Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland
Identifieur interne : 000230 ( Pmc/Checkpoint ); précédent : 000229; suivant : 000231Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland
Auteurs : Ewelina Gaszynska [Pologne] ; Malgorzata Godala [Pologne] ; Franciszek Szatko [Pologne] ; Tomasz Gaszynski [Pologne]Source :
- Clinical Interventions in Aging [ 1176-9092 ] ; 2014.
Abstract
Maintaining good physical fitness and oral function in old age is an important element of good quality of life. Disability-related impairment of oral function contributes to a deterioration of the diet of older people and to the reduction of their social activity.
Investigate the association between masseter muscle tension, dental status, and physical fitness parameters.
Two hundred fifty-nine elderly care home residents (97 men, 162 women; mean age, 75.3±8.9 years) were involved in this cross-sectional study. Their chewing ability was evaluated by masseter muscle tension palpation, differences of masseter muscle thickness, self-reported chewing ability, number of present and functional teeth, and number of posterior tooth pairs. Masseter muscle thickness was measured by ultrasonography. To assess physical fitness, hand grip strength and the timed up-and-go test were performed. Nutritional status was assessed using body mass index and body cell mass index (BCMI), calculated on the basis of electrical bioimpedance measurements. Medical records were used to collect information on systemic diseases and the number of prescribed medications. Subjects were also evaluated for their ability to perform ten activities of daily living.
Ninety-seven percent of the subjects suffered from systemic diseases. The three most prevalent illnesses were cardiac/circulatory 64.5%, musculoskeletal 37.3%, and endocrine/metabolic/nutritional 29.3%. Of the participants, 1.5% were underweight and more than one third (34.4%) were overweight. Malnutrition (BCMI below normal) was found in almost half (45.2%) of the subjects. Only 5.8% had a sufficient number of functional natural teeth. Statistically significant correlations were found between palpation of masseter muscle tension and perceived chewing ability, number of present teeth, number of functional teeth, number of posterior tooth pairs, timed up-and-go, hand grip strength, body mass index, BCMI, and activities of daily living. In a multivariate model, after adjusting for age, sex, and education, subjects with higher BCMI, higher hand grip strength, and more present teeth had a significantly higher chance of strong masseter muscle tension.
There is a relationship between chewing ability and physical fitness in elderly people. Efficiency of masseter muscles is related to physical fitness in the elderly. Masseter muscle tension examined by palpation can be used in public dentistry as one of the indicators of quality of life.
Url:
DOI: 10.2147/CIA.S66672
PubMed: 25092969
PubMed Central: 4113568
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:4113568Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland</title><author><name sortKey="Gaszynska, Ewelina" sort="Gaszynska, Ewelina" uniqKey="Gaszynska E" first="Ewelina" last="Gaszynska">Ewelina Gaszynska</name><affiliation wicri:level="1"><nlm:aff id="af1-cia-9-1197">Department of Hygiene and Health Promotion, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Hygiene and Health Promotion, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Godala, Malgorzata" sort="Godala, Malgorzata" uniqKey="Godala M" first="Malgorzata" last="Godala">Malgorzata Godala</name><affiliation wicri:level="1"><nlm:aff id="af2-cia-9-1197">Department of Nutrition and Epidemiology, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nutrition and Epidemiology, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Szatko, Franciszek" sort="Szatko, Franciszek" uniqKey="Szatko F" first="Franciszek" last="Szatko">Franciszek Szatko</name><affiliation wicri:level="1"><nlm:aff id="af1-cia-9-1197">Department of Hygiene and Health Promotion, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Hygiene and Health Promotion, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Gaszynski, Tomasz" sort="Gaszynski, Tomasz" uniqKey="Gaszynski T" first="Tomasz" last="Gaszynski">Tomasz Gaszynski</name><affiliation wicri:level="1"><nlm:aff id="af3-cia-9-1197">Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25092969</idno><idno type="pmc">4113568</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113568</idno><idno type="RBID">PMC:4113568</idno><idno type="doi">10.2147/CIA.S66672</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000513</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000513</idno><idno type="wicri:Area/Pmc/Curation">000513</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000513</idno><idno type="wicri:Area/Pmc/Checkpoint">000230</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000230</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland</title><author><name sortKey="Gaszynska, Ewelina" sort="Gaszynska, Ewelina" uniqKey="Gaszynska E" first="Ewelina" last="Gaszynska">Ewelina Gaszynska</name><affiliation wicri:level="1"><nlm:aff id="af1-cia-9-1197">Department of Hygiene and Health Promotion, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Hygiene and Health Promotion, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Godala, Malgorzata" sort="Godala, Malgorzata" uniqKey="Godala M" first="Malgorzata" last="Godala">Malgorzata Godala</name><affiliation wicri:level="1"><nlm:aff id="af2-cia-9-1197">Department of Nutrition and Epidemiology, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nutrition and Epidemiology, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Szatko, Franciszek" sort="Szatko, Franciszek" uniqKey="Szatko F" first="Franciszek" last="Szatko">Franciszek Szatko</name><affiliation wicri:level="1"><nlm:aff id="af1-cia-9-1197">Department of Hygiene and Health Promotion, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Hygiene and Health Promotion, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Gaszynski, Tomasz" sort="Gaszynski, Tomasz" uniqKey="Gaszynski T" first="Tomasz" last="Gaszynski">Tomasz Gaszynski</name><affiliation wicri:level="1"><nlm:aff id="af3-cia-9-1197">Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical Interventions in Aging</title><idno type="ISSN">1176-9092</idno><idno type="eISSN">1178-1998</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Maintaining good physical fitness and oral function in old age is an important element of good quality of life. Disability-related impairment of oral function contributes to a deterioration of the diet of older people and to the reduction of their social activity.</p></sec><sec><title>Objectives</title><p>Investigate the association between masseter muscle tension, dental status, and physical fitness parameters.</p></sec><sec><title>Materials and methods</title><p>Two hundred fifty-nine elderly care home residents (97 men, 162 women; mean age, 75.3±8.9 years) were involved in this cross-sectional study. Their chewing ability was evaluated by masseter muscle tension palpation, differences of masseter muscle thickness, self-reported chewing ability, number of present and functional teeth, and number of posterior tooth pairs. Masseter muscle thickness was measured by ultrasonography. To assess physical fitness, hand grip strength and the timed up-and-go test were performed. Nutritional status was assessed using body mass index and body cell mass index (BCMI), calculated on the basis of electrical bioimpedance measurements. Medical records were used to collect information on systemic diseases and the number of prescribed medications. Subjects were also evaluated for their ability to perform ten activities of daily living.</p></sec><sec><title>Results</title><p>Ninety-seven percent of the subjects suffered from systemic diseases. The three most prevalent illnesses were cardiac/circulatory 64.5%, musculoskeletal 37.3%, and endocrine/metabolic/nutritional 29.3%. Of the participants, 1.5% were underweight and more than one third (34.4%) were overweight. Malnutrition (BCMI below normal) was found in almost half (45.2%) of the subjects. Only 5.8% had a sufficient number of functional natural teeth. Statistically significant correlations were found between palpation of masseter muscle tension and perceived chewing ability, number of present teeth, number of functional teeth, number of posterior tooth pairs, timed up-and-go, hand grip strength, body mass index, BCMI, and activities of daily living. In a multivariate model, after adjusting for age, sex, and education, subjects with higher BCMI, higher hand grip strength, and more present teeth had a significantly higher chance of strong masseter muscle tension.</p></sec><sec><title>Conclusion</title><p>There is a relationship between chewing ability and physical fitness in elderly people. Efficiency of masseter muscles is related to physical fitness in the elderly. Masseter muscle tension examined by palpation can be used in public dentistry as one of the indicators of quality of life.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Avlund, K" uniqKey="Avlund K">K Avlund</name></author><author><name sortKey="Holm Pedersen, P" uniqKey="Holm Pedersen P">P Holm-Pedersen</name></author><author><name sortKey="Schroll, M" uniqKey="Schroll M">M Schroll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holm Pedersen, P" uniqKey="Holm Pedersen P">P Holm-Pedersen</name></author><author><name sortKey="Schultz Larsen, K" uniqKey="Schultz Larsen K">K Schultz-Larsen</name></author><author><name sortKey="Christiansen, N" uniqKey="Christiansen N">N Christiansen</name></author><author><name sortKey="Avlund, K" uniqKey="Avlund K">K Avlund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raadsheer, Mc" uniqKey="Raadsheer M">MC Raadsheer</name></author><author><name sortKey="Van Eijden, Tm" uniqKey="Van Eijden T">TM Van Eijden</name></author><author><name sortKey="Van Ginkel, Fc" uniqKey="Van Ginkel F">FC Van Ginkel</name></author><author><name sortKey="Prahl Andersen, B" uniqKey="Prahl Andersen B">B Prahl-Andersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Iinuma, T" uniqKey="Iinuma T">T Iinuma</name></author><author><name sortKey="Arai, Y" uniqKey="Arai Y">Y Arai</name></author><author><name sortKey="Fukumoto, M" uniqKey="Fukumoto M">M Fukumoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ikebe, K" uniqKey="Ikebe K">K Ikebe</name></author><author><name sortKey="Matsuda, K" uniqKey="Matsuda K">K Matsuda</name></author><author><name sortKey="Kagawa, R" uniqKey="Kagawa R">R Kagawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cruz Jentoft, Aj" uniqKey="Cruz Jentoft A">AJ Cruz-Jentoft</name></author><author><name sortKey="Baeyens, Jp" uniqKey="Baeyens J">JP Baeyens</name></author><author><name sortKey="Bauer, Jm" uniqKey="Bauer J">JM Bauer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goodpaster, Bh" uniqKey="Goodpaster B">BH Goodpaster</name></author><author><name sortKey="Park, Sw" uniqKey="Park S">SW Park</name></author><author><name sortKey="Harris, Tb" uniqKey="Harris T">TB Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ansai, T" uniqKey="Ansai T">T Ansai</name></author><author><name sortKey="Takata, Y" uniqKey="Takata Y">Y Takata</name></author><author><name sortKey="Soh, I" uniqKey="Soh I">I Soh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miura, H" uniqKey="Miura H">H Miura</name></author><author><name sortKey="Kariyasu, M" uniqKey="Kariyasu M">M Kariyasu</name></author><author><name sortKey="Yamasaki, K" uniqKey="Yamasaki K">K Yamasaki</name></author><author><name sortKey="Arai, Y" uniqKey="Arai Y">Y Arai</name></author><author><name sortKey="Sumi, Y" uniqKey="Sumi Y">Y Sumi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Hy" uniqKey="Kim H">HY Kim</name></author><author><name sortKey="Jang, Ms" uniqKey="Jang M">MS Jang</name></author><author><name sortKey="Chung, Cp" uniqKey="Chung C">CP Chung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Takata, Y" uniqKey="Takata Y">Y Takata</name></author><author><name sortKey="Ansai, T" uniqKey="Ansai T">T Ansai</name></author><author><name sortKey="Awano, S" uniqKey="Awano S">S Awano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamaga, T" uniqKey="Yamaga T">T Yamaga</name></author><author><name sortKey="Yoshihara, A" uniqKey="Yoshihara A">A Yoshihara</name></author><author><name sortKey="Ando, Y" uniqKey="Ando Y">Y Ando</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hanada, N" uniqKey="Hanada N">N Hanada</name></author><author><name sortKey="Tada, A" uniqKey="Tada A">A Tada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tada, A" uniqKey="Tada A">A Tada</name></author><author><name sortKey="Watanabe, T" uniqKey="Watanabe T">T Watanabe</name></author><author><name sortKey="Yokoe, H" uniqKey="Yokoe H">H Yokoe</name></author><author><name sortKey="Hanada, N" uniqKey="Hanada N">N Hanada</name></author><author><name sortKey="Tanzawa, H" uniqKey="Tanzawa H">H Tanzawa</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ohara, Y" uniqKey="Ohara Y">Y Ohara</name></author><author><name sortKey="Hirano, H" uniqKey="Hirano H">H Hirano</name></author><author><name sortKey="Watanabe, Y" uniqKey="Watanabe Y">Y Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Podsiadlo, D" uniqKey="Podsiadlo D">D Podsiadlo</name></author><author><name sortKey="Richardson, S" uniqKey="Richardson S">S Richardson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bassey, Ej" uniqKey="Bassey E">EJ Bassey</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moore, Fd" uniqKey="Moore F">FD Moore</name></author><author><name sortKey="Boyden, Cm" uniqKey="Boyden C">CM Boyden</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Adiatman, M" uniqKey="Adiatman M">M Adiatman</name></author><author><name sortKey="Ueno, M" uniqKey="Ueno M">M Ueno</name></author><author><name sortKey="Ohnuki, M" uniqKey="Ohnuki M">M Ohnuki</name></author><author><name sortKey="Hakuta, C" uniqKey="Hakuta C">C Hakuta</name></author><author><name sortKey="Shinada, K" uniqKey="Shinada K">K Shinada</name></author><author><name sortKey="Kawaguchi, Y" uniqKey="Kawaguchi Y">Y Kawaguchi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hilgert, Jb" uniqKey="Hilgert J">JB Hilgert</name></author><author><name sortKey="Hugo, Fn" uniqKey="Hugo F">FN Hugo</name></author><author><name sortKey="De Sousa, Ml" uniqKey="De Sousa M">ML de Sousa</name></author><author><name sortKey="Bozzetti, Mc" uniqKey="Bozzetti M">MC Bozzetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talluri, A" uniqKey="Talluri A">A Talluri</name></author><author><name sortKey="Liedtke, R" uniqKey="Liedtke R">R Liedtke</name></author><author><name sortKey="Mohamed, Ei" uniqKey="Mohamed E">EI Mohamed</name></author><author><name sortKey="Maiolo, C" uniqKey="Maiolo C">C Maiolo</name></author><author><name sortKey="Martinoli, R" uniqKey="Martinoli R">R Martinoli</name></author><author><name sortKey="De Lorenzo, A" uniqKey="De Lorenzo A">A De Lorenzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Solemdal, K" uniqKey="Solemdal K">K Solemdal</name></author><author><name sortKey="Sandvik, L" uniqKey="Sandvik L">L Sandvik</name></author><author><name sortKey="Moinichen Berstad, C" uniqKey="Moinichen Berstad C">C Moinichen-Berstad</name></author><author><name sortKey="Skog, K" uniqKey="Skog K">K Skog</name></author><author><name sortKey="Willumsen, T" uniqKey="Willumsen T">T Willumsen</name></author><author><name sortKey="Mowe, M" uniqKey="Mowe M">M Mowe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fiatarone, Ma" uniqKey="Fiatarone M">MA Fiatarone</name></author><author><name sortKey="O Eill, Ef" uniqKey="O Eill E">EF O’Neill</name></author><author><name sortKey="Ryan, Nd" uniqKey="Ryan N">ND Ryan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Figueiredo, Fa" uniqKey="Figueiredo F">FA Figueiredo</name></author><author><name sortKey="Dickson, Er" uniqKey="Dickson E">ER Dickson</name></author><author><name sortKey="Pasha, Tm" uniqKey="Pasha T">TM Pasha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lauretani, F" uniqKey="Lauretani F">F Lauretani</name></author><author><name sortKey="Russo, Cr" uniqKey="Russo C">CR Russo</name></author><author><name sortKey="Bandinelli, S" uniqKey="Bandinelli S">S Bandinelli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Ms" uniqKey="Lee M">MS Lee</name></author><author><name sortKey="Huang, Yc" uniqKey="Huang Y">YC Huang</name></author><author><name sortKey="Wahlqvist, Ml" uniqKey="Wahlqvist M">ML Wahlqvist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kimura, Y" uniqKey="Kimura Y">Y Kimura</name></author><author><name sortKey="Ogawa, H" uniqKey="Ogawa H">H Ogawa</name></author><author><name sortKey="Yoshihara, A" uniqKey="Yoshihara A">A Yoshihara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sahyoun, Nr" uniqKey="Sahyoun N">NR Sahyoun</name></author><author><name sortKey="Lin, Cl" uniqKey="Lin C">CL Lin</name></author><author><name sortKey="Krall, E" uniqKey="Krall E">E Krall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author><author><name sortKey="Steele, Jg" uniqKey="Steele J">JG Steele</name></author><author><name sortKey="Marcenes, W" uniqKey="Marcenes W">W Marcenes</name></author><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author><author><name sortKey="Finch, S" uniqKey="Finch S">S Finch</name></author><author><name sortKey="Walls, Aw" uniqKey="Walls A">AW Walls</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moynihan, Pj" uniqKey="Moynihan P">PJ Moynihan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Janssen, I" uniqKey="Janssen I">I Janssen</name></author><author><name sortKey="Heymsfield, Sb" uniqKey="Heymsfield S">SB Heymsfield</name></author><author><name sortKey="Ross, R" uniqKey="Ross R">R Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="H M L Inen, P" uniqKey="H M L Inen P">P Hämäläinen</name></author><author><name sortKey="Rantanen, T" uniqKey="Rantanen T">T Rantanen</name></author><author><name sortKey="Keskinen, M" uniqKey="Keskinen M">M Keskinen</name></author><author><name sortKey="Meurman, Jh" uniqKey="Meurman J">JH Meurman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Takata, Y" uniqKey="Takata Y">Y Takata</name></author><author><name sortKey="Ansai, T" uniqKey="Ansai T">T Ansai</name></author><author><name sortKey="Soh, I" uniqKey="Soh I">I Soh</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Interv Aging</journal-id><journal-id journal-id-type="iso-abbrev">Clin Interv Aging</journal-id><journal-id journal-id-type="publisher-id">Clinical Interventions in Aging</journal-id><journal-title-group><journal-title>Clinical Interventions in Aging</journal-title></journal-title-group><issn pub-type="ppub">1176-9092</issn><issn pub-type="epub">1178-1998</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25092969</article-id><article-id pub-id-type="pmc">4113568</article-id><article-id pub-id-type="doi">10.2147/CIA.S66672</article-id><article-id pub-id-type="publisher-id">cia-9-1197</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gaszynska</surname><given-names>Ewelina</given-names></name><xref ref-type="aff" rid="af1-cia-9-1197">1</xref></contrib><contrib contrib-type="author"><name><surname>Godala</surname><given-names>Malgorzata</given-names></name><xref ref-type="aff" rid="af2-cia-9-1197">2</xref></contrib><contrib contrib-type="author"><name><surname>Szatko</surname><given-names>Franciszek</given-names></name><xref ref-type="aff" rid="af1-cia-9-1197">1</xref></contrib><contrib contrib-type="author"><name><surname>Gaszynski</surname><given-names>Tomasz</given-names></name><xref ref-type="aff" rid="af3-cia-9-1197">3</xref><xref ref-type="corresp" rid="c1-cia-9-1197"></xref></contrib></contrib-group><aff id="af1-cia-9-1197"><label>1</label>Department of Hygiene and Health Promotion, Medical University of Lodz, Poland</aff><aff id="af2-cia-9-1197"><label>2</label>Department of Nutrition and Epidemiology, Medical University of Lodz, Poland</aff><aff id="af3-cia-9-1197"><label>3</label>Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Poland</aff><author-notes><corresp id="c1-cia-9-1197">Correspondence: Tomasz Gaszynski, Department of Emergency Medicine and Disaster Medicine, Barlicki University Hospital, ul. Czechoslowacka 2b, 92-216 Lodz, Poland, Tel +48 42 272 5747, Email <email>tomasz.gaszynski@umed.lodz.pl</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>22</day><month>7</month><year>2014</year></pub-date><volume>9</volume><fpage>1197</fpage><lpage>1203</lpage><permissions><copyright-statement>© 2014 Gaszynska et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License</copyright-statement><copyright-year>2014</copyright-year><license><license-p>The full terms of the License are available at <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.</license-p></license></permissions><abstract><sec><title>Background</title><p>Maintaining good physical fitness and oral function in old age is an important element of good quality of life. Disability-related impairment of oral function contributes to a deterioration of the diet of older people and to the reduction of their social activity.</p></sec><sec><title>Objectives</title><p>Investigate the association between masseter muscle tension, dental status, and physical fitness parameters.</p></sec><sec><title>Materials and methods</title><p>Two hundred fifty-nine elderly care home residents (97 men, 162 women; mean age, 75.3±8.9 years) were involved in this cross-sectional study. Their chewing ability was evaluated by masseter muscle tension palpation, differences of masseter muscle thickness, self-reported chewing ability, number of present and functional teeth, and number of posterior tooth pairs. Masseter muscle thickness was measured by ultrasonography. To assess physical fitness, hand grip strength and the timed up-and-go test were performed. Nutritional status was assessed using body mass index and body cell mass index (BCMI), calculated on the basis of electrical bioimpedance measurements. Medical records were used to collect information on systemic diseases and the number of prescribed medications. Subjects were also evaluated for their ability to perform ten activities of daily living.</p></sec><sec><title>Results</title><p>Ninety-seven percent of the subjects suffered from systemic diseases. The three most prevalent illnesses were cardiac/circulatory 64.5%, musculoskeletal 37.3%, and endocrine/metabolic/nutritional 29.3%. Of the participants, 1.5% were underweight and more than one third (34.4%) were overweight. Malnutrition (BCMI below normal) was found in almost half (45.2%) of the subjects. Only 5.8% had a sufficient number of functional natural teeth. Statistically significant correlations were found between palpation of masseter muscle tension and perceived chewing ability, number of present teeth, number of functional teeth, number of posterior tooth pairs, timed up-and-go, hand grip strength, body mass index, BCMI, and activities of daily living. In a multivariate model, after adjusting for age, sex, and education, subjects with higher BCMI, higher hand grip strength, and more present teeth had a significantly higher chance of strong masseter muscle tension.</p></sec><sec><title>Conclusion</title><p>There is a relationship between chewing ability and physical fitness in elderly people. Efficiency of masseter muscles is related to physical fitness in the elderly. Masseter muscle tension examined by palpation can be used in public dentistry as one of the indicators of quality of life.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>physical fitness</kwd><kwd>chewing ability</kwd><kwd>masseter muscle tension</kwd></kwd-group></article-meta></front><floats-group><table-wrap id="t1-cia-9-1197" position="float"><label>Table 1</label><caption><p>Chewing ability variables and demographics</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1">Variable</th><th align="left" valign="top" rowspan="1" colspan="1">Total</th><th align="left" valign="top" rowspan="1" colspan="1">Male</th><th align="left" valign="top" rowspan="1" colspan="1">Female</th><th align="left" valign="top" rowspan="1" colspan="1"><italic>P</italic>-value</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Age (years), mean ± SD</td><td align="left" valign="top" rowspan="1" colspan="1">75.3±8.9</td><td align="left" valign="top" rowspan="1" colspan="1">70.4±6.3</td><td align="left" valign="top" rowspan="1" colspan="1">78.2±9.0</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001<xref ref-type="table-fn" rid="tfn1-cia-9-1197">a</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Present teeth (n), mean ± SD</td><td align="left" valign="top" rowspan="1" colspan="1">5.6±7.3</td><td align="left" valign="top" rowspan="1" colspan="1">6.8±7.9</td><td align="left" valign="top" rowspan="1" colspan="1">4.9±6.9</td><td align="left" valign="top" rowspan="1" colspan="1">0.07<xref ref-type="table-fn" rid="tfn1-cia-9-1197">a</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Functional teeth (n), mean ± SD</td><td align="left" valign="top" rowspan="1" colspan="1">14.6±12.4</td><td align="left" valign="top" rowspan="1" colspan="1">14.8±11.9</td><td align="left" valign="top" rowspan="1" colspan="1">14.5±12.8</td><td align="left" valign="top" rowspan="1" colspan="1">0.93<xref ref-type="table-fn" rid="tfn1-cia-9-1197">a</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Posterior tooth pairs (n), mean ± SD</td><td align="left" valign="top" rowspan="1" colspan="1">3.8±3.7</td><td align="left" valign="top" rowspan="1" colspan="1">3.8±3.6</td><td align="left" valign="top" rowspan="1" colspan="1">3.8±3.7</td><td align="left" valign="top" rowspan="1" colspan="1">0.93<xref ref-type="table-fn" rid="tfn1-cia-9-1197">a</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Difference in the masseter muscle thickness, mean ± SD</td><td align="left" valign="top" rowspan="1" colspan="1">2.4±0.85</td><td align="left" valign="top" rowspan="1" colspan="1">3±0.79</td><td align="left" valign="top" rowspan="1" colspan="1">2.1±0.72</td><td align="left" valign="top" rowspan="1" colspan="1">0.00<xref ref-type="table-fn" rid="tfn1-cia-9-1197">a</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Self-reported chewing ability, % good</td><td align="left" valign="top" rowspan="1" colspan="1">51.3</td><td align="left" valign="top" rowspan="1" colspan="1">51.5</td><td align="left" valign="top" rowspan="1" colspan="1">51.2</td><td align="left" valign="top" rowspan="1" colspan="1">1.00<xref ref-type="table-fn" rid="tfn2-cia-9-1197">b</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Palpation masseter muscle tension, % strong</td><td align="left" valign="top" rowspan="1" colspan="1">42.5</td><td align="left" valign="top" rowspan="1" colspan="1">59.8</td><td align="left" valign="top" rowspan="1" colspan="1">32.1</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001<xref ref-type="table-fn" rid="tfn2-cia-9-1197">b</xref></td></tr></tbody></table><table-wrap-foot><fn><p><bold>Notes:</bold></p></fn><fn id="tfn1-cia-9-1197"><label>a</label><p>Kruskal–Wallis test.</p></fn><fn id="tfn2-cia-9-1197"><label>b</label><p>Chi-squared test.</p></fn><fn id="tfn3-cia-9-1197"><p><bold>Abbreviation:</bold> SD, standard deviation.</p></fn></table-wrap-foot></table-wrap><table-wrap id="t2-cia-9-1197" position="float"><label>Table 2</label><caption><p>Chewing ability variables in relation to demographics, nutritional indicators, medications, and comorbid diseases</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1">Variables</th><th align="left" valign="top" rowspan="1" colspan="1">Present teeth<xref ref-type="table-fn" rid="tfn4-cia-9-1197">a</xref></th><th align="left" valign="top" rowspan="1" colspan="1">Functional teeth<xref ref-type="table-fn" rid="tfn4-cia-9-1197">a</xref></th><th align="left" valign="top" rowspan="1" colspan="1">Posterior tooth pairs<xref ref-type="table-fn" rid="tfn4-cia-9-1197">a</xref></th><th align="left" valign="top" rowspan="1" colspan="1">Difference in the masseter muscle thickness<xref ref-type="table-fn" rid="tfn4-cia-9-1197">a</xref></th><th align="left" valign="top" rowspan="1" colspan="1">Palpation of masseter muscle tension<xref ref-type="table-fn" rid="tfn5-cia-9-1197">b</xref></th><th align="left" valign="top" rowspan="1" colspan="1">Perceived chewing ability<xref ref-type="table-fn" rid="tfn5-cia-9-1197">b</xref></th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Hand grip strength</td><td align="left" valign="top" rowspan="1" colspan="1">0.161, 0.01</td><td align="left" valign="top" rowspan="1" colspan="1">0.026, 0.673</td><td align="left" valign="top" rowspan="1" colspan="1">0.039</td><td align="left" valign="top" rowspan="1" colspan="1">0.777, <0.001</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td><td align="left" valign="top" rowspan="1" colspan="1">0.108</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Timed up-and-go</td><td align="left" valign="top" rowspan="1" colspan="1">−0.014, 0.83</td><td align="left" valign="top" rowspan="1" colspan="1">−0.127, 0.053</td><td align="left" valign="top" rowspan="1" colspan="1">−0.131, 0.045</td><td align="left" valign="top" rowspan="1" colspan="1">−0.249, <0.001</td><td align="left" valign="top" rowspan="1" colspan="1">0.015</td><td align="left" valign="top" rowspan="1" colspan="1">0.129</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body mass index</td><td align="left" valign="top" rowspan="1" colspan="1">0.224, 0.004</td><td align="left" valign="top" rowspan="1" colspan="1">−0.056, 0.484</td><td align="left" valign="top" rowspan="1" colspan="1">−0.059, 0.456</td><td align="left" valign="top" rowspan="1" colspan="1">0.372, <0.001</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td><td align="left" valign="top" rowspan="1" colspan="1">0.198</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body cell mass index</td><td align="left" valign="top" rowspan="1" colspan="1">0.229, 0.017</td><td align="left" valign="top" rowspan="1" colspan="1">0.067, 0.492</td><td align="left" valign="top" rowspan="1" colspan="1">0.055, 0.574</td><td align="left" valign="top" rowspan="1" colspan="1">0.777, <0.001</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td><td align="left" valign="top" rowspan="1" colspan="1">0.721</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Activities of daily living</td><td align="left" valign="top" rowspan="1" colspan="1">0.095, 0.127</td><td align="left" valign="top" rowspan="1" colspan="1">0.037, 0.557</td><td align="left" valign="top" rowspan="1" colspan="1">0.021, 0.739</td><td align="left" valign="top" rowspan="1" colspan="1">0.214, 0.001</td><td align="left" valign="top" rowspan="1" colspan="1">0.032</td><td align="left" valign="top" rowspan="1" colspan="1">0.024</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Prescribed medications</td><td align="left" valign="top" rowspan="1" colspan="1">−0.129, 0.038</td><td align="left" valign="top" rowspan="1" colspan="1">0.054, 0.387</td><td align="left" valign="top" rowspan="1" colspan="1">0.06, 0.335</td><td align="left" valign="top" rowspan="1" colspan="1">−0.063, 0.313</td><td align="left" valign="top" rowspan="1" colspan="1">0.141</td><td align="left" valign="top" rowspan="1" colspan="1">0.085</td></tr></tbody></table><table-wrap-foot><fn><p><bold>Notes:</bold></p></fn><fn id="tfn4-cia-9-1197"><label>a</label><p>Spearman’s correlation coefficient.</p></fn><fn id="tfn5-cia-9-1197"><label>b</label><p>Kruskal–Wallis test. Data are presented as <italic>P</italic>-values.</p></fn></table-wrap-foot></table-wrap><table-wrap id="t3-cia-9-1197" position="float"><label>Table 3</label><caption><p>Categories of masseter muscle tension versus dental status and physical fitness parameters, Kruskal–Wallis test</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1">Variable</th><th align="left" valign="top" rowspan="1" colspan="1">Total, mean ± SD</th><th align="left" valign="top" rowspan="1" colspan="1">Strong group, mean ± SD</th><th align="left" valign="top" rowspan="1" colspan="1">Weak group, mean ± SD</th><th align="left" valign="top" rowspan="1" colspan="1">Nil group, mean ± SD</th><th align="left" valign="top" rowspan="1" colspan="1"><italic>P</italic>-value</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Hand grip strength</td><td align="left" valign="top" rowspan="1" colspan="1">18.9±8.8</td><td align="left" valign="top" rowspan="1" colspan="1">24.2±8.0</td><td align="left" valign="top" rowspan="1" colspan="1">16.4±6.9</td><td align="left" valign="top" rowspan="1" colspan="1">10.6±5.8</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Timed up-and-go</td><td align="left" valign="top" rowspan="1" colspan="1">11.9±5.3</td><td align="left" valign="top" rowspan="1" colspan="1">10.9±4.8</td><td align="left" valign="top" rowspan="1" colspan="1">12.3±5.3</td><td align="left" valign="top" rowspan="1" colspan="1">14.5±6.1</td><td align="left" valign="top" rowspan="1" colspan="1">0.012</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body mass index</td><td align="left" valign="top" rowspan="1" colspan="1">25.7±4.3</td><td align="left" valign="top" rowspan="1" colspan="1">27.0±4.3</td><td align="left" valign="top" rowspan="1" colspan="1">24.7±3.9</td><td align="left" valign="top" rowspan="1" colspan="1">22.9±3.8</td><td align="left" valign="top" rowspan="1" colspan="1">0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body cell mass index</td><td align="left" valign="top" rowspan="1" colspan="1">7.3±1.3</td><td align="left" valign="top" rowspan="1" colspan="1">8.1±1.3</td><td align="left" valign="top" rowspan="1" colspan="1">6.8±0.9</td><td align="left" valign="top" rowspan="1" colspan="1">6.6±1.0</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Activities of daily living</td><td align="left" valign="top" rowspan="1" colspan="1">16.1±4.9</td><td align="left" valign="top" rowspan="1" colspan="1">17.3±3.5</td><td align="left" valign="top" rowspan="1" colspan="1">16.2±5.1</td><td align="left" valign="top" rowspan="1" colspan="1">12.1±6</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Prescribed medications</td><td align="left" valign="top" rowspan="1" colspan="1">6.9±3.0</td><td align="left" valign="top" rowspan="1" colspan="1">6.6±2.7</td><td align="left" valign="top" rowspan="1" colspan="1">6.8±3.0</td><td align="left" valign="top" rowspan="1" colspan="1">8.1±3.1</td><td align="left" valign="top" rowspan="1" colspan="1">0.036</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Present teeth</td><td align="left" valign="top" rowspan="1" colspan="1">5.6±7.3</td><td align="left" valign="top" rowspan="1" colspan="1">8.2±8.2</td><td align="left" valign="top" rowspan="1" colspan="1">4.2±6.4</td><td align="left" valign="top" rowspan="1" colspan="1">2.5±4.2</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Functional teeth</td><td align="left" valign="top" rowspan="1" colspan="1">14.6±12.4</td><td align="left" valign="top" rowspan="1" colspan="1">16.9±11.3</td><td align="left" valign="top" rowspan="1" colspan="1">14.1±12.9</td><td align="left" valign="top" rowspan="1" colspan="1">9.0±12.8</td><td align="left" valign="top" rowspan="1" colspan="1">0.007</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Posterior tooth pairs</td><td align="left" valign="top" rowspan="1" colspan="1">3.8±3.7</td><td align="left" valign="top" rowspan="1" colspan="1">4.4±3.4</td><td align="left" valign="top" rowspan="1" colspan="1">3.7±3.8</td><td align="left" valign="top" rowspan="1" colspan="1">2.4±3.7</td><td align="left" valign="top" rowspan="1" colspan="1">0.009</td></tr></tbody></table><table-wrap-foot><fn id="tfn6-cia-9-1197"><p><bold>Abbreviation:</bold> SD, standard deviation.</p></fn></table-wrap-foot></table-wrap><table-wrap id="t4-cia-9-1197" position="float"><label>Table 4</label><caption><p>Multiple logistic regression model, significant variables after adjusting for demographics: age, sex, and education</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1">Variables</th><th align="left" valign="top" rowspan="1" colspan="1">Odds ratio</th><th align="left" valign="top" rowspan="1" colspan="1">95% confidence interval</th><th align="left" valign="top" rowspan="1" colspan="1"><italic>P</italic>-value</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Number of teeth present</td><td align="left" valign="top" rowspan="1" colspan="1">1.155</td><td align="left" valign="top" rowspan="1" colspan="1">1.057–1.262</td><td align="left" valign="top" rowspan="1" colspan="1">0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Hand grip strength</td><td align="left" valign="top" rowspan="1" colspan="1">1.364</td><td align="left" valign="top" rowspan="1" colspan="1">1.150–1.619</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body cell mass index</td><td align="left" valign="top" rowspan="1" colspan="1">3.623</td><td align="left" valign="top" rowspan="1" colspan="1">1.908–6.882</td><td align="left" valign="top" rowspan="1" colspan="1"><0.001</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Gaszynska, Ewelina" sort="Gaszynska, Ewelina" uniqKey="Gaszynska E" first="Ewelina" last="Gaszynska">Ewelina Gaszynska</name></noRegion><name sortKey="Gaszynski, Tomasz" sort="Gaszynski, Tomasz" uniqKey="Gaszynski T" first="Tomasz" last="Gaszynski">Tomasz Gaszynski</name><name sortKey="Godala, Malgorzata" sort="Godala, Malgorzata" uniqKey="Godala M" first="Malgorzata" last="Godala">Malgorzata Godala</name><name sortKey="Szatko, Franciszek" sort="Szatko, Franciszek" uniqKey="Szatko F" first="Franciszek" last="Szatko">Franciszek Szatko</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000230 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 000230 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:4113568
|texte= Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:25092969" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV1
| This area was generated with Dilib version V0.6.33. |  |