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Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study
Objectives: This study aimed to determine the relationship between objective chewing ability and the nutritional status of Japanese community-dwelling elders. Design: A cross-sectional study. Participants: A total of 509 community-dwelling elders living in the Tokyo metropolitan area participated in...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908427/ https://www.ncbi.nlm.nih.gov/pubmed/33572969 http://dx.doi.org/10.3390/ijerph18031216 |
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author | Motokawa, Keiko Mikami, Yurie Shirobe, Maki Edahiro, Ayako Ohara, Yuki Iwasaki, Masanori Watanabe, Yutaka Kawai, Hisashi Kera, Takeshi Obuchi, Shuichi Fujiwara, Yoshinori Ihara, Kazushige Hirano, Hirohiko |
author_facet | Motokawa, Keiko Mikami, Yurie Shirobe, Maki Edahiro, Ayako Ohara, Yuki Iwasaki, Masanori Watanabe, Yutaka Kawai, Hisashi Kera, Takeshi Obuchi, Shuichi Fujiwara, Yoshinori Ihara, Kazushige Hirano, Hirohiko |
author_sort | Motokawa, Keiko |
collection | PubMed |
description | Objectives: This study aimed to determine the relationship between objective chewing ability and the nutritional status of Japanese community-dwelling elders. Design: A cross-sectional study. Participants: A total of 509 community-dwelling elders living in the Tokyo metropolitan area participated in a comprehensive survey conducted in October 2013. Measurements: The basic characteristics were sex, age, and body mass index. Undernutrition was examined through serum albumin levels. Chewing ability was examined through color-changeable xylitol gum by evaluating the color changes in chewing gum. Nutritional intake was examined using the semi-quantitative food frequency questionnaire. Results: In the poor chewing ability group, all nutrient intake levels were significantly low, except for carbohydrates, and intake levels for all food groups were significantly low, except for cereals, confectionery, sugars, seasonings, and spices. Additionally, after adjusting for covariates for sex, age, Tokyo Metropolitan Institute of Gerontology-Index of Competence (TMIG-IC) score, Mini-Mental State Examination (MMSE) score, body mass index (BMI), stroke, number of functional teeth, energy intake, and protein intake, chewing ability was found to be significantly associated with undernutrition. Conclusion: We concluded that chewing ability was closely associated with nutrient and different food groups’ intake, as well as undernutrition, among Japanese community-dwelling elders. Thus, to ensure comprehensive nutritional management, nutritionists and dentists should collaborate when treating the same patients. |
format | Online Article Text |
id | pubmed-7908427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79084272021-02-27 Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study Motokawa, Keiko Mikami, Yurie Shirobe, Maki Edahiro, Ayako Ohara, Yuki Iwasaki, Masanori Watanabe, Yutaka Kawai, Hisashi Kera, Takeshi Obuchi, Shuichi Fujiwara, Yoshinori Ihara, Kazushige Hirano, Hirohiko Int J Environ Res Public Health Article Objectives: This study aimed to determine the relationship between objective chewing ability and the nutritional status of Japanese community-dwelling elders. Design: A cross-sectional study. Participants: A total of 509 community-dwelling elders living in the Tokyo metropolitan area participated in a comprehensive survey conducted in October 2013. Measurements: The basic characteristics were sex, age, and body mass index. Undernutrition was examined through serum albumin levels. Chewing ability was examined through color-changeable xylitol gum by evaluating the color changes in chewing gum. Nutritional intake was examined using the semi-quantitative food frequency questionnaire. Results: In the poor chewing ability group, all nutrient intake levels were significantly low, except for carbohydrates, and intake levels for all food groups were significantly low, except for cereals, confectionery, sugars, seasonings, and spices. Additionally, after adjusting for covariates for sex, age, Tokyo Metropolitan Institute of Gerontology-Index of Competence (TMIG-IC) score, Mini-Mental State Examination (MMSE) score, body mass index (BMI), stroke, number of functional teeth, energy intake, and protein intake, chewing ability was found to be significantly associated with undernutrition. Conclusion: We concluded that chewing ability was closely associated with nutrient and different food groups’ intake, as well as undernutrition, among Japanese community-dwelling elders. Thus, to ensure comprehensive nutritional management, nutritionists and dentists should collaborate when treating the same patients. MDPI 2021-01-29 2021-02 /pmc/articles/PMC7908427/ /pubmed/33572969 http://dx.doi.org/10.3390/ijerph18031216 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Motokawa, Keiko Mikami, Yurie Shirobe, Maki Edahiro, Ayako Ohara, Yuki Iwasaki, Masanori Watanabe, Yutaka Kawai, Hisashi Kera, Takeshi Obuchi, Shuichi Fujiwara, Yoshinori Ihara, Kazushige Hirano, Hirohiko Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title | Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title_full | Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title_fullStr | Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title_full_unstemmed | Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title_short | Relationship between Chewing Ability and Nutritional Status in Japanese Older Adults: A Cross-Sectional Study |
title_sort | relationship between chewing ability and nutritional status in japanese older adults: a cross-sectional study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908427/ https://www.ncbi.nlm.nih.gov/pubmed/33572969 http://dx.doi.org/10.3390/ijerph18031216 |
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