Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults

Abstract Background Due to the increasing proportion of older adults in Korea and growing interest in aging, the concepts of oral aging and oral hypofunction have recently been introduced. Thus, it is necessary to investigate the age-specific oral function levels of Korean older adults and develop e...

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Main Authors: Hye-Jin Park, Eun-Ha Jung, Soo-Min Kim, Seong-Chan Park, Min-Ji Jo, Yun-Seon Lee, Sung-Hoon Kim, Sun-Young Han
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-04180-2
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author Hye-Jin Park
Eun-Ha Jung
Soo-Min Kim
Seong-Chan Park
Min-Ji Jo
Yun-Seon Lee
Sung-Hoon Kim
Sun-Young Han
author_facet Hye-Jin Park
Eun-Ha Jung
Soo-Min Kim
Seong-Chan Park
Min-Ji Jo
Yun-Seon Lee
Sung-Hoon Kim
Sun-Young Han
author_sort Hye-Jin Park
collection DOAJ
description Abstract Background Due to the increasing proportion of older adults in Korea and growing interest in aging, the concepts of oral aging and oral hypofunction have recently been introduced. Thus, it is necessary to investigate the age-specific oral function levels of Korean older adults and develop expert intervention methods for healthy aging. Methods Dysphagia, independence of daily living, and oral hypofunction were assessed in 206 older adults living in Wonju, Gangwon State, South Korea. Subjective dysphagia was assessed through self-report questionnaires using the Dysphagia Handicap Index (DHI), the Korean version of Eating Assessment Tool-10, and the Korean version of the Modified Barthel Index. In addition, the oral hypofunction assessment items included decreased chewing ability, occlusal pressure, tongue pressure, oral dryness, and oral cleanliness. Results DHI increased significantly with age, with those in their 80 s reporting the most difficulty swallowing. Oral function in terms of chewing ability (maximum occlusal pressure and number of remaining teeth), maximum occlusal pressure, and maximum tongue pressure also declined with increasing age. While there was no significant difference in oral dryness by age, those in their 80 s had dry mouth according to the criteria of the oral moisture checking device. Conclusions In an assessment of oral function in community-dwelling, independent Korean older adults, the number of items that were assessed as oral hypofunction increased with age. The findings can be used to standardize the oral hypofunction assessment item and develop age-based individualized intervention plans for the early management of oral health and individual oral myofunctional rehabilitation in Korean community-dwelling older adults.
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spelling doaj.art-bd22bbc327d140ae8ac4b794407ec36a2024-04-14T11:31:07ZengBMCBMC Oral Health1472-68312024-04-0124111010.1186/s12903-024-04180-2Assessment of oral hypofunction and its association with age among Korean community-dwelling older adultsHye-Jin Park0Eun-Ha Jung1Soo-Min Kim2Seong-Chan Park3Min-Ji Jo4Yun-Seon Lee5Sung-Hoon Kim6Sun-Young Han7Oral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityDepartment of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityOral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityOral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityOral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityOral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityDepartment of Rehabilitation Medicine, Yonsei University Wonju College of MedicineOral Science Laboratory, Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei UniversityAbstract Background Due to the increasing proportion of older adults in Korea and growing interest in aging, the concepts of oral aging and oral hypofunction have recently been introduced. Thus, it is necessary to investigate the age-specific oral function levels of Korean older adults and develop expert intervention methods for healthy aging. Methods Dysphagia, independence of daily living, and oral hypofunction were assessed in 206 older adults living in Wonju, Gangwon State, South Korea. Subjective dysphagia was assessed through self-report questionnaires using the Dysphagia Handicap Index (DHI), the Korean version of Eating Assessment Tool-10, and the Korean version of the Modified Barthel Index. In addition, the oral hypofunction assessment items included decreased chewing ability, occlusal pressure, tongue pressure, oral dryness, and oral cleanliness. Results DHI increased significantly with age, with those in their 80 s reporting the most difficulty swallowing. Oral function in terms of chewing ability (maximum occlusal pressure and number of remaining teeth), maximum occlusal pressure, and maximum tongue pressure also declined with increasing age. While there was no significant difference in oral dryness by age, those in their 80 s had dry mouth according to the criteria of the oral moisture checking device. Conclusions In an assessment of oral function in community-dwelling, independent Korean older adults, the number of items that were assessed as oral hypofunction increased with age. The findings can be used to standardize the oral hypofunction assessment item and develop age-based individualized intervention plans for the early management of oral health and individual oral myofunctional rehabilitation in Korean community-dwelling older adults.https://doi.org/10.1186/s12903-024-04180-2Older adultsOral frailtyOral hypofunctionOral healthOral rehabilitation
spellingShingle Hye-Jin Park
Eun-Ha Jung
Soo-Min Kim
Seong-Chan Park
Min-Ji Jo
Yun-Seon Lee
Sung-Hoon Kim
Sun-Young Han
Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
BMC Oral Health
Older adults
Oral frailty
Oral hypofunction
Oral health
Oral rehabilitation
title Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
title_full Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
title_fullStr Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
title_full_unstemmed Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
title_short Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults
title_sort assessment of oral hypofunction and its association with age among korean community dwelling older adults
topic Older adults
Oral frailty
Oral hypofunction
Oral health
Oral rehabilitation
url https://doi.org/10.1186/s12903-024-04180-2
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