oral environment on frailty: particular relevance of tongue pressure |
| title_full |
Effects of oral environment on frailty: particular relevance of tongue pressure |
| title_fullStr |
Effects of oral environment on frailty: particular relevance of tongue pressure |
| title_full_unstemmed |
Effects of oral environment on frailty: particular relevance of tongue pressure |
| title_sort |
effects of oral environment on frailty: particular relevance of tongue pressure |
| publisher |
Dove Medical Press |
| publishDate |
2019 |
| url |
https://doaj.org/article/d872d43386b5465a9dad7e98071760c4 |
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