Diagnostic accuracy of lip force and tongue strength for sarcopenic dysphagia in older inpatients: A cross-sectional observational study

Sakai, Kotomi; Nakayama, Enri; Tohara, Haruka; Takahashi, Osamu; Ohnishi, Sayako; Tsuzuki, Hidetaka; Hayata, Mayumi; Takehisa, Takahiro; Takehisa, Yozo; Ueda, Kôichiro

doi:10.1016/j.clnu.2018.01.016

Cited by 34 publications

(33 citation statements)

References 27 publications

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“…Thus, nutritional status should be assessed routinely when patients show dysphagia and sarcopenia. In older inpatients, lingual pressure and lip closure force are useful indices for diagnosing sarcopenic dysphagia …”

Section: Diagnosis Of Sarcopenic Dysphagiamentioning

confidence: 99%

“…In older inpatients, lingual pressure and lip closure force are useful indices for diagnosing sarcopenic dysphagia. 66 Muscle mass related to swallowing can be evaluated by ultrasonography, computed tomography and magnetic resonance imaging. In particular, ultrasonic evaluation of the geniohyoid muscle shows good reliability and validity.…”

Section: Diagnosis Of Sarcopenic Dysphagiamentioning

confidence: 99%

See 1 more Smart Citation

Sarcopenia and dysphagia: Position paper by four professional organizations

Fujishima¹,

Fujiu-Kurachi

Arai

et al. 2019

Geriatrics Gerontology Int

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303

255

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This report was written by the Japanese Society of Dysphagia Rehabilitation, the Japanese Association of Rehabilitation Nutrition, the Japanese Association on Sarcopenia and Frailty, and the Society of Swallowing and Dysphagia of Japan to consolidate the currently available evidence on the topics of sarcopenia and dysphagia. Histologically, the swallowing muscles are of different embryological origin from somatic muscles, and receive constant input stimulation from the respiratory center. Although the swallowing muscles are striated, their characteristics are different from those of skeletal muscles. The swallowing muscles are inevitably affected by malnutrition and disuse; accumulating evidence is available regarding the influence of malnutrition on the swallowing muscles. Sarcopenic dysphagia is defined as dysphagia caused by sarcopenia of the whole body and swallowing‐related muscles. When sarcopenia does not exist in the entire body, the term “sarcopenic dysphagia” should not be used. Additionally, sarcopenia due to neuromuscular diseases should be excluded; however, aging and secondary sarcopenia after inactivity, malnutrition and disease (wasting disorder and cachexia) are included in sarcopenic dysphagia. The treatment of dysphagia due to sarcopenia requires both dysphagia rehabilitation, such as resistance training of the swallowing muscles and nutritional intervention. However, the fundamental issue of how dysphagia caused by sarcopenia of the swallowing muscles should be diagnosed remains unresolved. Furthermore, whether dysphagia can be caused by primary sarcopenia should be clarified. Additionally, more discussion is required on issues such as the relationship between dysphagia and secondary sarcopenia, as well as the diagnostic criteria and means for diagnosing dysphagia caused by sarcopenia. Geriatr Gerontol Int 2019; 19: 91–97.

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Section: Diagnosis Of Sarcopenic Dysphagiamentioning

confidence: 99%

Section: Diagnosis Of Sarcopenic Dysphagiamentioning

confidence: 99%

Sarcopenia and dysphagia: Position paper by four professional organizations

Fujishima¹,

Fujiu-Kurachi

Arai

et al. 2019

Geriatrics Gerontology Int

Self Cite

303

255

View full text Add to dashboard Cite

show abstract

“…Overall, reduced lip muscle strength brings a negative impact on their quality of life. It has been suggested that lip muscle strength is associated with gripping force and that reduced lip muscle strength is associated with difficulties in deglutition [34], although future studies are needed for further discussion.…”

Section: Discussionmentioning

confidence: 99%

Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function

Kim¹

2019

Korean Society of Dental Hygiene

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Objectives: This study aimed to analyze the correlation between oral function, oral environment, and brain cognitive function in the elderly. Methods: The subjects were 60 users of senior community center and elderly day care center. The survey was conducted from November to December 2018. Subjects were assessed by oral examination and myofunction test. Oral myofunction was measured using IOPI R and Lip de Cum R . Survey data were analyzed using the statistical programs of PASW Statistics ver. 18.0. Results: Tongue muscle strength and lips muscle strength was higher in males than in females. The tongue and lip strengths were higher in the <81 years old group than the ≥81 years old group. Functional tooth analysis showed that there was a ≥15 teeth group (40.91±7.36) and a <15 teeth group (32.52±7.14).Lip muscle strength analysis showed that the ≥15 teeth group (10.54±3.40) was higher than the <15 teeth group (8.20±2.41, p<0.05). Tongue muscle strength, lumbar muscle strength, and functional tooth number were lower in the elderly subjects with mild cognitive impairment.Cognitive function was significantly correlated with functional tooth number (r=0.386, p<0.001), tongue strength (r=0.478, p<0.001), and lip strength (r=0.281, p<0.05). Tongue strength was significantly correlated with lip strength (r=0.360, p<0.001) and functional tooth number (r=0.633, p<0.001). Lip strength was significantly correlated with functional tooth number (r=0.376, p<0.001). Conclusions: These results showed that age and functional tooth number influenced oral muscle strength and that the number of functional teeth and oral muscle strength were low in the elderly with mild cognitive impairment. Oral myofunction training and oral care program are suggested to improve the quality of life of the elderly.

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“…A reduction was observed in the motor function of the lips in elderly individuals with mild cognitive impairment 17) . An association was demonstrated between not only tongue strength, but also lip force and sarcopenia in elderly individuals during the post-acute phase of illness 12) . Reduced maximum restraining lip force was reported to be a quantifiable symptom of impairment following stroke 14) .…”

Section: Introductionmentioning

confidence: 94%

“…A probetype tongue pressure gauge 4,16) or pressure sensor sheet 5,9) are commonly used to measure tongue pressure in determining muscle strength. The muscle strength of the lips has been called lip-seal 1) , lip-strength 13) , vertical labial pressure 15) , lip-closing strength 11) , lipforce 3,12) , lip-closing force 6) , maximum voluntary lip-closing force 7) , and maximum restraining lip-force 14) ; and various methods have been developed for its evaluation.…”

Section: Introductionmentioning

confidence: 99%

Intra- and Inter-Investigator Reliability of Measurement of Lip-Seal Strength in Adults

Ueda

Oki

Ohta

et al. 2019

Bull. Tokyo Dent. Coll.

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The purpose of this methodological study was to clarify intra-and inter-investigator reliability of lip-seal strength measurement in adults. Lip-seal strength was measured with a digital medical strain gauge using the button-pull method. The coefficient of variation (CV) of intra-investigator reliability of measurement in 24 healthy adult volunteers (16 men, 8 women; mean age, 26±3 years) ranged from 0.088 to 0.103 (mean for 3 investigators, 0.098). The intraclass correlation coefficient (ICC [1,1]) of intra-investigator reliability of this method of lip-seal strength measurement ranged from 0.759 to 0.832 (mean, 0.804). The ICC (2,1) of inter-investigator reliability of the measured values was 0.737. The CV of intra-investigator reliability of lip-seal strength measurement by a single investigator in 54 adult patients (14 men, 40 women; mean age, 49±16 years) was 0.072. The ICC (1,1) of intra-investigator reliability of this measurement method of lip-seal strength was 0.863. A CV of approximately 0.2 or lower is considered to indicate excellent agreement; an ICC of approximately 0.75 or higher is considered indicative of good reliability. These results demonstrate that measurement of lip-seal strength in adults with this device offers sufficient intra-and inter-investigator reliability.

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Diagnostic accuracy of lip force and tongue strength for sarcopenic dysphagia in older inpatients: A cross-sectional observational study

Cited by 34 publications

References 27 publications

Sarcopenia and dysphagia: Position paper by four professional organizations

Sarcopenia and dysphagia: Position paper by four professional organizations

Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function

Intra- and Inter-Investigator Reliability of Measurement of Lip-Seal Strength in Adults

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