Maki Shirobe

ORCID: 0000-0003-2478-8202
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About
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Research Areas
  • Nutrition and Health in Aging
  • Dysphagia Assessment and Management
  • Dental Health and Care Utilization
  • Frailty in Older Adults
  • Nutritional Studies and Diet
  • Temporomandibular Joint Disorders
  • Child Nutrition and Feeding Issues
  • Salivary Gland Disorders and Functions
  • Oral microbiology and periodontitis research
  • Dementia and Cognitive Impairment Research
  • Pediatric health and respiratory diseases
  • Obstructive Sleep Apnea Research
  • Stoma care and complications
  • Esophageal and GI Pathology
  • Empathy and Medical Education
  • Nutrition, Health and Food Behavior
  • Health and Wellbeing Research
  • Obesity, Physical Activity, Diet
  • Innovations in Medical Education
  • Dental Research and COVID-19
  • Sleep and related disorders
  • Nosocomial Infections in ICU
  • Clinical Reasoning and Diagnostic Skills
  • Oral and gingival health research
  • Restless Legs Syndrome Research

Tokyo Metropolitan Institute of Gerontology
2017-2025

Tokyo Metropolitan Geriatric Hospital
2017-2022

Tokyo Medical and Dental University
2020-2021

To enable easy assessment of oral frailty; that is, an overlapping slight decline in multifaceted function, any setting, we developed the frailty five-item checklist (OF-5), and examined its predictive validity for increased risks physical frailty, disability mortality among community-dwelling older adults.

10.1111/ggi.14634 article EN cc-by Geriatrics and gerontology international/Geriatrics & gerontology international 2023-07-17

Aim This cross‐sectional study had two aims: to assess the prevalence of oral frailty (OF), according Oral Frailty 5‐Item Checklist (OF‐5), among community‐dwelling older adults; and examine associations frailty, dietary variety, social engagement, physical frailty. Methods We pooled data from population‐based studies (the Otassha Study Itabashi Longitudinal on Aging). With OF‐5, OF is characterized by presence or more following: (i) fewer teeth, (ii) difficulty in chewing, (iii) swallowing,...

10.1111/ggi.14846 article EN Geriatrics and gerontology international/Geriatrics & gerontology international 2024-02-23

Abstract Objective To clarify the rate of oral frailty and hypofunction in rural community‐dwelling older adults Japan. Background Recently, function Japanese has been evaluated multilaterally based on two concepts: hypofunction. Oral is defined as a decrease accompanied by mental physical functions. disease where comprehensively decreased. However, their rates have not yet elucidated. Materials methods were 679 from areas. investigate differences occurrence due to evaluation methods, one...

10.1111/ger.12468 article EN Gerodontology 2020-03-06

Objectives: This study aimed to determine the relationship between objective chewing ability and nutritional status of Japanese community-dwelling elders. Design: A cross-sectional study. Participants: total 509 elders living in Tokyo metropolitan area participated a comprehensive survey conducted October 2013. Measurements: The basic characteristics were sex, age, body mass index. Undernutrition was examined through serum albumin levels. Chewing color-changeable xylitol gum by evaluating...

10.3390/ijerph18031216 article EN International Journal of Environmental Research and Public Health 2021-01-29

Abstract Background An association has recently been reported between frailty and reduced masticatory function; however, the causal relationship remains unclear. Objective The aim of this study was to clarify function progression. Methods Among 6699 individuals aged 65 older (mean age 72.8 ± 5.2 years) who were invited participate in comprehensive medical check‐ups, 418 underwent examinations at Tokyo Metropolitan Institute Gerontology both 2013 2015 met inclusion criteria included study....

10.1111/joor.12700 article EN Journal of Oral Rehabilitation 2018-07-24

Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were associations between frailty, defined as accumulated deficits in health, status among community-dwelling older adults.The study population consisted 191 men 275 women (mean age, 76.4 years) from Takashimadaira Study. Multifaced assessment was performed at baseline, frailty having ≥3 following six components: fewer teeth,...

10.3390/ijerph18010213 article EN International Journal of Environmental Research and Public Health 2020-12-30

This study investigated the association between oral hypofunction and malnutrition among community-dwelling older adults.Oral hypofunction, a 7-component phenotype of clinical features health, has been described in Japan. Data about its with nutritional status are limited.This cross-sectional enrolled 715 adults (mean age, 73.5 years; range, 65-91 years) from Otassha Study. Oral was defined as presence ≥3 following 7 components: poor hygiene; dryness; low occlusal force; articulatory motor...

10.1111/ger.12580 article EN Gerodontology 2021-07-01

Oral hypofunction, resulting from a combined decrease in multiple oral functions, may affect systemic-condition deterioration; however, few studies have examined the association between hypofunction and general health among older adults. In this cross-sectional study, we relationship sarcopenia community-dwelling We included 878 adults (268 men 610 women, mean age 76.5 ± 8.3 years). Tongue coating index, moisture, occlusal force, diadochokinesis (/pa/,/ta/,/ka/), tongue pressure,...

10.3390/ijerph18126666 article EN International Journal of Environmental Research and Public Health 2021-06-21

Purpose This cross-sectional study compared gait performance between community-dwelling older adults with and without accumulated deficits in oral health, defined as frailty.Methods A total of 1,082 individuals (439 men 643 women; mean age, 77.1 years) from the Takashimadaira were included current analysis. Based on a multifaceted health assessment, frailty was having three or more following six components: (i) fewer teeth, (ii) low masticatory performance, (iii) articulatory motor skills,...

10.2186/jpr.jpr_d_20_00129 article EN cc-by Journal of Prosthodontic Research 2021-01-01

<b><i>Introduction:</i></b> Oral frailty describes a trivial decline in the oral function and is considered to be related frailty. Thus, effective management of could prevent or ameliorate physical need for care. However, there lack consensus regarding specific interventions In this cluster-randomized controlled trial, we investigated effects newly developed measures program mentored by dentists dental hygienists elderly people clinical setting....

10.1159/000516968 article EN cc-by-nc Gerontology 2021-07-09

<sec> <title>BACKGROUND</title> Wearable devices, such as smartwatches (SW) appear to be useful tools for managing lifestyles and health among community-dwelling older adults. However, the detailed impact of daily SW use on wide-range outcomes in adults remains unclear. </sec> <title>OBJECTIVE</title> This study aimed investigate one-year changes physical function, mental cognitive satisfaction with <title>METHODS</title> Participants aged ≥65 years from community-based cohort studies were...

10.2196/preprints.70289 preprint EN 2025-01-05

Background/Objectives: Undernutrition increases the mortality risk in older persons requiring long-term care; further, it is associated with oral functions such as swallowing and chewing. Moreover, occlusion affects function crucially involved nutritional intake. The present study aimed to examine association between number of molar occlusions undernutrition according body mass index (BMI) care. Methods: Japanese care were categorized based on BMI (<20 kg/m2 vs. 20 kg/m2). We examined (one...

10.3390/nu17040630 article EN Nutrients 2025-02-10

Background: Consuming a variety of foods is believed to promote thorough chewing; however, it remains unclear whether individuals who consume various actually chew them thoroughly. Therefore, this study aimed examine the association between dietary and masticatory behaviors, measured using wearable devices, among community-dwelling older adults. Methods: Participants were from Itabashi Longitudinal Study Aging, meeting eligibility criteria, including ability exchange messages via smartphone...

10.3390/nu17040695 article EN Nutrients 2025-02-15

The social isolation of older Japanese adults with infrequent contact others diminishes appetite, reduces food intake, and worsens their nutritional status. However, there is insufficient evidence regarding the association between status, studies primarily confined to rural suburban areas. This cross-sectional study aimed investigate status among residing in urban analysis included 1,052 (mean age, 78 years). Nutritional was assessed using Mini Assessment® Short Form, a score 11 or below...

10.3143/geriatrics.62.70 article EN Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics 2025-01-25

Aim To examine the association between a decrease in frequency of going out and oral function independent older adults living urban area Tokyo. Methods The participants analyzed were 785 from “Takashimadaira Study” (344 men 441 women, age 77.0 ± 4.6 years). This study investigated following items: out; basic characteristics (sex, age); physical factors, such as (difficulty chewing, difficulty swallowing, dry mouth); body pain; Japan Science Technology Agency Index Competence; activities;...

10.1111/ggi.13715 article EN Geriatrics and gerontology international/Geriatrics & gerontology international 2019-07-02

Providing older person individuals with an appropriate intervention at the time of frailty onset is important to prevent progression condition and need for long-term care. However, proper timing starting nutritional dietary interventions frail subjects has not been fully elucidated. Therefore, in this cross-sectional study, we aimed clarify association between variety among persons Japan. We surveyed sex, age, body height, weight, mass index, serum albumin level, variety, intake indexes 747...

10.1007/s12603-018-1000-1 article EN cc-by-nc-nd The journal of nutrition health & aging 2018-01-30

To examine the association between severity of oral frailty (OF), which is one comprehensive functions evaluated, and dietary variety in community-dwelling older persons. Cross-sectional study. Community-based. We examined basic demographic information, functional status, cognitive depressive symptoms, medical history, participants. OF was defined by 1–2 3 or more 6 items function evaluation pre-oral groups, respectively. Dietary assessed using score (DVS). The participants were categorized...

10.1007/s12603-020-1538-6 article EN cc-by-nc-nd The journal of nutrition health & aging 2020-12-02

Abstract Background Few studies have examined the state of oral function in older adults with sarcopenia. We assessed functions community‐dwelling sarcopenia from multiple perspectives to clarify their potentially low function. Methods A total 1517 (86.2%; 990 women, 527 men; mean age 76.1 ± 7.6 years) participants were included this study. Grip strength, gait speed and skeletal muscle mass index assessed, was evaluated according criteria Asian Working Group for Sarcopenia 2019. The degree...

10.1002/jcsm.13145 article EN cc-by Journal of Cachexia Sarcopenia and Muscle 2022-12-05

Aim Efforts to combat frailty and preserve good health in older adults have highlighted oral as an early indicator of overall frailty. Individuals showing are at elevated risk insufficient nutritional intake compared with those without frailty; however, underlying mechanisms remain poorly explored. In this cross‐sectional study, we aimed examine the link between undernutrition, especially regarding poor appetite low dietary diversity. Methods The analysis included 2727 late‐stage (mean age...

10.1111/ggi.14892 article EN Geriatrics and gerontology international/Geriatrics & gerontology international 2024-05-07
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