Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care

Abstract In clinical practice, we encounter cases wherein older adults lacking occlusal support consume foods requiring mastication and adequate swallowing function. This study investigated the relationship between jaw-closing force (JCF) and dietary form in older adults without occlusal support req...

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Päätekijät: Rieko Moritoyo, Kazuharu Nakagawa, Kanako Yoshimi, Kohei Yamaguchi, Miki Ishii, Ryosuke Yanagida, Chizuru Namiki, Haruka Tohara
Aineistotyyppi: Artikkeli
Kieli:English
Julkaistu: Nature Portfolio 2023-12-01
Sarja:Scientific Reports
Linkit:https://doi.org/10.1038/s41598-023-49059-4
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author Rieko Moritoyo
Kazuharu Nakagawa
Kanako Yoshimi
Kohei Yamaguchi
Miki Ishii
Ryosuke Yanagida
Chizuru Namiki
Haruka Tohara
author_facet Rieko Moritoyo
Kazuharu Nakagawa
Kanako Yoshimi
Kohei Yamaguchi
Miki Ishii
Ryosuke Yanagida
Chizuru Namiki
Haruka Tohara
author_sort Rieko Moritoyo
collection DOAJ
description Abstract In clinical practice, we encounter cases wherein older adults lacking occlusal support consume foods requiring mastication and adequate swallowing function. This study investigated the relationship between jaw-closing force (JCF) and dietary form in older adults without occlusal support requiring nursing care. This prospective cross-sectional study included 123 older adults requiring nursing care who lost their molar occlusal support and consumed food orally without dentures. JCF was defined as the force required for crushing food with the edentulous ridges or with the tooth and edentulous ridge while closing the mouth. Participants were classified into four groups based on the International Dysphagia Diet Standardization Initiative framework for recommended dietary forms. Basic information was collected, and tongue pressure and JCF were measured. Differences in JCF were analyzed using one-way analysis of variance, while factors related to dietary form were evaluated using ordinal logistic regression analysis. Significant differences in JCF were observed among the four groups. Factors such as the Barthel Index, tongue pressure, and JCF were dietary form-related. Our findings suggest that older adults requiring nursing care tend to have higher JCF when consuming meals requiring mastication. Therefore, JCF could serve as an index for determining appropriate dietary forms in this population.
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spelling doaj.art-16f68a210c534ba4a65e4eca449aa73f2023-12-24T12:16:19ZengNature PortfolioScientific Reports2045-23222023-12-0113111010.1038/s41598-023-49059-4Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing careRieko Moritoyo0Kazuharu Nakagawa1Kanako Yoshimi2Kohei Yamaguchi3Miki Ishii4Ryosuke Yanagida5Chizuru Namiki6Haruka Tohara7Division of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDivision of Gerontology and Gerodontology, Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityAbstract In clinical practice, we encounter cases wherein older adults lacking occlusal support consume foods requiring mastication and adequate swallowing function. This study investigated the relationship between jaw-closing force (JCF) and dietary form in older adults without occlusal support requiring nursing care. This prospective cross-sectional study included 123 older adults requiring nursing care who lost their molar occlusal support and consumed food orally without dentures. JCF was defined as the force required for crushing food with the edentulous ridges or with the tooth and edentulous ridge while closing the mouth. Participants were classified into four groups based on the International Dysphagia Diet Standardization Initiative framework for recommended dietary forms. Basic information was collected, and tongue pressure and JCF were measured. Differences in JCF were analyzed using one-way analysis of variance, while factors related to dietary form were evaluated using ordinal logistic regression analysis. Significant differences in JCF were observed among the four groups. Factors such as the Barthel Index, tongue pressure, and JCF were dietary form-related. Our findings suggest that older adults requiring nursing care tend to have higher JCF when consuming meals requiring mastication. Therefore, JCF could serve as an index for determining appropriate dietary forms in this population.https://doi.org/10.1038/s41598-023-49059-4
spellingShingle Rieko Moritoyo
Kazuharu Nakagawa
Kanako Yoshimi
Kohei Yamaguchi
Miki Ishii
Ryosuke Yanagida
Chizuru Namiki
Haruka Tohara
Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
Scientific Reports
title Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
title_full Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
title_fullStr Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
title_full_unstemmed Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
title_short Relationship between the jaw-closing force and dietary form in older adults without occlusal support requiring nursing care
title_sort relationship between the jaw closing force and dietary form in older adults without occlusal support requiring nursing care
url https://doi.org/10.1038/s41598-023-49059-4
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