The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People

Oral function (OF) decline in older people is associated with nutritional deficiencies, which increases frailty risk and the need for nursing care. We investigated whether the delivery of an oral function improvement program on a tablet device was as effective as delivery through a paper-based progr...

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Main Authors: Asuka Tani, Shinsuke Mizutani, Hiro Kishimoto, Saori Oku, Kiyomi Iyota, Tianshu Chu, Xin Liu, Haruhiko Kashiwazaki
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/7/1607
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author Asuka Tani
Shinsuke Mizutani
Hiro Kishimoto
Saori Oku
Kiyomi Iyota
Tianshu Chu
Xin Liu
Haruhiko Kashiwazaki
author_facet Asuka Tani
Shinsuke Mizutani
Hiro Kishimoto
Saori Oku
Kiyomi Iyota
Tianshu Chu
Xin Liu
Haruhiko Kashiwazaki
author_sort Asuka Tani
collection DOAJ
description Oral function (OF) decline in older people is associated with nutritional deficiencies, which increases frailty risk and the need for nursing care. We investigated whether the delivery of an oral function improvement program on a tablet device was as effective as delivery through a paper-based program. We also investigated the association between tongue pressure (TP) improvement and nutritional status at the baseline. The participants involved in the study were 26 community-dwelling older people with low TP, <30 kPa, aged ≥65 years, who were enrolled in a randomized controlled trial for a month in Itoshima City, Fukuoka, Japan. Oral and physical functions and body composition were measured at the baseline and at follow-up. Two-way analysis of variance revealed that body mass index (<i>p</i> = 0.004) increased, and maximum masticatory performance (<i>p</i> = 0.010), maximum TP (<i>p</i> = 0.035), and oral diadochokinesis /pa/ and /ka/ (<i>p</i> = 0.009 and 0.017, respectively) improved in a month. Participants with higher TP improvement showed an increased intake of animal proteins at the baseline: fish (<i>p</i> = 0.022), meat (<i>p</i> = 0.029), and egg (<i>p</i> = 0.009). OF exercises for improving TP were associated with higher animal protein intake at the baseline. This study has been registered with the UMIN Clinical Trials Registry (UMIN 000050292).
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spelling doaj.art-84c33139d58c425fbd1af359140e0c0d2023-11-17T17:19:24ZengMDPI AGNutrients2072-66432023-03-01157160710.3390/nu15071607The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older PeopleAsuka Tani0Shinsuke Mizutani1Hiro Kishimoto2Saori Oku3Kiyomi Iyota4Tianshu Chu5Xin Liu6Haruhiko Kashiwazaki7Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanSection of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Behavior and Health Sciences, Graduate School of Human–Environment Studies, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, JapanSection of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanSection of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Behavior and Health Sciences, Graduate School of Human–Environment Studies, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, JapanDepartment of Behavior and Health Sciences, Graduate School of Human–Environment Studies, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, JapanSection of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanOral function (OF) decline in older people is associated with nutritional deficiencies, which increases frailty risk and the need for nursing care. We investigated whether the delivery of an oral function improvement program on a tablet device was as effective as delivery through a paper-based program. We also investigated the association between tongue pressure (TP) improvement and nutritional status at the baseline. The participants involved in the study were 26 community-dwelling older people with low TP, <30 kPa, aged ≥65 years, who were enrolled in a randomized controlled trial for a month in Itoshima City, Fukuoka, Japan. Oral and physical functions and body composition were measured at the baseline and at follow-up. Two-way analysis of variance revealed that body mass index (<i>p</i> = 0.004) increased, and maximum masticatory performance (<i>p</i> = 0.010), maximum TP (<i>p</i> = 0.035), and oral diadochokinesis /pa/ and /ka/ (<i>p</i> = 0.009 and 0.017, respectively) improved in a month. Participants with higher TP improvement showed an increased intake of animal proteins at the baseline: fish (<i>p</i> = 0.022), meat (<i>p</i> = 0.029), and egg (<i>p</i> = 0.009). OF exercises for improving TP were associated with higher animal protein intake at the baseline. This study has been registered with the UMIN Clinical Trials Registry (UMIN 000050292).https://www.mdpi.com/2072-6643/15/7/1607food intakeoral frailtytongue pressureoral functionintervention study
spellingShingle Asuka Tani
Shinsuke Mizutani
Hiro Kishimoto
Saori Oku
Kiyomi Iyota
Tianshu Chu
Xin Liu
Haruhiko Kashiwazaki
The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
Nutrients
food intake
oral frailty
tongue pressure
oral function
intervention study
title The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
title_full The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
title_fullStr The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
title_full_unstemmed The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
title_short The Impact of Nutrition and Oral Function Exercise on among Community-Dwelling Older People
title_sort impact of nutrition and oral function exercise on among community dwelling older people
topic food intake
oral frailty
tongue pressure
oral function
intervention study
url https://www.mdpi.com/2072-6643/15/7/1607
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