Population-based reference values for tongue pressure in Japanese older adults: A pooled analysis of over 5,000 participants

  • Iwasaki Masanori
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Ohara Yuki
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Motokawa Keiko
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Hayakawa Misato
    Integrated Research Initiative for Living Well with Dementia, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Shirobe Maki
    The Tokyo Metropolitan Support Center for Preventative Long-Term and Frail Elderly Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Edahiro Ayako
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Watanabe Yutaka
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan Gerodontology, Department of Oral Health Science, Hokkaido, Japan
  • Awata Shuichi
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Okamura Tsuyoshi
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Inagaki Hiroki
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Sakuma Naoko
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Obuchi Shuichi
    Research Team for Human Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Kawai Hisashi
    Research Team for Human Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Ejiri Manami
    Research Team for Human Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Ito Kumiko
    Health Promotion Management Office, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Fujiwara Yoshinori
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Kitamura Akihiko
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Nofuji Yu
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Abe Takumi
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
  • Iijima Katsuya
    Institute of Gerontology, The University of Tokyo, Tokyo, Japan Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan
  • Tanaka Tomoki
    Institute of Gerontology, The University of Tokyo, Tokyo, Japan
  • Son Bo-Kyung
    Institute of Gerontology, The University of Tokyo, Tokyo, Japan Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan
  • Shinkai Shoji
    The Tokyo Metropolitan Support Center for Preventative Long-Term and Frail Elderly Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan Graduate School of Nutrition Sciences, School of Nutritional Sciences, Kagawa Nutrition University, Saitama, Japan
  • Hirano Hirohiko
    Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan

Abstract

<p>Purpose: To establish age- and sex-specific population reference values for tongue pressure (TP) in community-dwelling Japanese older adults.</p><p>Methods: For this analysis, we pooled four population-based studies on community-dwelling adults aged ≥65 years that measured TP using a JMS tongue pressure measuring device. We calculated the means and deciles of TP per 5-year age group for each sex. We also estimated age trends in TP for men and women.</p><p>Results: In total, 5,083 individuals (2,150 men and 2,933 women, with a mean [standard deviation] age of 75.2 [6.5] years) were included in the present analysis. In male participants, the mean (standard deviation) TPs for ages 65–69, 70–74, 75–79, 80–84, and ≥85 years were 34.0 (8.4), 32.2 (8.1), 30.8 (8.3), 28.4 (8.9), and 24.4 (8.2) kPa, respectively. In female participants, the corresponding values were 31.5 (7.1), 30.5 (7.5), 29.6 (7.3), 28.4 (8.0), and 26.4 (7.6) kPa, respectively. For both sexes, there were significant declining trends in TP with advanced age. In addition, the interaction between age and sex had a significant effect on TP (regression coefficient [95% confidence interval] = -0.18 [-0.25 to -0.11] when age was modeled as a continuous variable and sex was modeled as a categorical variable [coded as 0=women, 1=men]).</p><p>Conclusions: This study determined age- and sex-specific reference values for TP, presented as means and deciles, in community-dwelling Japanese older adults aged ≥65 years. This study also demonstrated sex differences in age-related declines in TP.</p>

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