A5066301842- Nutrition and Health in Aging
- Dysphagia Assessment and Management
- Dementia and Cognitive Impairment Research
- Dental Health and Care Utilization
- Frailty in Older Adults
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Temporomandibular Joint Disorders
- Nutritional Studies and Diet
- Salivary Gland Disorders and Functions
- Oral microbiology and periodontitis research
- Child Nutrition and Feeding Issues
- Esophageal and GI Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Obstructive Sleep Apnea Research
- Nutrition, Health and Food Behavior
- Migration, Aging, and Tourism Studies
- Empathy and Medical Education
- Dental Research and COVID-19
- Aging and Gerontology Research
- Body Composition Measurement Techniques
- Pediatric health and respiratory diseases
- Stoma care and complications
- Homelessness and Social Issues
- Chronic Disease Management Strategies
Tokyo Metropolitan Institute of Gerontology
2016-2025
Tokyo Metropolitan Geriatric Hospital
2006-2022
Tokyo Dental College
2012-2013
Objectives To determine the standard values of and age‐related changes in objective oral function healthy older people; compare robust, prefrail, frail association between frailty. Design Cross‐sectional analysis. Setting General community. Participants Elderly adults (≥65) from Obu Study Health Promotion for were included assigned to groups (N = 4,720). Measurements Each participant underwent detailed physical testing assess The frailty phenotype was defined according presence limitations...
Aim To investigate the prevalence and associated factors of cognitive frailty frailty‐related falls in community‐dwelling older people. Methods A total 25 out 1192 people aged >70 years with participated present cross‐sectional study. Cognitive function was assessed using Mini‐Mental State Examination. Physical measures included calf circumference, Timed Up Go (TUG) usual walking speed. Interviews were carried to assess Council on Nutrition Appetite Questionnaire (CNAQ); chronic diseases...
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....
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,...
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...
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...
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,...
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,...
Aim: In elderly patients with dementia, disturbed eating behavior is understood to be a core symptom or behavioral and psychological of dementia (BPSD). The purpose the present study was investigate factors affecting self‐feeding in Alzheimer's disease (AD). Methods: A total 150 AD who were hospitalized wards, residents institutions group homes enrolled. underwent an examination, cognitive assessment, neurological examination vital function tests. consisted observation at mealtime. Items...
The present study investigated the risk factors for dysphagia among older adults who require long-term care, and also examined their systemic decrease in skeletal muscle mass.We evaluated 399 people required care were residing Omori town, Yokote city, Akita prefecture, Japan. We then analyzed data from 255 participants had complete information available regarding sex, age, case history (stroke, Parkinson's disease dementia), Barthel Index, Skeletal Muscle Mass oral function test modified...
Objective This study aimed to examine relevant factors for subjective and objective assessment of masticatory functions elucidate any differences between the two methods. Background Previous studies have reported that results function in older people do not necessarily agree. Materials methods included 487 community‐dwelling Japanese (205 male 282 female; mean age 74.1±6.3 years) who participated a comprehensive geriatric health examination. Basic information (gender age), higher level...
It is important to understand dysphagia in patients with dementia, as it associated malnutrition and aspiration pneumonia. Particularly Alzheimer's disease (AD), mortality from pneumonia high accounts for 70% of the causes death. However, standard swallowing tests are often difficult use methods assess daily function required. Therefore, purpose present study was identify signs AD life.A total 155 underwent evaluation their (modified water test), oral status (residual teeth, occlusal...
Aim To investigate the association between mild cognitive impairment (MCI) and oral status, to develop an oral‐based screening index for MCI. Methods A cross‐sectional study was carried out in a total of 5104 community‐dwelling adults (aged ≥65 years) from Obu Study Health Promotion Elderly. Screening MCI included standardized personal interview, Mini‐Mental State Examination, Geriatrics Gerontology‐Functional Assessment Tool (which 8 tasks used assess logical memory, word list attention...
Aim Previous studies on the association between intraoral conditions and mortality in community‐dwelling older individuals reported that fewer present teeth (PT) are significant risk factors for mortality. However, how number of PT relative to functional (FT), including both rehabilitated teeth, influences has not been investigated fully. This study examined impact FT among Japanese adults. Methods was a retrospective, observational population‐based follow‐up study, which 1188 who...
Aim The present study verified the hypothesis that decreased skeletal muscle in older adults with Alzheimer's disease is related to progression and oral or swallowing function. Methods We investigated 232 patients (31 men, 201 women, average age 85.4 ± 5.9 years) two regions Japan. provided basic information (sex age), were assessed for index, dementia severity (clinical rating), activities of daily living, nutritional status, status Results Stratification by clinical rating was as follows:...
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;...
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...
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...