Cargando…

Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan

Personalized tongue pressure (TP) training focuses on improving swallowing. This study aims to establish the TP values of different age levels and compare changes between different swallowing status among community-dwelling elders. In this cross-sectional study, 1000 participants, aged 60 years old...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Hsiu-Yueh, Chen, Jen-Hao, Hsu, Kun-Jung, Yao, Ching-Teng, Chen, Ping-Ho, Hsiao, Szu-Yu, Lin, Chun-Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303908/
https://www.ncbi.nlm.nih.gov/pubmed/34357120
http://dx.doi.org/10.3390/jpm11070653
_version_ 1783727203073130496
author Liu, Hsiu-Yueh
Chen, Jen-Hao
Hsu, Kun-Jung
Yao, Ching-Teng
Chen, Ping-Ho
Hsiao, Szu-Yu
Lin, Chun-Li
author_facet Liu, Hsiu-Yueh
Chen, Jen-Hao
Hsu, Kun-Jung
Yao, Ching-Teng
Chen, Ping-Ho
Hsiao, Szu-Yu
Lin, Chun-Li
author_sort Liu, Hsiu-Yueh
collection PubMed
description Personalized tongue pressure (TP) training focuses on improving swallowing. This study aims to establish the TP values of different age levels and compare changes between different swallowing status among community-dwelling elders. In this cross-sectional study, 1000 participants, aged 60 years old and above, were recruited from community care centers. All participants were classified into non chewing and/or swallowing difficulties (NCSD) and with chewing and/or swallowing difficulties (CSD) groups and their diseases and dieting status were recorded using a structured questionnaire. A disposable oral probe was used to measure TP by asking participants to compress it against the hard palate with maximum voluntary effort. Among 1000 elders, 63.10% had CSD and their TP (from 31.76 to 18.20 kPa) was lower than the NCSD group (from 33.56 to 24.51 kPa). Both groups showed the same tendency for TP decline with increasing age. Decline of TP makes CSD elderly have a poor appetite, eat a soft or liquid diet, and take longer to eat a meal (all p < 0.050). The secondary risk factor dominating TP decline for NCSD and CSD elders is having an education level less than primary school and an abnormal eating assessment, respectively. Our results demonstrated that TP decline has a significant relationship with age changes. Education level and an abnormal eating assessment score are closely associated with TP decline. A series of TP values can be used as a reference indicator of personalized medicine during the aging process among community-dwelling older adults.
format Online
Article
Text
id pubmed-8303908
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-83039082021-07-25 Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan Liu, Hsiu-Yueh Chen, Jen-Hao Hsu, Kun-Jung Yao, Ching-Teng Chen, Ping-Ho Hsiao, Szu-Yu Lin, Chun-Li J Pers Med Article Personalized tongue pressure (TP) training focuses on improving swallowing. This study aims to establish the TP values of different age levels and compare changes between different swallowing status among community-dwelling elders. In this cross-sectional study, 1000 participants, aged 60 years old and above, were recruited from community care centers. All participants were classified into non chewing and/or swallowing difficulties (NCSD) and with chewing and/or swallowing difficulties (CSD) groups and their diseases and dieting status were recorded using a structured questionnaire. A disposable oral probe was used to measure TP by asking participants to compress it against the hard palate with maximum voluntary effort. Among 1000 elders, 63.10% had CSD and their TP (from 31.76 to 18.20 kPa) was lower than the NCSD group (from 33.56 to 24.51 kPa). Both groups showed the same tendency for TP decline with increasing age. Decline of TP makes CSD elderly have a poor appetite, eat a soft or liquid diet, and take longer to eat a meal (all p < 0.050). The secondary risk factor dominating TP decline for NCSD and CSD elders is having an education level less than primary school and an abnormal eating assessment, respectively. Our results demonstrated that TP decline has a significant relationship with age changes. Education level and an abnormal eating assessment score are closely associated with TP decline. A series of TP values can be used as a reference indicator of personalized medicine during the aging process among community-dwelling older adults. MDPI 2021-07-11 /pmc/articles/PMC8303908/ /pubmed/34357120 http://dx.doi.org/10.3390/jpm11070653 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Hsiu-Yueh
Chen, Jen-Hao
Hsu, Kun-Jung
Yao, Ching-Teng
Chen, Ping-Ho
Hsiao, Szu-Yu
Lin, Chun-Li
Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title_full Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title_fullStr Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title_full_unstemmed Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title_short Decreased Tongue Pressure Associated with Aging, Chewing and Swallowing Difficulties of Community-Dwelling Older Adults in Taiwan
title_sort decreased tongue pressure associated with aging, chewing and swallowing difficulties of community-dwelling older adults in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303908/
https://www.ncbi.nlm.nih.gov/pubmed/34357120
http://dx.doi.org/10.3390/jpm11070653
work_keys_str_mv AT liuhsiuyueh decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT chenjenhao decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT hsukunjung decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT yaochingteng decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT chenpingho decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT hsiaoszuyu decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan
AT linchunli decreasedtonguepressureassociatedwithagingchewingandswallowingdifficultiesofcommunitydwellingolderadultsintaiwan