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- Title
Impact of Tongue Pressure and Peak Expiratory Flow Rate on Nutritional Status Of Older Residents of Nursing Homes in Japan: A Cross-Sectional Study.
- Authors
Izumi, M.; Sonoki, K.; Ohta, Y.; Fukuhara, M.; Nagata, M.; Akifusa, Sumio
- Abstract
Objectives: Swallowing function is critical for continuing oral feeding to prevent frailty in older adults. In this study, we investigated the impact of tongue pressure and pulmonary function on the nutritional status of older adults. Design, Setting, Participants: This cross-sectional study was conducted in Kitakyushu, Japan from August 2017 to November 2018. Fifty-two residents aged >65 years of age from three nursing care insurance facilities in Kitakyushu City, Japan were recruited. Measurements: Oral health status, swallowing function, nutritional status using a mini nutritional assessment short form (MNA-SF), cognitive function, activities of daily living, peak expiratory flow rate (PEFR) for pulmonary function, and tongue pressure were assessed. The associations between nutritional status and the above factors were analysed using a logistic regression model. Results: Participants were divided into two groups: well-nourished group (MNA-SF ≤12) and undernutrition group (MNA-SF <12). Multivariate logistic regression analysis revealed that the correlations of PEFR [odds ratio (OR) = 0.23, 95% confidence interval (CI) = 0.23.0.89 p=0.033) and tongue pressure (OR = 0.88, 95% CI = 0.88.0.99, p=0.029) remained significant even after adjustment with possible confounders. Conclusion: Maximum tongue pressure and PEFR in older adults were significantly associated with their nutritional status. These findings suggest that maintaining oral and pulmonary function may be a preventive factor against a decrease in the nutritional status of older frail adults.
- Subjects
JAPAN; TONGUE physiology; MALNUTRITION; GERIATRIC assessment; COGNITIVE testing; CONFIDENCE intervals; DEGLUTITION; HEALTH insurance; ORAL hygiene; NURSING; NUTRITIONAL assessment; QUESTIONNAIRES; RESPIRATORY measurements; RISK assessment; ACTIVITIES of daily living; MULTIPLE regression analysis; CROSS-sectional method; ODDS ratio; DISEASE risk factors; OLD age
- Publication
Journal of Nutrition, Health & Aging, 2020, Vol 24, Issue 5, p512
- ISSN
1279-7707
- Publication type
Article
- DOI
10.1007/s12603-020-1347-y