Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study

ObjectiveTo assess the impact of chewing movement in patients with Parkinson's disease (PD), we examined the relation between chewing movement and motor dysfunction in association with PD progression.MethodsThirty patients with PD (mean age, 68.9 ± 9.0 years; mean Hoehn and Yahr stage, 3.0 ± 0....

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Main Authors: Taisei Sano, George Umemoto, Shinsuke Fujioka, Yuki Iwashita, Yuriko Dotsu, Naohisa Wada, Yoshio Tsuboi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.1062134/full
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author Taisei Sano
Taisei Sano
George Umemoto
George Umemoto
Shinsuke Fujioka
Yuki Iwashita
Yuriko Dotsu
Naohisa Wada
Yoshio Tsuboi
author_facet Taisei Sano
Taisei Sano
George Umemoto
George Umemoto
Shinsuke Fujioka
Yuki Iwashita
Yuriko Dotsu
Naohisa Wada
Yoshio Tsuboi
author_sort Taisei Sano
collection DOAJ
description ObjectiveTo assess the impact of chewing movement in patients with Parkinson's disease (PD), we examined the relation between chewing movement and motor dysfunction in association with PD progression.MethodsThirty patients with PD (mean age, 68.9 ± 9.0 years; mean Hoehn and Yahr stage, 3.0 ± 0.7) were recruited. The PD condition was assessed in each patient by using the score of Movement Disorder Society Unified PD Rating Scale (MDS-UPDRS) part III score, body mass index (BMI), serum albumin (Alb), and tongue pressure, number of chews, mealtime, and chewing speed were collected. The patients were divided into two groups (mild and moderate PD groups) based on an MDS-UPDRS part III cut-off value of 32.ResultsThe chewing speed positively correlated with tongue pressure (rho = 0.69, p < 0.01) in the mild group, and with BMI (rho = 0.54, p = 0.03), serum Alb (rho = 0.63, p = 0.02), and number of chews (rho = 0.69, p < 0.01) in the moderate group. The MDS-UPDRS part III scores for all participants correlated negatively with chewing speed (rho = −0.48, p < 0.01), serum Alb (rho = −0.49, p < 0.01), and positively with mealtime (rho = 0.43, p = 0.01). Tongue pressure and serum Alb were identified to be as factors affecting the chewing speed (β= 0.560, p < 0.01; β= 0.457, p < 0.01, respectively).ConclusionsThese results indicated that the progression of motor dysfunction in patients with PD is likely to affect chewing speed and the nutritional status decline may be linked to the impairment of chewing movement in these patients.
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spelling doaj.art-d205fb4652bd4cf2a4925fcd87b087902022-12-22T04:21:12ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-12-011310.3389/fneur.2022.10621341062134Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal studyTaisei Sano0Taisei Sano1George Umemoto2George Umemoto3Shinsuke Fujioka4Yuki Iwashita5Yuriko Dotsu6Naohisa Wada7Yoshio Tsuboi8Swallowing Disorders Center, Fukuoka University Hospital, Fukuoka, JapanDepartment of General Dentistry, Division of Interdisciplinary Dentistry, Faculty of Dental Science, Kyushu University, Fukuoka, JapanSwallowing Disorders Center, Fukuoka University Hospital, Fukuoka, JapanDepartment of Neurology, Neuro-Muscular Center, NHO Omuta National Hospital, Fukuoka, JapanDepartment of Neurology, Faculty of Medicine, Fukuoka University, Fukuoka, JapanSwallowing Disorders Center, Fukuoka University Hospital, Fukuoka, JapanSwallowing Disorders Center, Fukuoka University Hospital, Fukuoka, JapanDepartment of General Dentistry, Division of Interdisciplinary Dentistry, Faculty of Dental Science, Kyushu University, Fukuoka, JapanDepartment of Neurology, Faculty of Medicine, Fukuoka University, Fukuoka, JapanObjectiveTo assess the impact of chewing movement in patients with Parkinson's disease (PD), we examined the relation between chewing movement and motor dysfunction in association with PD progression.MethodsThirty patients with PD (mean age, 68.9 ± 9.0 years; mean Hoehn and Yahr stage, 3.0 ± 0.7) were recruited. The PD condition was assessed in each patient by using the score of Movement Disorder Society Unified PD Rating Scale (MDS-UPDRS) part III score, body mass index (BMI), serum albumin (Alb), and tongue pressure, number of chews, mealtime, and chewing speed were collected. The patients were divided into two groups (mild and moderate PD groups) based on an MDS-UPDRS part III cut-off value of 32.ResultsThe chewing speed positively correlated with tongue pressure (rho = 0.69, p < 0.01) in the mild group, and with BMI (rho = 0.54, p = 0.03), serum Alb (rho = 0.63, p = 0.02), and number of chews (rho = 0.69, p < 0.01) in the moderate group. The MDS-UPDRS part III scores for all participants correlated negatively with chewing speed (rho = −0.48, p < 0.01), serum Alb (rho = −0.49, p < 0.01), and positively with mealtime (rho = 0.43, p = 0.01). Tongue pressure and serum Alb were identified to be as factors affecting the chewing speed (β= 0.560, p < 0.01; β= 0.457, p < 0.01, respectively).ConclusionsThese results indicated that the progression of motor dysfunction in patients with PD is likely to affect chewing speed and the nutritional status decline may be linked to the impairment of chewing movement in these patients.https://www.frontiersin.org/articles/10.3389/fneur.2022.1062134/fullParkinson's diseasemotor dysfunctionchewing movementtongue pressurenutritional status
spellingShingle Taisei Sano
Taisei Sano
George Umemoto
George Umemoto
Shinsuke Fujioka
Yuki Iwashita
Yuriko Dotsu
Naohisa Wada
Yoshio Tsuboi
Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
Frontiers in Neurology
Parkinson's disease
motor dysfunction
chewing movement
tongue pressure
nutritional status
title Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
title_full Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
title_fullStr Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
title_full_unstemmed Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
title_short Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study
title_sort relationship between motor dysfunction and chewing movement in patients with parkinson s disease a transversal study
topic Parkinson's disease
motor dysfunction
chewing movement
tongue pressure
nutritional status
url https://www.frontiersin.org/articles/10.3389/fneur.2022.1062134/full
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