Associations of Trunk Muscle Mass and Muscle Quality Indicators with Self-Reported Dysphagia in Older Inpatients

Jing, Xiaofan; Yang, Ming; Liu, Yuan; Wang, Yan; Li, Jingjing; Hu, Wen

doi:10.1007/s00455-022-10480-y

Cited by 4 publications

(1 citation statement)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low IADL and underweight are associated with sarcopenia, which leads to the reduction of muscle fibers in A c c e p t e d V e r s i o n 12 the joe-opening force and swallowing muscle, causing difficulty in chewing and/or swallowing 24 . Recently, several cross-sectional studies have shown that trunk 25 and quadriceps 26 muscle mass estimated by computed tomography imaging and ultrasound correlated with dysphagia in older inpatients. The mechanism is considered that the loss of whole-body muscle mass and secondary sarcopenia induced by less physical activity and malnutrition were associated with tongue atrophy 27 and thinning of the pharyngeal wall 28 , leading to dysphagia.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Going Outdoors and Risk of Poor Oral Health Among Older Japanese Adults: A Longitudinal Cohort From the Japan Gerontological Evaluation Study

Ishimura

Sakaniwa

Shirai

et al. 2024

Journal of Epidemiology

View full text Add to dashboard Cite

BackgroundThe association between the frequency of going outdoors and the risk of poor oral health has been reported in several studies; however, the findings have been inconclusive. MethodsWe conducted a three-year longitudinal study of 19,972 Japanese adults aged ≥65 years who reported no poor oral condition at baseline in 2013. The respondents rated their frequency of going outdoors in three categories (≤1, 2-3, or ≥4 times/week), and the oral conditions reported in 2016 included tooth loss, chewing difficulty, swallowing difficulty, dry mouth, and composite outcomes. The associations between the frequency of going outdoors and the risk of poor oral health were examined as relative risk ratios (RR) and 95% confidence intervals (CI) using multivariable Poisson regression, while mediation analysis was performed to investigate indirect effects. ResultsDuring the follow-up, 32.5% of participants developed poor oral health. In the mediation analysis, indirect effects were observed through low instrumental activities of daily living, depressive symptoms, little social network diversity, and underweight.Compared to going outdoors ≥4 times/week, the multivariable RR(95%CI) of composite poor oral health conditions was 1.12 (1.05-1.20) for 2-3 times/week and 1.22 (1.07-1.39) for ≤1 time/week (P-trend<0.001). Similar associations were observed for tooth loss, chewing difficulty, and swallowing difficulty; the corresponding RRs(95%CIs) were 1. 07(0.97-1.19)

show abstract