Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
Identifieur interne : 000139 ( Main/Exploration ); précédent : 000138; suivant : 000140Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living
Auteurs : Akinari Inui ; Ippei Takahashi ; Sizuka Kurauchi ; Yuki Soma ; Toshiaki Oyama ; Yoshihiro Tamura ; Takao Noguchi ; Kouichi Murashita [Japon] ; Shigeyuki Nakaji ; Wataru KobayashiSource :
- Clinical Interventions in Aging [ 1176-9092 ] ; 2017.
Abstract
Prevention, early detection and effective rehabilitation of dysphagia are important issues to be considered in an aging society. Previous studies have shown conflicting findings regarding the association between dysphagia and its potential risk factors, including age, malnutrition, oral conditions, lifestyle and medical history. Herein, we assessed the prevalence and association of dysphagia with potential risk factors in 50- to 79-year-old adults dwelling in a community in Japan.
In this study, there were 532 participants (185 males and 347 females). Participants who responded positively to the question “Do you sometimes choke on drinks/food such as tea and soup?” or those who presented with abnormal repetitive saliva swallowing test findings were diagnosed with dysphagia. The data collected from these participants included the following: number of teeth, occurrence of oral dryness, age, body mass index, serum albumin concentration, smoking, drinking and exercise habits, presence of diseases, such as diabetes mellitus and hypertension, and questions from the Mini–Mental State Examination.
Dysphagia was observed in 33 males (17.8%) and 76 females (21.9%). To explore the effect of the potential risk factors on the prevalence of dysphagia, a model was built by multivariate logistic regression analysis. Using the forced entry method, oral dryness (odds ratio [OR] =3.683 and
This cross-sectional study demonstrated associations between oral conditions and dysphagia. Factors such as oral dryness and number of teeth may contribute to dysphagia more so than aging, lifestyle and comorbidity in community-dwelling adults over the age of 50.
Url:
DOI: 10.2147/CIA.S132637
PubMed: 28352164
PubMed Central: 5358958
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living</title><author><name sortKey="Inui, Akinari" sort="Inui, Akinari" uniqKey="Inui A" first="Akinari" last="Inui">Akinari Inui</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Takahashi, Ippei" sort="Takahashi, Ippei" uniqKey="Takahashi I" first="Ippei" last="Takahashi">Ippei Takahashi</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Kurauchi, Sizuka" sort="Kurauchi, Sizuka" uniqKey="Kurauchi S" first="Sizuka" last="Kurauchi">Sizuka Kurauchi</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Soma, Yuki" sort="Soma, Yuki" uniqKey="Soma Y" first="Yuki" last="Soma">Yuki Soma</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Oyama, Toshiaki" sort="Oyama, Toshiaki" uniqKey="Oyama T" first="Toshiaki" last="Oyama">Toshiaki Oyama</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Tamura, Yoshihiro" sort="Tamura, Yoshihiro" uniqKey="Tamura Y" first="Yoshihiro" last="Tamura">Yoshihiro Tamura</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Noguchi, Takao" sort="Noguchi, Takao" uniqKey="Noguchi T" first="Takao" last="Noguchi">Takao Noguchi</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Murashita, Kouichi" sort="Murashita, Kouichi" uniqKey="Murashita K" first="Kouichi" last="Murashita">Kouichi Murashita</name><affiliation wicri:level="1"><nlm:aff id="af3-cia-12-515">COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture</wicri:regionArea><wicri:noRegion>Aomori Prefecture</wicri:noRegion></affiliation></author><author><name sortKey="Nakaji, Shigeyuki" sort="Nakaji, Shigeyuki" uniqKey="Nakaji S" first="Shigeyuki" last="Nakaji">Shigeyuki Nakaji</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Kobayashi, Wataru" sort="Kobayashi, Wataru" uniqKey="Kobayashi W" first="Wataru" last="Kobayashi">Wataru Kobayashi</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial 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A:oral:conditions:and</idno><idno type="wicri:Area/Main/Merge">000139</idno><idno type="wicri:Area/Main/Curation">000139</idno><idno type="wicri:Area/Main/Exploration">000139</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living</title><author><name sortKey="Inui, Akinari" sort="Inui, Akinari" uniqKey="Inui A" first="Akinari" last="Inui">Akinari Inui</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Takahashi, Ippei" sort="Takahashi, Ippei" uniqKey="Takahashi I" first="Ippei" last="Takahashi">Ippei Takahashi</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Kurauchi, Sizuka" sort="Kurauchi, Sizuka" uniqKey="Kurauchi S" first="Sizuka" last="Kurauchi">Sizuka Kurauchi</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Soma, Yuki" sort="Soma, Yuki" uniqKey="Soma Y" first="Yuki" last="Soma">Yuki Soma</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Oyama, Toshiaki" sort="Oyama, Toshiaki" uniqKey="Oyama T" first="Toshiaki" last="Oyama">Toshiaki Oyama</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Tamura, Yoshihiro" sort="Tamura, Yoshihiro" uniqKey="Tamura Y" first="Yoshihiro" last="Tamura">Yoshihiro Tamura</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Noguchi, Takao" sort="Noguchi, Takao" uniqKey="Noguchi T" first="Takao" last="Noguchi">Takao Noguchi</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></affiliation></author><author><name sortKey="Murashita, Kouichi" sort="Murashita, Kouichi" uniqKey="Murashita K" first="Kouichi" last="Murashita">Kouichi Murashita</name><affiliation wicri:level="1"><nlm:aff id="af3-cia-12-515">COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>COI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori Prefecture</wicri:regionArea><wicri:noRegion>Aomori Prefecture</wicri:noRegion></affiliation></author><author><name sortKey="Nakaji, Shigeyuki" sort="Nakaji, Shigeyuki" uniqKey="Nakaji S" first="Shigeyuki" last="Nakaji">Shigeyuki Nakaji</name><affiliation><nlm:aff id="af2-cia-12-515">Department of Social Medicine</nlm:aff></affiliation></author><author><name sortKey="Kobayashi, Wataru" sort="Kobayashi, Wataru" uniqKey="Kobayashi W" first="Wataru" last="Kobayashi">Wataru Kobayashi</name><affiliation><nlm:aff id="af1-cia-12-515">Department of Oral and Maxillofacial Surgery</nlm:aff></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="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Prevention, early detection and effective rehabilitation of dysphagia are important issues to be considered in an aging society. Previous studies have shown conflicting findings regarding the association between dysphagia and its potential risk factors, including age, malnutrition, oral conditions, lifestyle and medical history. Herein, we assessed the prevalence and association of dysphagia with potential risk factors in 50- to 79-year-old adults dwelling in a community in Japan.</p></sec><sec><title>Patients and methods</title><p>In this study, there were 532 participants (185 males and 347 females). Participants who responded positively to the question “Do you sometimes choke on drinks/food such as tea and soup?” or those who presented with abnormal repetitive saliva swallowing test findings were diagnosed with dysphagia. The data collected from these participants included the following: number of teeth, occurrence of oral dryness, age, body mass index, serum albumin concentration, smoking, drinking and exercise habits, presence of diseases, such as diabetes mellitus and hypertension, and questions from the Mini–Mental State Examination.</p></sec><sec><title>Results</title><p>Dysphagia was observed in 33 males (17.8%) and 76 females (21.9%). To explore the effect of the potential risk factors on the prevalence of dysphagia, a model was built by multivariate logistic regression analysis. Using the forced entry method, oral dryness (odds ratio [OR] =3.683 and <italic>P</italic>=0.003 in males; OR =1.797 and <italic>P</italic>=0.032 in females) and the number of teeth (OR =0.946 and <italic>P</italic>=0.038 in males) were found to be significantly related to dysphagia.</p></sec><sec><title>Conclusion</title><p>This cross-sectional study demonstrated associations between oral conditions and dysphagia. Factors such as oral dryness and number of teeth may contribute to dysphagia more so than aging, lifestyle and comorbidity in community-dwelling adults over the age of 50.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rofes, L" uniqKey="Rofes L">L Rofes</name></author><author><name sortKey="Arreola, V" uniqKey="Arreola V">V Arreola</name></author><author><name sortKey="Almirall, J" uniqKey="Almirall J">J Almirall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sura, L" uniqKey="Sura L">L Sura</name></author><author><name sortKey="Madhavan, A" uniqKey="Madhavan A">A Madhavan</name></author><author><name sortKey="Carnaby, G" uniqKey="Carnaby G">G Carnaby</name></author><author><name sortKey="Crary, Ma" uniqKey="Crary M">MA Crary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Serra Prat, M" uniqKey="Serra Prat M">M Serra-Prat</name></author><author><name 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Kwag</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Inui, Akinari" sort="Inui, Akinari" uniqKey="Inui A" first="Akinari" last="Inui">Akinari Inui</name><name sortKey="Kobayashi, Wataru" sort="Kobayashi, Wataru" uniqKey="Kobayashi W" first="Wataru" last="Kobayashi">Wataru Kobayashi</name><name sortKey="Kurauchi, Sizuka" sort="Kurauchi, Sizuka" uniqKey="Kurauchi S" first="Sizuka" last="Kurauchi">Sizuka Kurauchi</name><name sortKey="Nakaji, Shigeyuki" sort="Nakaji, Shigeyuki" uniqKey="Nakaji S" first="Shigeyuki" last="Nakaji">Shigeyuki Nakaji</name><name sortKey="Noguchi, Takao" sort="Noguchi, Takao" uniqKey="Noguchi T" first="Takao" last="Noguchi">Takao Noguchi</name><name sortKey="Oyama, Toshiaki" sort="Oyama, Toshiaki" uniqKey="Oyama T" first="Toshiaki" last="Oyama">Toshiaki Oyama</name><name sortKey="Soma, Yuki" sort="Soma, Yuki" uniqKey="Soma Y" first="Yuki" last="Soma">Yuki Soma</name><name sortKey="Takahashi, Ippei" sort="Takahashi, Ippei" uniqKey="Takahashi I" first="Ippei" last="Takahashi">Ippei Takahashi</name><name sortKey="Tamura, Yoshihiro" sort="Tamura, Yoshihiro" uniqKey="Tamura Y" first="Yoshihiro" last="Tamura">Yoshihiro Tamura</name></noCountry><country name="Japon"><noRegion><name sortKey="Murashita, Kouichi" sort="Murashita, Kouichi" uniqKey="Murashita K" first="Kouichi" last="Murashita">Kouichi Murashita</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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