Chewing ability and desaturation during chewing in patients with COPD
Chewing ability is essential to maintain nutrition status and can be associated with oral conditions, sarcopenia, and lung function in patients with chronic obstructive pulmonary disease (COPD). Herein, our pilot study investigated the chewing ability and degree of desaturation during chewing in pat...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2019-09-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/1090 |
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| author | Takeshi Terashima Takahiro Nakajima Tatsu Matsuzaki Eri Iwami Takeo Shibui Takeshi Nomura Akira Katakura |
| author_facet | Takeshi Terashima Takahiro Nakajima Tatsu Matsuzaki Eri Iwami Takeo Shibui Takeshi Nomura Akira Katakura |
| author_sort | Takeshi Terashima |
| collection | DOAJ |
| description | Chewing ability is essential to maintain nutrition status and can be associated with oral conditions, sarcopenia, and lung function in patients with chronic obstructive pulmonary disease (COPD). Herein, our pilot study investigated the chewing ability and degree of desaturation during chewing in patients with COPD (n = 41) and control subjects (n = 22). Subjects chewed a color-changing chewing gum for 1 minute and chewing ability was assessed by the color of the chewed gum, which was scored from 1 (very poor) to 5 (very good). Arterial oxygen saturation (SpO2) was monitored using a pulse oximeter and the difference in SpO2 was determined by comparison between before and during chewing. The mean color score of the chewed gum was lower in the COPD group than in the control group (3.1±0.7 vs 4.2±0.9, p<0.0001). Muscle mass loss (p<0.05), <20 remaining teeth (p<0.005), and COPD (p<0.001) were risk factors for poor chewing ability. The mean SpO2 decreased by 0.78±1.46% during gum chewing for 1 min. The mean SpO2 during gum chewing (95.1±2.4%) was lower than before gum chewing (95.9±1.7%) (p<0.05). The reduction of SpO2 was greater in COPD patients who had fewer remaining teeth (p<0.05). COPD patients with SpO2 reduction >4% during the 6-minute walk test showed greater reduction during gum chewing (p<0.05). Our results suggest that COPD patients with fewer remaining teeth exhibit poor chewing ability and greater desaturation during chewing. |
| first_indexed | 2024-04-13T01:34:37Z |
| format | Article |
| id | doaj.art-b3b956daefcd464c92f1dff3e22abe8c |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-04-13T01:34:37Z |
| publishDate | 2019-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-b3b956daefcd464c92f1dff3e22abe8c2022-12-22T03:08:25ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642019-09-0189310.4081/monaldi.2019.1090Chewing ability and desaturation during chewing in patients with COPDTakeshi Terashima0Takahiro Nakajima1Tatsu Matsuzaki2Eri Iwami3Takeo Shibui4Takeshi Nomura5Akira Katakura6Department of Respiratory Medicine, Tokyo Dental College Ichikawa General HospitalDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General HospitalDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General HospitalDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General HospitalDepartment of Oral Medicine and Maxillofacial Surgery, Tokyo Dental College Ichikawa General HospitalDepartment of Oral Medicine and Maxillofacial Surgery, Tokyo Dental College Ichikawa General HospitalDepartment of OralMaxillofacial Surgery, Tokyo Dental CollegeChewing ability is essential to maintain nutrition status and can be associated with oral conditions, sarcopenia, and lung function in patients with chronic obstructive pulmonary disease (COPD). Herein, our pilot study investigated the chewing ability and degree of desaturation during chewing in patients with COPD (n = 41) and control subjects (n = 22). Subjects chewed a color-changing chewing gum for 1 minute and chewing ability was assessed by the color of the chewed gum, which was scored from 1 (very poor) to 5 (very good). Arterial oxygen saturation (SpO2) was monitored using a pulse oximeter and the difference in SpO2 was determined by comparison between before and during chewing. The mean color score of the chewed gum was lower in the COPD group than in the control group (3.1±0.7 vs 4.2±0.9, p<0.0001). Muscle mass loss (p<0.05), <20 remaining teeth (p<0.005), and COPD (p<0.001) were risk factors for poor chewing ability. The mean SpO2 decreased by 0.78±1.46% during gum chewing for 1 min. The mean SpO2 during gum chewing (95.1±2.4%) was lower than before gum chewing (95.9±1.7%) (p<0.05). The reduction of SpO2 was greater in COPD patients who had fewer remaining teeth (p<0.05). COPD patients with SpO2 reduction >4% during the 6-minute walk test showed greater reduction during gum chewing (p<0.05). Our results suggest that COPD patients with fewer remaining teeth exhibit poor chewing ability and greater desaturation during chewing.https://www.monaldi-archives.org/index.php/macd/article/view/1090PeriodontitisCOPDchewing abilitydesaturationsarcopenia |
| spellingShingle | Takeshi Terashima Takahiro Nakajima Tatsu Matsuzaki Eri Iwami Takeo Shibui Takeshi Nomura Akira Katakura Chewing ability and desaturation during chewing in patients with COPD Monaldi Archives for Chest Disease Periodontitis COPD chewing ability desaturation sarcopenia |
| title | Chewing ability and desaturation during chewing in patients with COPD |
| title_full | Chewing ability and desaturation during chewing in patients with COPD |
| title_fullStr | Chewing ability and desaturation during chewing in patients with COPD |
| title_full_unstemmed | Chewing ability and desaturation during chewing in patients with COPD |
| title_short | Chewing ability and desaturation during chewing in patients with COPD |
| title_sort | chewing ability and desaturation during chewing in patients with copd |
| topic | Periodontitis COPD chewing ability desaturation sarcopenia |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/1090 |
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