Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study

Objectives: Declined masticatory function has recently been receiving attention as a risk factor for poor general health. The present longitudinal analysis was conducted to clarify the relationship between decreased masticatory performance and the development of the metabolic syndrome (MetS) in a ge...

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Autores principales: Shuri Fushida, Takayuki Kosaka, Michikazu Nakai, Momoyo Kida, Takashi Nokubi, Yoshihiro Kokubo, Makoto Watanabe, Yoshihiro Miyamoto, Takahiro Ono, Kazunori Ikebe
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/e44a4335dd864852a1b741faee736eb8
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spelling oai:doaj.org-article:e44a4335dd864852a1b741faee736eb82021-12-01T05:45:55ZLower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study2297-055X10.3389/fcvm.2021.752667https://doaj.org/article/e44a4335dd864852a1b741faee736eb82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.752667/fullhttps://doaj.org/toc/2297-055XObjectives: Declined masticatory function has recently been receiving attention as a risk factor for poor general health. The present longitudinal analysis was conducted to clarify the relationship between decreased masticatory performance and the development of the metabolic syndrome (MetS) in a general urban cohort in Japan.Methods: We surveyed 599 participants (254 men, 345 women; mean age at baseline, 65.8 ± 7.8 years) who underwent physical health checkups in the Suita study. We evaluated masticatory performance at baseline using test gummy jelly and divided participants into two groups: a “Lower group,” comprising participants in the lower 25% of the masticatory performance at baseline; and a “Normal group,” comprising all others. We estimated hazard ratios (HRs) for the Lower group by using Cox proportional hazard regression analysis to develop the MetS and the components of the MetS at follow-up, adjusting for age, smoking status, and periodontal status.Results: On Cox proportional hazard regression analysis, the multivariable adjusted hazard ratio for the development of the MetS in the Lower group was 2.24 (95% confidence interval, 1.12–4.50) in men. The multivariable adjusted hazard ratio for the development of high blood pressure was 3.12 (1.42–6.87), for high triglycerides was 2.82 (1.18–6.76), and for high fasting plasma glucose was 2.65 (1.00–7.00) in men.Conclusions: Lower masticatory performance suggested to be a risk factor for the development of the MetS as well as MetS components such as high blood pressure, high triglycerides, and high fasting plasma glucose in Japanese men.Shuri FushidaTakayuki KosakaMichikazu NakaiMomoyo KidaTakashi NokubiYoshihiro KokuboMakoto WatanabeYoshihiro MiyamotoTakahiro OnoTakahiro OnoKazunori IkebeFrontiers Media S.A.articlegeriatric dentistryprosthodonticsmasticationepidemiologypreventive dentistrycardiovascular diseasesDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic geriatric dentistry
prosthodontics
mastication
epidemiology
preventive dentistry
cardiovascular diseases
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle geriatric dentistry
prosthodontics
mastication
epidemiology
preventive dentistry
cardiovascular diseases
Diseases of the circulatory (Cardiovascular) system
RC666-701
Shuri Fushida
Takayuki Kosaka
Michikazu Nakai
Momoyo Kida
Takashi Nokubi
Yoshihiro Kokubo
Makoto Watanabe
Yoshihiro Miyamoto
Takahiro Ono
Takahiro Ono
Kazunori Ikebe
Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
description Objectives: Declined masticatory function has recently been receiving attention as a risk factor for poor general health. The present longitudinal analysis was conducted to clarify the relationship between decreased masticatory performance and the development of the metabolic syndrome (MetS) in a general urban cohort in Japan.Methods: We surveyed 599 participants (254 men, 345 women; mean age at baseline, 65.8 ± 7.8 years) who underwent physical health checkups in the Suita study. We evaluated masticatory performance at baseline using test gummy jelly and divided participants into two groups: a “Lower group,” comprising participants in the lower 25% of the masticatory performance at baseline; and a “Normal group,” comprising all others. We estimated hazard ratios (HRs) for the Lower group by using Cox proportional hazard regression analysis to develop the MetS and the components of the MetS at follow-up, adjusting for age, smoking status, and periodontal status.Results: On Cox proportional hazard regression analysis, the multivariable adjusted hazard ratio for the development of the MetS in the Lower group was 2.24 (95% confidence interval, 1.12–4.50) in men. The multivariable adjusted hazard ratio for the development of high blood pressure was 3.12 (1.42–6.87), for high triglycerides was 2.82 (1.18–6.76), and for high fasting plasma glucose was 2.65 (1.00–7.00) in men.Conclusions: Lower masticatory performance suggested to be a risk factor for the development of the MetS as well as MetS components such as high blood pressure, high triglycerides, and high fasting plasma glucose in Japanese men.
format article
author Shuri Fushida
Takayuki Kosaka
Michikazu Nakai
Momoyo Kida
Takashi Nokubi
Yoshihiro Kokubo
Makoto Watanabe
Yoshihiro Miyamoto
Takahiro Ono
Takahiro Ono
Kazunori Ikebe
author_facet Shuri Fushida
Takayuki Kosaka
Michikazu Nakai
Momoyo Kida
Takashi Nokubi
Yoshihiro Kokubo
Makoto Watanabe
Yoshihiro Miyamoto
Takahiro Ono
Takahiro Ono
Kazunori Ikebe
author_sort Shuri Fushida
title Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
title_short Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
title_full Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
title_fullStr Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
title_full_unstemmed Lower Masticatory Performance Is a Risk for the Development of the Metabolic Syndrome: The Suita Study
title_sort lower masticatory performance is a risk for the development of the metabolic syndrome: the suita study
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/e44a4335dd864852a1b741faee736eb8
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