Evaluation of a Japanese “Prevention of Long‐term Care” project for the improvement in oral function in the high‐risk elderly

Sakayori, Takaharu; Maki, Yoshinobu; Hirata, Soichiro; Okada, Mahito; Ishii, Takeshi

doi:10.1111/j.1447-0594.2012.00930.x

Cited by 68 publications

(73 citation statements)

References 11 publications

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“…The Basic Checklist has been used to select participants in some of them, in addition to being adopted as an index to measure the outcomes of physical activity interventions . It has also been used to select participants by investigators who examine other types of intervention . The Basic Checklist is a useful instrument for multiple purposes, such as selecting care prevention program participants and measuring outcomes.…”

Section: Discussionmentioning

confidence: 99%

Evaluation by the Basic Checklist and the risk of 3 years incident long‐term care insurance certification

Kamegaya

Yamaguchi

Hayashi

2017

J of Gen and Family Med

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BackgroundA rapidly aging society needs effective approaches to support frail older people who have a high risk of requiring long‐term care. We investigated the validity of the Basic Checklist (the “Kihon Checklist”) as a tool to select candidates for a program to prevent long‐term care.MethodA survey with questions from the Basic Checklist was conducted with functionally independent older residents aged ≥65 years living in Takasaki City, Japan. Subjects who completed the questionnaire were followed over 3 years for the presence or absence of certification for long‐term care requirement. We used multiple logistic regression analysis to calculate the odds ratio (OR) and 95% confidence interval (95%CI) for long‐term care requirement certification.ResultsA total of 21 325 subjects were analyzed. The odds ratio was the highest when items number one‐20 had a total of ≥10 checked answers (OR, 2.71; 95%CI, 2.22‐3.32). Physical function (OR, 2.29; 95%CI, 2.05‐2.55), nutritional condition (OR, 1.85; 95%CI, 1.38‐2.48), oral function (OR, 1.40; 95%CI, 1.25‐1.57), whether patients were elected as a care prevention program candidate (OR, 1.90; 95%CI, 1.73‐2.08), Homebound state (OR, 1.91; 95%CI, 1.55‐2.37), the presence of dementia (OR, 1.97; 95%CI, 1.75‐2.20), and depression (OR, 1.96; 95%CI, 1.73‐2.22) were associated with a higher odds ratio.ConclusionIndividuals who were selected as long‐term care prevention program candidates based on the Basic Checklist had a higher risk of requiring long‐term care. Older residents who corresponded to 10 or more of the 20 Basic Checklist items are at the highest risk of becoming certified as needing long‐term care.

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Section: Discussionmentioning

confidence: 99%

Evaluation by the Basic Checklist and the risk of 3 years incident long‐term care insurance certification

Kamegaya

Yamaguchi

Hayashi

2017

J of Gen and Family Med

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“…This suggests that performing tongue and pronunciation exercises promotes recovery of decreased motion function and improvement of eating and swallowing function. An earlier study of elderly individuals with extremely poor oral function who required nursing care 8) also found that implementation of an oral function training program for 3 months resulted in a marked improvement in the RSST score and rate of oral diadochokinesis. This indicates that swallowing exercises promote recovery of motion function in the tongue.…”

Section: Discussionmentioning

confidence: 99%

Effect of Swallowing Exercises in Independent Elderly

Sugiyama

Ohkubo

Honda

et al. 2013

Bull. Tokyo Dent. Coll.

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The aim of this study was to investigate the effects of swallowing exercises on oral function in independent elderly patients visiting the Department of Prosthodontics at Tokyo Dental College Chiba Hospital. Twenty-nine patients aged over 65 years (15 men and 14 women; mean age, 75.0 years) in whom treatment was completed at this college were enrolled in the study. The patients were instructed on how to perform swallowing exercises monthly (including at baseline) for the first 2 months from the start of the study and asked to perform those exercises at least once daily. At the beginning and end of the study (a 3-month study period), the Repetitive Saliva Swallowing Test was conducted and occlusal force, oral diadochokinesis, unstimulated whole saliva flow rate, stimulated whole saliva flow rate, salivary pH at rest, and salivary buffering capacity measured to determine the effects of the exercises on oral function. Analyses demonstrated significant increases in diadochokinesis rate (/ta/ and /ka/) and unstimulated whole saliva flow rate (p<0.05), suggesting that the swallowing exercises promote the maintenance and improvement of oral function in the independent elderly.

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“…For measuring oral diadochokinesis, the participants were asked to articulate the 'pa' syllable repetitively as quickly as possible for 5 s, and the number of articulations was counted 25 . The same procedure was repeated for syllables 'ta' and 'ka', and the number of articulations was counted using a digital counter (T.K.K.…”

Section: Assessment Of Oral Functionmentioning

confidence: 99%

Physical fitness and oral function in community‐dwelling older people: a pilot study

et al. 2015

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Evaluation of a Japanese “Prevention of Long‐term Care” project for the improvement in oral function in the high‐risk elderly

Abstract: The effects of intervention were clearly recognized in regards to oral diadochokinesis. Improvement in RSST and oral diadochokinesis scores was marked in those persons showing a lower number of articulations before intervention.

Cited by 68 publications

References 11 publications

Evaluation by the Basic Checklist and the risk of 3 years incident long‐term care insurance certification

Evaluation by the Basic Checklist and the risk of 3 years incident long‐term care insurance certification

Effect of Swallowing Exercises in Independent Elderly

Physical fitness and oral function in community‐dwelling older people: a pilot study

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