scholarly journals Relationship between Maximum Tongue Pressure Value and Age, Occlusal Status, or Body Mass Index among the Community-Dwelling Elderly

Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 623
Author(s):  
Hiroki Suzuki ◽  
Yasunori Ayukawa ◽  
Yoko Ueno ◽  
Ikiru Atsuta ◽  
Akio Jinnouchi ◽  
...  

Background and objectives: In an aging society, the maintenance of the oral function of the elderly is of importance for the delay or prevention of frailty and long-term care. In the present study, we focused on the maximum tongue pressure (MTP) value and analyzed the relationship between MTP and age, occlusal status, or body mass index (BMI). Materials and Methods: This one-center observatory study was conducted using a cohort consisting of 205 community-dwelling outpatients over 65 years old. The MTP values of all subjects were measured using a commercially available tongue pressure measurement device and statistically analyzed. In addition, the correlation between MTP value and BMI was analyzed. Results: The MTP value decreased with age, especially in subjects classified as Eichner B and C. The difference in occlusal status did not show any statistically significant influence on MTP value. The correlation between BMI and MTP value was indicated in the tested groups other than an age of 65–74 and Eichner A groups. Conclusions: Although MTP value decreased with age, the difference in occlusal status did not have an impact on MTP value. The correlation between BMI and MTP value was not shown in the youngest group or a group with sufficient occlusal units. The results presented in the present study may imply that, even if MTP is low, younger age and/or better occlusal status compensate for the inferior MTP value in the cohort studied.

Author(s):  
Masahiro Kitamura ◽  
Kazuhiro P. Izawa ◽  
Kodai Ishihara ◽  
Hiroaki Matsuda ◽  
Soichiro Okamura ◽  
...  

Background and Objective: The purpose of this investigation was to examine the prevalence, related factors, and cut-off value of body mass index for sarcopenia in community-dwelling elderly covered by long-term care insurance. Methods: Design was A cross-sectional study. From among 113 consecutive community-dwelling elderly with long-term care insurance who underwent rehabilitation at one day care center in Japan from January 2016 to January 2018, those who were aged ≥65 years old and could walk were included. Those in whom skeletal muscle mass index could not be measured were excluded. The determination of sarcopenia was made according to the criteria of the Asian Working Group for Sarcopenia. We analyzed the data with the unpaired t-test, χ2 test, logistic regression analysis, and receiver operating characteristic curves. Results: The 99 elderly meeting the criteria were included and divided into the sarcopenia group (n=36) and no sarcopenia group (n=63). The prevalence was 36.4%. The sarcopenia group was significantly older and had lower body mass index, skeletal muscle mass index, and grip strength than the no sarcopenia group (p <0.05). Age and body mass index were extracted as significant sarcopenia-related factors (p <0.05). The cut-off value of body mass index for sarcopenia was 22.6 kg/m2. Conclusion: The prevalence of sarcopenia in the elderly in the long-term care insurance region was 36.4%, and age and body mass index were extracted as sarcopenia-related factors. The cut-off value of body mass index for sarcopenia was 22.6 kg/m2.


2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Gianfranco Damiani ◽  
Simona C Colosimo ◽  
Lorella Sicuro ◽  
Alessandra Burgio ◽  
Alessandra Battisti ◽  
...  

2014 ◽  
Vol 43 (suppl 1) ◽  
pp. i22-i22
Author(s):  
T. Ong ◽  
W. Tan ◽  
O. Sahota ◽  
L. Marshall

2017 ◽  
Vol 30 (2) ◽  
pp. 67-76 ◽  
Author(s):  
Jorge Mario Rodríguez-Fernández ◽  
Emily Danies ◽  
José Martínez-Ortega ◽  
William C. Chen

Objective: The aim of this study was to explore the association of body mass index (BMI), waist circumference (WC), and BMI and WC changes over time with cognitive decline in a nationally representative sample. Methods: A total of 5239 participants (≥65 years) were followed for 3 years as part of the National Health and Aging Trends Study. Cox proportional hazard regression was applied to model the risk of cognitive decline. Results: BMI, after adjusting for WC and main confounders, was associated with reduced risk of cognitive decline (hazard ratio [HR] 0.97 for each unit BMI increase, 0.95-0.99). After stratifying by gender and age, this effect remained significant among females and young elders ≤80 years. A BMI decrease and WC increase >10% over the study period were associated with increased risk of cognitive decline (HR 1.98, 1.16-3.38; HR 1.30, 1.04-1.62, respectively). Conclusion: In the elderly individuals, lean mass, as measured by BMI adjusted for WC, was associated with reduced risk of cognitive decline. Loss of lean mass and gain of fat mass, as measured by WC adjusted for BMI, were associated with elevated risk of cognitive decline.


2011 ◽  
Vol 18 (5) ◽  
pp. 672-685 ◽  
Author(s):  
Margreet van der Cingel

This article describes compassion as perceived within the relationship between nurses and older persons with a chronic disease. The aim of the study is to understand the benefit of compassion for nursing practice within the context of long-term care. The design of the study involves a qualitative analysis of in-depth interviews with nurses and patients in three different care-settings. Results show the nature of compassion in seven dimensions: attentiveness, listening, confronting, involvement, helping, presence and understanding. Analysis of the data also shows in what way opinions of participants relate to issues raised in a previous literature study, for example the difference between pity and compassion. The conclusion states that compassion is a valuable process which motivates patients as well as nurses to cooperate in achieving relevant outcomes of care. The discussion involves some methodological issues. For one thing, further confirmation of the dimensions found is recommended.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Katie J Sheehan ◽  
Matthew DL O’Connell ◽  
Clodagh Cunningham ◽  
Lisa Crosby ◽  
Rose Anne Kenny

2019 ◽  
Vol 14 (26) ◽  
pp. 5-22
Author(s):  
Malena Monteverde ◽  
Alberto Palloni ◽  
Montserrat Guillén ◽  
Silvia Tomas

Two aspects of the aging process in Latin America should be specially taken into account in order to evaluate future perspectives of morbidity among the elderly in the region: 1) Cohorts who will compose the bulk of the elderly population in the 21st century in Latin America survived to old age largely because of improvements in medicine and to a much lesser extent to amelioration of living standards, as it is the case in high income countries, and 2) a high proportion of the Latin American population still live in poor economic conditions and even these vulnerable individuals continue to experience gains in (adult and older adult) survival. We aim to evaluate to what an extent recent levels of poverty and indigence among young children in Argentina could impact future levels of disability and demands for long-term care of older people. Our results show that given the levels of poverty and indigence in childhood observed between 1988 and 1994, the relationship between poor early conditions, and the risk of being disabled among the elderly in Argentina, life expectancy with disability at age 60 years old would increase substantially between 2000 and 2040, both in absolute and relative terms.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.


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