Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study

Kotomi Sakai,1,2 Enri Nakayama,2 Haruka Tohara,3 Keiji Kodama,4 Takahiro Takehisa,5 Yozo Takehisa,6 Koichiro Ueda2 1Department of Rehabilitation Medicine, Setagaya Memorial Hospital, 2Department of Dysphagia Rehabilitation, Nihon University School of Dentistry, 3Gerodontology and Oral Rehabilitatio...

Full description

Bibliographic Details
Main Authors: Sakai K, Nakayama E, Tohara H, Kodama K, Takehisa T, Takehisa Y, Ueda K
Format: Article
Language:English
Published: Dove Medical Press 2017-08-01
Series:Clinical Interventions in Aging
Subjects:
Lip
Online Access:https://www.dovepress.com/relationship-between-tongue-strength-lip-strength-and-nutrition-relate-peer-reviewed-article-CIA
id doaj-332a1b469c1441659fd7b8980d6ca43f
record_format Article
spelling doaj-332a1b469c1441659fd7b8980d6ca43f2020-11-24T20:41:35ZengDove Medical PressClinical Interventions in Aging1178-19982017-08-01Volume 121207121434081Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional studySakai KNakayama ETohara HKodama KTakehisa TTakehisa YUeda KKotomi Sakai,1,2 Enri Nakayama,2 Haruka Tohara,3 Keiji Kodama,4 Takahiro Takehisa,5 Yozo Takehisa,6 Koichiro Ueda2 1Department of Rehabilitation Medicine, Setagaya Memorial Hospital, 2Department of Dysphagia Rehabilitation, Nihon University School of Dentistry, 3Gerodontology and Oral Rehabilitation, Department of Gerontology and Gerodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 4Department of Internal Medicine, 5Department of Orthopaedic Surgery, Setagaya Memorial Hospital, Tokyo, 6Department of Internal Medicine, Hakuai Memorial Hospital, Tokushima, Japan Objective: The objective of this study was to clarify the relationship between tongue strength, lip strength, and nutrition-related sarcopenia (NRS).Patients and methods: A total of 201 older inpatients aged ≥65 years (70 men, median age: 84 years, interquartile range: 79–89 years) consecutively admitted for rehabilitation were included in this cross-sectional study. The main factors evaluated were the presence of NRS diagnosed by malnutrition using the Mini-Nutrition Assessment – Short Form, sarcopenia based on the criteria of the Asian Working Group for Sarcopenia, tongue strength, and lip strength. Other factors such as age, sex, comorbidity, physical function, cognitive function, and oral intake level were also assessed.Results: In all, 78 (38.8%) patients were allocated to the NRS group, and 123 (61.2%) patients were allocated to the non-NRS group. The median tongue strength and lip strength (interquartile range) were significantly lower in the NRS group (tongue: 22.9 kPa [17.7–27.7 kPa] and lip: 7.2 N [5.6–9.8 N]) compared with the non-NRS group (tongue: 29.7 kPa [24.8–35.1 kPa] and lip: 9.9 N [8.4–12.3 N], P<0.001 for both). Multivariable logistic regression analysis showed that NRS was independently associated with tongue strength (odds ratio [OR] =0.93, 95% confidence interval [CI] 0.87–0.98, P=0.012) and lip strength (OR =0.76, 95% CI 0.66–0.88, P<0.001), even after adjusting for age, sex, comorbidity, physical function, cognitive function, and oral intake level.Conclusion: The likelihood of occurrence of NRS decreased when tongue strength or lip strength increased. Tongue strength and lip strength may be important factors for preventing and improving NRS, regardless of the presence of low oral intake level in older rehabilitation inpatients. Keywords: sarcopenia, rehabilitation, tongue, lip, malnutritionhttps://www.dovepress.com/relationship-between-tongue-strength-lip-strength-and-nutrition-relate-peer-reviewed-article-CIASarcopeniaRehabilitationTongueLipMalnutrition
collection DOAJ
language English
format Article
sources DOAJ
author Sakai K
Nakayama E
Tohara H
Kodama K
Takehisa T
Takehisa Y
Ueda K
spellingShingle Sakai K
Nakayama E
Tohara H
Kodama K
Takehisa T
Takehisa Y
Ueda K
Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
Clinical Interventions in Aging
Sarcopenia
Rehabilitation
Tongue
Lip
Malnutrition
author_facet Sakai K
Nakayama E
Tohara H
Kodama K
Takehisa T
Takehisa Y
Ueda K
author_sort Sakai K
title Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
title_short Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
title_full Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
title_fullStr Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
title_full_unstemmed Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
title_sort relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: a cross-sectional study
publisher Dove Medical Press
series Clinical Interventions in Aging
issn 1178-1998
publishDate 2017-08-01
description Kotomi Sakai,1,2 Enri Nakayama,2 Haruka Tohara,3 Keiji Kodama,4 Takahiro Takehisa,5 Yozo Takehisa,6 Koichiro Ueda2 1Department of Rehabilitation Medicine, Setagaya Memorial Hospital, 2Department of Dysphagia Rehabilitation, Nihon University School of Dentistry, 3Gerodontology and Oral Rehabilitation, Department of Gerontology and Gerodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 4Department of Internal Medicine, 5Department of Orthopaedic Surgery, Setagaya Memorial Hospital, Tokyo, 6Department of Internal Medicine, Hakuai Memorial Hospital, Tokushima, Japan Objective: The objective of this study was to clarify the relationship between tongue strength, lip strength, and nutrition-related sarcopenia (NRS).Patients and methods: A total of 201 older inpatients aged ≥65 years (70 men, median age: 84 years, interquartile range: 79–89 years) consecutively admitted for rehabilitation were included in this cross-sectional study. The main factors evaluated were the presence of NRS diagnosed by malnutrition using the Mini-Nutrition Assessment – Short Form, sarcopenia based on the criteria of the Asian Working Group for Sarcopenia, tongue strength, and lip strength. Other factors such as age, sex, comorbidity, physical function, cognitive function, and oral intake level were also assessed.Results: In all, 78 (38.8%) patients were allocated to the NRS group, and 123 (61.2%) patients were allocated to the non-NRS group. The median tongue strength and lip strength (interquartile range) were significantly lower in the NRS group (tongue: 22.9 kPa [17.7–27.7 kPa] and lip: 7.2 N [5.6–9.8 N]) compared with the non-NRS group (tongue: 29.7 kPa [24.8–35.1 kPa] and lip: 9.9 N [8.4–12.3 N], P<0.001 for both). Multivariable logistic regression analysis showed that NRS was independently associated with tongue strength (odds ratio [OR] =0.93, 95% confidence interval [CI] 0.87–0.98, P=0.012) and lip strength (OR =0.76, 95% CI 0.66–0.88, P<0.001), even after adjusting for age, sex, comorbidity, physical function, cognitive function, and oral intake level.Conclusion: The likelihood of occurrence of NRS decreased when tongue strength or lip strength increased. Tongue strength and lip strength may be important factors for preventing and improving NRS, regardless of the presence of low oral intake level in older rehabilitation inpatients. Keywords: sarcopenia, rehabilitation, tongue, lip, malnutrition
topic Sarcopenia
Rehabilitation
Tongue
Lip
Malnutrition
url https://www.dovepress.com/relationship-between-tongue-strength-lip-strength-and-nutrition-relate-peer-reviewed-article-CIA
work_keys_str_mv AT sakaik relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT nakayamae relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT toharah relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT kodamak relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT takehisat relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT takehisay relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
AT uedak relationshipbetweentonguestrengthlipstrengthandnutritionrelatedsarcopeniainolderrehabilitationinpatientsacrosssectionalstudy
_version_ 1716824577999372288