All Title Author
Keywords Abstract

The Relationship between Living Environment and Oral Function in Elderly Japanese

DOI: 10.4236/aasoci.2019.92006, PP. 71-78

Keywords: Elderly, Oral Function, Living Environment, Relationship

Full-Text   Cite this paper   Add to My Lib


This study aims to clarify the current state of oral function among elderly people and to analyze the relation with basic attributes. The subjects of the survey were dependent elderly people receiving nursing care in Japan. We examined the subjects’ age, sex, level of care required, living environment (home or facility), and oral functions. Tongue pressure and oral diadochokinesis (OD) were used to evaluate oral function. The relationship between the basic attributes of the elderly subjects and the oral function evaluation value was analyzed by multiple regression analysis. The average value of tongue pressure was 24.70 ± 10.20 Pa. The average value of OD was 4.7 ± 1.4 for /pa/, 4.6 ± 1.3 for /ta/, and 4.3 ± 1.3 for /ka/. Tongue pressure was found to be significantly related to the degree of care required (p < 0.01). The OD recognized syllables of /pa/, /ta/, /ka/ were significantly related to the degree of need for care and living environment (p < 0.05). The living environment is thought to affect oral function.


[1]  Hara, S., Miura, H., & Yamasaki, K. (2013). Oral Diadochokinesis among Japanese Aged over 55 Years: Analysis of Standard Values. Japan Journal of Gerodontology, 50, 258-263.
[2]  Hartelius, L., & Lillvik, M. (2003). Lip and Tongue Function Differently Affected in Individuals with Multiple Sclerosis. Folia Phoniatrica et Logopaedica, 55, 1-9.
[3]  Ito, K., Yoshihara, A., Takano, N., Ishigami, K., Seida, Y., Inoue, M., Kitahara, M., & Miyazaki, H. (2009). A Comparison of Methods for the Measurement of Oral Diadochokinesis. Journal of Gerodontology, 24, 48-54.
[4]  John, M. T., Koepsell, T. D., Hujoel, P., Miglioretti, D. L., LeResche, L., & Micheelis, W. (2004). Demographic Factors, Denture Status and Oral Health-Related Quality of Life. Community Dentistry and Oral Epidemiology, 32, 125-132.
[5]  Kikuchi, R., Watabe, N., Konno, T., Mishina, N., Sekizawa, K., & Sasaki, H. (1994). High Incidence of Silent Dysphagia in Elderly Patients with Community-Acquired Pneumonia. American Journal of Respiratory and Critical Care Medicine, 150, 251-253.
[6]  Kikutani, T. (2017). Response to Oral Frail in Dental Clinic. Japan Journal of Gerodontology, 31, 412-416.
[7]  Kikutani, T., Tamura, F., Nishiwaki, K., Kodama, M., Suda, M., Fukui, T., et al. (2009). Oral Motor Function and Masticatory Performance in the Communi-ty-Dwelling Elderly. Odontology, 97, 38-42.
[8]  Locker, D., Matear, D., Stephens, M., Lawrence, H., & Payne, B. (2001). Comparison of the GOHAI and OHIP-14 as Measures of the Oral Health-Related Quality of Life of Elderly. Community Dentistry and Oral Epidemiology, 29, 373-381.
[9]  Machida, N., Tohara, H., Hara, K., Kumakura, A., Wakasugi, Y., Nakane, A., & Monakuchi, S. (2017). Effects of Aging and Sarcopenia on Tongue Pressure and Jaw-Opening Force. Geriatrics & Gerontology International, 17, 295-301.
[10]  Morisaki, N. (2017). Relationship between Swallowing Functions and Health-Related Quality of Life among Community-Dwelling Dependent Older Individuals. Japan Journal of Nursing Science, 14, 353-363.
[11]  Morisaki, N. (2018). Effects of Oral Exercise on Oral Function among Japanese Dependent Elderly Individuals Living in Nursing Facilities. International Journal of Nursing and Clinical Practices, 5.
[12]  Tsuga, K., Yoshida, M., Urabe, H., Hayashi, R., Yoshikawa, M., Utanohara, Y., et al. (2004). Effect of General Condition and Tongue Pressure on Meal Form Selection for Elderly Care Recipient. Journal of Japanese Society for Masticatory Science and Health Promotion, 14, 62-67.
[13]  Utanohara, Y., Hayashi, R., Yoshikawa, M., Yoshida, M., Tsuga, K., & Akagawa, Y. (2008). Standard Values of Maximum Tongue Pressure Taken Using Newly Developed Disposable Tongue Pressure Measurement Device. Dysphagia, 23, 286-290.
[14]  Watanabe, Y., Hirano, H., Arai, H., Morishita, S., Ohara, Y., Edahiro, A., Murakami, M., Shimada, H., Kikitani, T., & Suzuki, T. (2017). Relationship between Frailty and Oral Function in Community-Dwelling Elderly Adults. Journal of the American Geriatrics Society, 65, 66-76.
[15]  Yamawaki, M. (2009). Epidemiology of Dysphagia Pneumonia. Sogo Rihabiriteshon, 37, 105-109.


comments powered by Disqus