HYPOGEUSIA AND HYPOSALIVATIONAging is sometimes associated with decreased sensitivity to tastants, i.e., hypogeusia. In the Tohoku University Hospital, decreased taste sensitivity is one of the most common complaints among the elderly.1) In the recent study, the prevalence and causes of gustatory impairment in the elderly were assessed to elucidate the relationship between aging and taste sensitivity. The subjects were comprised of 71 elderly people (male: nϭ19; female: nϭ52), 65 to 94 years of age (meanϭ 80 years), in four different homes for senior citizens with daily meals arranged by a nutritionist. After informed consent was obtained from each subject, the thresholds of the four basic tastes (sweet, salty, sour and bitter) were measured using the filter paper disc method 2) (Sannwa Chemical Laboratory Inc., Nagoya, Japan). Of the 71 subjects, 26 (36.6%) demonstrated hypogeusia, determined as a high threshold for taste sensitivity 3) (Fig. 1). This percentage was significantly higher than expected, indicating that there are many elderly with taste disorders.In the present epidemiologic study, the relationship between the salivary flow rate and the taste threshold was also examined to determine whether hyposalivation influences hypogeusia. Salivary flow rate was measured by the gum test, in which saliva secreted following gum chewing was collected for 10 min. This method is widely used for the clinical assessment of oral dryness. 4) As shown in Fig. 2, whole saliva secretion among taste disorder subjects was significantly decreased whereas it was normal in all subjects with normal Enjoying taste should be one of the greatest pleasures in human life. However, aging is sometimes associated with decreased taste sensitivity, also known as hypogeusia. The loss of taste not only affects quality of life, but can also cause weight loss and health problems in the elderly. Our recent study has shown that 37% of test subjects over 65 years of age exhibited hypogeusia. Further, whole saliva secretion, including minor salivary secretion, was significantly decreased in elderly patients with gustatory impairment, but was normal in all elderly subjects with normal taste thresholds. These data indicate that hyposalivation is closely related to hypogeusia. Moreover, clinical studies have shown that treatment of hyposalivation diminishes hypogeusia, indicating that salivation is essential to maintain normal taste function. However, many medications for relief of dry mouth, such as parasympathomimetic (cholinomimetic) drugs, have serious adverse effects. Palpitation, sweating, nausea, diarrhea and dizziness have all been observed in elderly patients taking parasympathomimetic drugs. To circumvent this problem, glutamate, which produces umami taste, was demonstrated to increase salivary secretion and thereby improve hypogeusia by enhancing the gustatory-salivary reflex. Our data suggests that umami is an effective tool for the relief of hypogeusia without the side effects of parasympathomimetic drugs. Whole saliva secretion in s...