Association of physical performance with oral function in older women participating in community‐based health exercise programs

Miyoshi, Sanae; Saito, Ayumi; Shigeishi, Hideo; Sugiyama, Masaru

doi:10.1002/cre2.277

Cited by 6 publications

(7 citation statements)

References 21 publications

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“…Although physical frailty is associated with impairments in the nutritional status and dietary habits, 49‐51 maintenance of oral health can contribute to the prevention of physical frailty, since the oral cavity is the body's primary organ for nutritional intake. The importance of oral health management in enhancing the general health status of older adults has been emphasised in previous studies 52,53 . In particular, saliva is important not only for maintaining oral health status but also for dietary intake, since it performs various essential functions not only for the prevention of oral diseases by lubricating and buffering but also for taste and digestion in nutrition intake 24,54,55 .…”

Section: Discussionmentioning

confidence: 99%

“…The importance of oral health management in enhancing the general health status of older adults has been emphasised in previous studies. 52,53 In particular, saliva is important not only for maintaining oral health status but also for dietary intake, since it performs various essential functions not only for the prevention of oral diseases by lubricating and buffering but also for taste and digestion in nutrition intake. 24,54,55 Previous studies have suggested that nutritional status is associated with physical frailty, 2,3,30 but there was insufficient information on nutrient intake in the present study.…”

Section: Discussionmentioning

confidence: 99%

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Association between dry mouth and physical frailty among community‐dwelling older adults in Japan: The Otassha Study

et al. 2021

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Objective To elucidate the relationship between physical frailty and dry mouth among community‐dwelling older adults in Japan. Background Oral hypofunction is associated with physical frailty in older adults. Dry mouth, subjectively evaluated as xerostomia and objectively measured as hyposalivation, is highly prevalent in older adults. However, few reports have used both measures of dry mouth and investigated their association with physical frailty. Materials and Methods This cross‐sectional study included 643 individuals (mean age, 73.9 years) from the Otassha Study in 2019. Xerostomia was assessed using the 5‐item Summated Xerostomia Inventory (SXI). Hyposalivation was assessed by measuring the amount of resting saliva using the modified cotton roll method. Frailty phenotypes were defined by weakness, slowness, weight loss, low physical activity level and exhaustion components, and served as the outcome variable. Participants with three or more components were considered physically frail, and those with one or two components were considered pre‐frail. Ordinal logistic regression analyses were performed to evaluate the associations between physical frailty and xerostomia and hyposalivation. Results Among the participants, 4.5% and 49.8% had physical frailty and pre‐frailty, respectively. In ordinal logistic regression analysis adjusted for demographic and health characteristics, the SXI score was associated with physical frailty status (adjusted odds ratio for a one‐point increase in SXI, 1.12; 95% confidence interval, 1.06‐1.19). However, no difference was observed between the amount of resting saliva and severity of physical frailty. Conclusion Xerostomia is associated with physical frailty among community‐dwelling older adults in Japan. Clinical Trial Registration: Not applicable.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between dry mouth and physical frailty among community‐dwelling older adults in Japan: The Otassha Study

et al. 2021

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“…Four papers from two studies were excluded during full-text examination due to their cross-sectional designs (Kim et al, 2016;Miyoshi et al, 2019Miyoshi et al, , 2020Miyoshi et al, , 2021. One paper relied on self-reported exercise amount and intensity in a large government data set (Kim et al, 2016) and focused exclusively on stroke survivors in the data set.…”

Section: Discussionmentioning

confidence: 99%

The use and effects of whole‐body exercises on swallowing function: A scoping review

Yao

2023

Intl J Lang & Comm Disor

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Background: Swallowing function can become impaired due to primary medical conditions or age-related presbyphagia, resulting in swallowing disorders, known as dysphagia. Specific manoeuvres that target different musculature have been innovated and researched, but whole-body exercises (WBE) that target multiple large groups of body systems and muscles have been rarely considered in dysphagia management, despite the causes of dysphagia being often systemic. Aims: To identify intervention studies that have used or incorporated WBE to target swallowing function in humans, and report on their findings. Methods & Procedures: A scoping review was conducted given the paucity and novelty of this topic in research and practice. Key search terms were used to search five major databases on for all human studies published before 28 November 2022. Studies that were not interventional or used animal models were excluded. All swallowing and oromotor-related outcomes were extracted from the studies. Two researchers independently reviewed all search results following the PRISMA-ScR guideline before meeting to resolve any disagreements. Main Contribution: Final analysis was conducted on 11 papers that described 10 studies, with 10 papers (9 studies) reporting positive findings for swallowing or oromotor function-related outcomes. Studies ranged from randomised controlled trials to case studies in design. The study design and populations were heterogeneous, with outcome measures for swallowing and oromotor function ranging from subjective questionnaires to instrumental assessments.Conclusions & Implications: Dysphagia rehabilitation that incorporates WBE as part of a comprehensive programme appears to be more beneficial than either WBE or swallowing-related interventions alone. This review is an initial attempt to systematically examine the evidence on this topic. There is a need for future research to study how WBE can be used, either alone or combined with traditional swallowing exercises, to influence swallowing function in different healthy and clinical populations.

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“…There are seven criteria for diagnosis of oral hypofunction proposed by the Japanese Society of Gerodontology: oral cleanness, oral dryness, lip and tongue motor function, tongue pressure (TP), occlusal force, masticatory function and swallowing function. 11 Moreover, previous studies have examined the associations between oral health and sarcopaenia, 12 oral function and sarcopaenia, 13 , 14 , 15 , 16 swallowing muscles and sarcopaenic dysphagia, 17 , 18 oral function and physical performance, 19 , 20 , 21 , 22 , 23 oral function and cognitive function 24 and oral function and polypharmacy. 7 Especially, TP and tongue thickness, which are sensitive markers for oral frailty, decrease with age.…”

Section: Introductionmentioning

confidence: 99%

Relationship between tongue pressure and handgrip strength: A systematic review and meta‐analysis

Arakawa

Watarai

Schimmel

et al. 2022

J of Oral Rehabilitation

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Objectives: Muscle strength decreases with age, causing a decline in physical and orofacial function. However, the impact of physiological and pathophysiological factors on tongue pressure (TP) has not been clarified. The purpose of this systematic review and meta-analysis was to compare and analyse TP and handgrip strength (HGS) between individuals aged <60 and ≥60 years, gender and need for care (independent older adults (IC) and older adults receiving nursing care (NC)). Furthermore, the effect of HGS in physical function on TP was examined.Methods: Human clinical studies reporting HGS and TP were searched systematically using PubMed and Ichushi-Web published from 1969 to Nov 2021. Random-effects meta-regressions were performed to compare between subgroups and to examine the association between HGS and TP (α < .05). Results:Forty-four studies with a total of 10 343 subjects were included. TP and HGS values were significantly higher in people aged <60 years relative to ≥60 years and in IC relative to NC (all p < .001). Regarding gender, there was no significant difference in TP (p = .370). However, a significant gender-dependent difference in TP was observed in people aged <60 years (p < .001), but not in aged ≥60 years in IC group (p = .118) and aged ≥60 years in NC group (p = .895). There was a significant positive correlation of HGS and TP (p < .001).Conclusions: Similar to decrease in HGS, age-related sarcopaenia seems to have an effect on oro-facial muscles like the tongue. Research on rehabilitation measures for oro-facial muscle strength, similar to HGS might be beneficial to improve the personally acquired oro-facial potential.

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Association of physical performance with oral function in older women participating in community‐based health exercise programs

Cited by 6 publications

References 21 publications

Association between dry mouth and physical frailty among community‐dwelling older adults in Japan: The Otassha Study

Association between dry mouth and physical frailty among community‐dwelling older adults in Japan: The Otassha Study

The use and effects of whole‐body exercises on swallowing function: A scoping review

Relationship between tongue pressure and handgrip strength: A systematic review and meta‐analysis

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