Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function
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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 IOPIR and Lip de CumR. 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.
Abstract
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 IOPIR and Lip de CumR. 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.
참고문헌 (35)
- Dong Hyun Cho, "저작, 연하와 연관된 치과 질환", 대한연하장애학회지, 7(2), pp.42~48 (2017), 대한연하장애학회[DOI]
- Anastassia Kossioni, "Eating habits in older people in Greece: The role of age, dental status and chewing difficulties", Archives of Gerontology and Geriatrics, 52(2), pp.197~201 (2011), Elsevier BV[DOI]
- Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey(KNHANES Ⅵ-3), "Statistics Korea", Korea Center for Disease Control & Prevention, 1~503 (2015)
- 김지수, "대도시에 거주하는 65세 이상 노인들의 현존치아수와 의치장착상태: 제6기(2013-2015년) 국민건강영양조사 자료 이용", 한국치위생학회지, 18(6), pp.921~932 (2018), 한국치위생학회[DOI]
- J.P Hatch, "Determinants of masticatory performance in dentate adults", Archives of Oral Biology, 46(7), pp.641~648 (2001), Elsevier BV[DOI]
- Ranta K, "Dental status and intake of food items among an adult Finnish population", Gerodontics, 4(1), pp.32~35 (1988)
- G. Holland, "Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey", Diseases of the Esophagus, 24(7), pp.476~480 (2011), Oxford University Press (OUP)[DOI]
- Ji-Su Park, "Effect of expiratory muscle strength training on swallowing-related muscle strength in community-dwelling elderly individuals: a randomized controlled trial", Gerodontology, 34(1), pp.121~128 (2017), Wiley[DOI]
- Michael A. Crary, "Initial Psychometric Assessment of a Functional Oral Intake Scale for Dysphagia in Stroke Patients", Archives of Physical Medicine and Rehabilitation, 86(8), pp.1516~1520 (2005), Elsevier BV[DOI]
- 김설희, "연령층별 구강건강과 저작불편이 영양소 섭취에 미치는 영향", 한국산학기술학회논문지, 19(2), pp.202~209 (2018), 한국산학기술학회[DOI]
- Scott R. Youmans, "Differences in Tongue Strength Across Age and Gender: Is There a Diminished Strength Reserve?", Dysphagia, 24(1), pp.57~65 (2009), Springer Science and Business Media LLC[DOI]
- Yuriko Komagamine, "Association between tongue and lip motor functions and mixing ability in complete denture wearers", Aging Clinical and Experimental Research, 31(9), pp.1243~1248 (2019), Springer Science and Business Media LLC[DOI]
- Ono Y, "Occlusion and brain function: mastication as a prevention of cognitive dysfunction", J Oral Rehabil, 37(8), pp.624~640 (2010)[DOI]
- Juan Li, "Association between tooth loss and cognitive decline: A 13-year longitudinal study of Chinese older adults", PLOS ONE, 12(2), pp.e0171404~ (2017), Public Library of Science (PLoS)[DOI]
- Kin-ya KUBO, "Masticatory function and cognitive function", Okajimas Folia Anatomica Japonica, 87(3), pp.135~140 (2010), Department of Anatomy Keio University School of Medicine[DOI]
- Aya Hirao, "Relationships between the Occlusal Force and Physical", Cognitive Functions of Elderly Females Living in the Community, 2014, pp.26(8), 1279~1282[DOI]
- Y. ONO, "Occlusion and brain function: mastication as a prevention of cognitive dysfunction", Journal of Oral Rehabilitation, 37(8), pp.624~640 (2010), Wiley[DOI]
- "People worry disease" (2016)[URL]
- Clouston SA, "The dynamic relationship between physical function and cognition in longitudinal aging cohorts", Epidemiol Rev, 35, pp.33~50 (2013)[DOI]
- Stefan Listl, "Oral health conditions and cognitive functioning in middle and later adulthood", BMC Oral Health, 14(1), pp.70~ (2014), Springer Science and Business Media LLC[DOI]
- Tatsuo Yamamoto, "Association Between Self-Reported Dental Health Status and Onset of Dementia", Psychosomatic Medicine, 74(3), pp.241~248 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Kenji Takeuchi, "Posterior Teeth Occlusion Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study", PLOS ONE, 10(10), pp.e0141737~ (2015), Public Library of Science (PLoS)[DOI]
- Laura Laguna, "A quantitative assessment of the eating capability in the elderly individuals", Physiology & Behavior, 147, pp.274~281 (2015), Elsevier BV[DOI]
- Kazunori Ikebe, "Association of masticatory performance with age, gender, number of teeth, occlusal force and salivary flow in Japanese older adults: Is ageing a risk factor for masticatory dysfunction?", Archives of Oral Biology, 56(10), pp.991~996 (2011), Elsevier BV[DOI]
- Koji Hara, "Association between tongue muscle strength and masticatory muscle strength", Journal of Oral Rehabilitation, 46(2), pp.134~139 (2019), Wiley[DOI]
- Hatch JP, "Determinants of masticatory performance in dentate adults", Arch Oral Biol, 46(7), pp.641~648 (2011)
- Kenji Takeuchi, "Nutritional status and dysphagia risk among community-dwelling frail older adults", The journal of nutrition, health & aging, 18(4), pp.352~357 (2014), Springer Science and Business Media LLC[DOI]
- Kei Kawashima, "Prevalence of Dysphagia Among Community-Dwelling Elderly Individuals as Estimated Using a Questionnaire for Dysphagia Screening", Dysphagia, 19(4), pp.266~271 (2004), Springer Science and Business Media LLC[DOI]
- 김민수, "복지회관 이용 노인의 연하장애 위험성과 연하 관련 삶의 질", 성인간호학회지, 26(4), pp.393~402 (2014), 한국성인간호학회[DOI]
- JoAnne Robbins, "The Effects of Lingual Exercise in Stroke Patients With Dysphagia", Archives of Physical Medicine and Rehabilitation, 88(2), pp.150~158 (2007), Elsevier BV[DOI]
- Scott R, Youmans, "Oral strength comparisons across age and sex in healthy volunteers", MRA, 2(2), pp.8~15 (2015)
- Cumhur Ertekin, "Neurophysiology of swallowing", Clinical Neurophysiology, 114(12), pp.2226~2244 (2003), Elsevier BV[DOI]
- Kotomi Sakai, "Diagnostic accuracy of lip force and tongue strength for sarcopenic dysphagia in older inpatients: A cross-sectional observational study", Clinical Nutrition, 38(1), pp.303~309 (2019), Elsevier BV[DOI]
- TERESA A. MARSHALL, "Oral health, nutrient intake and dietary quality in the very old", The Journal of the American Dental Association, 133(10), pp.1369~1379 (2002), Elsevier BV[DOI]
- Keiichiro Sagawa, "Tongue function is important for masticatory performance in the healthy elderly: a cross-sectional survey of community-dwelling elderly", Journal of Prosthodontic Research, 63(1), pp.31~34 (2019), Elsevier BV[DOI]
