Impact of cognitive function on oral perception in independently living older people

被引：4

作者：

Fukutake, Motoyoshi ^{[1
]}

Ogawa, Taiji ^{[1
]}

Ikebe, Kazunori ^{[1
]}

Mihara, Yusuke ^{[1
]}

Inomata, Chisato ^{[1
]}

Takeshita, Hajime ^{[1
]}

Matsuda, Kenichi ^{[1
]}

Hatta, Kodai ^{[1
]}

Gondo, Yasuyuki ^{[2
]}

Masui, Yukie ^{[3
,4
]}

Inagaki, Hiroki ^{[3
,4
]}

Arai, Yasumichi ^{[5
]}

Kamide, Kei ^{[6
]}

Ishizaki, Tatsuro ^{[3
,4
]}

Maeda, Yoshinobu ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Dent, Dept Prosthodont Gerodontol & Oral Rehabil, 1-8 Yamadaoka, Suita, Osaka 5650871, Japan

[2] Osaka Univ, Grad Sch Human Sci, Dept Clin Thanatol & Geriatr Behav Sci, 1-2 Yamadaoka, Suita, Osaka 5650871, Japan

[3] Tokyo Metropolitan Geriatr Hosp, Itabashi Ku, 35-2 Sakaecho, Tokyo 1730015, Japan

[4] Inst Gerontol, 35-2 Sakaecho, Tokyo 1730015, Japan

[5] Keio Univ, Dept Internal Med, Div Geriatr Med, Sch Med,Shinjuku Ku, 35 Shinanocho, Tokyo 1608582, Japan

[6] Osaka Univ, Grad Sch Med, Dept Geriatr Med & Nephrol, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan

来源：

CLINICAL ORAL INVESTIGATIONS | 2019年 / 23卷 / 01期

基金：

日本学术振兴会;

关键词：

Oral perception; Cognitive function; Older adults; Multiple logistic regression analysis; BRIEF SCREENING TOOL; STEREOGNOSTIC ABILITY; PALATAL COVERAGE; AGE; ASSOCIATION; IMPAIRMENT; DECLINE;

D O I：

10.1007/s00784-018-2433-y

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

ObjectivesOral tactile perception is important for better mastication, appetite, and enjoyment of food. However, previous investigations have not utilized comprehensible variables thought to have negative effect on oral perception, including aging, denture wearing, and cognitive function. The aim of this study was to elucidate the impact of cognitive function on oral perception in independently living older individuals.Materials and methodsThe study sample was comprised of 987 participants (466 males, 521 females; age 69-71years). Oral examinations, assessments of cognitive function in preclinical level by Montreal Cognitive Assessment (MoCA)-J, and determination of oral stereognostic ability as an indicator of oral perception were performed. Related variables were selected by univariate analyses; then, multivariate logistic regression model analysis was conducted.ResultsUnivariate analyses revealed that number of teeth, removable dentures usage, and cognitive function respectively had a significant relationship with stereognostic score. Next, the subjects were classified into good and poor perception groups (lowest 17.4%) according to oral stereognostic ability. Logistic regression analysis revealed that lower cognitive function was significantly associated with poor oral perception (OR=0.934, p=0.017) after controlling for other variables.ConclusionsCognitive decline even in preclinical stage was associated with reduced oral perception after controlling for gender, tooth number and denture use in independent living older people.Clinical relevanceThis study suggested that preclinical level of change in cognitive function affected oral perception. Dental practitioners and caregivers may need to pay attention to reduced oral perception among older people even if they do not have trouble in daily life.

引用

页码：267 / 271

页数：5

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