Can grip strength and/or walking speed be simple indicators of the deterioration in tongue pressure and jaw opening force in older individuals?

Wakasugi, Yoko; Tohara, Haruka; Machida, Nami; Nakane, Ayako; Minakuchi, Shunsuke

doi:10.1111/ger.12292

Cited by 28 publications

(52 citation statements)

References 26 publications

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“…In this study, we showed that tongue pressure had a close association with handgrip strength in both men and women. Previous studies investigated the association between tongue pressure and sarcopenia; however, many of them did not consider sex differences of tongue pressure and handgrip strength, and few studies evaluated the relationship between tongue pressure and handgrip strength in men and women, separately . The present results showed that the correlation between tongue pressure and handgrip strength, which indicated muscle power and function, was higher than the correlation between tongue pressure and SMI, which indicated muscle mass.…”

Section: Discussionmentioning

confidence: 98%

Sarcopenia is associated with tongue pressure in older patients with type 2 diabetes: A cross‐sectional study of the KAMOGAWA‐DM cohort study

Kaji

Hashimoto

Kobayashi

et al. 2018

Geriatrics Gerontology Int

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Aim Death as a result of pneumonia is an important issue in patients with diabetes. Tongue pressure is associated with swallowing function, which has a close association with aspiration pneumonia. However, no previous studies have shown the association between sarcopenia and tongue pressure in older patients with type 2 diabetes. Methods In the present cross‐sectional study, we investigated body composition, handgrip strength and tongue pressure. Skeletal muscle mass index (kg/m2) was defined as appendicular muscle mass / the square of the height. Sarcopenia was defined when both handgrip strength <26 kg for men and <18 kg for women, and the skeletal muscle mass index <7.0 kg/m2 for men and <5.7 kg/m2 for women existed. Results Among 144 patients (82 men, 71.4 years [SD 6.7 years]), 11.8% had sarcopenia. Tongue pressure was associated with skeletal muscle mass index and handgrip strength (r = 0.361, P < 0.001 and r = 0.387, P < 0.001, respectively, in men; and r = 0.300, P = 0.018 and r = 0.538, P < 0.001, respectively, in women). Tongue pressure was associated with the prevalence of sarcopenia after adjusting for covariates (OR 3.83, 95% CI 1.06–13.9, P = 0.041). According to the receiver operating characteristic curve analysis, the optimal cut‐off value of handgrip strength for the presence of low tongue pressure was 27.7 kg (AUC 0.70, 95% CI 0.53–0.83, sensitivity 0.78, specificity 0.64) in men and 18.3 kg (AUC 0.71, 95% CI 0.54–0.84, sensitivity 0.82, specificity 0.54) in women. Conclusions Sarcopenia, especially handgrip strength, is associated with tongue pressure in older patients with type 2 diabetes. We should consider a decrease of swallowing function when examining patients with sarcopenia. Geriatr Gerontol Int 2019; 19: 153–158.

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Section: Discussionmentioning

confidence: 98%

Sarcopenia is associated with tongue pressure in older patients with type 2 diabetes: A cross‐sectional study of the KAMOGAWA‐DM cohort study

Kaji

Hashimoto

Kobayashi

et al. 2018

Geriatrics Gerontology Int

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“…Grip strength and walking speed are associated with tongue pressure and to a lesser extent jaw opening force in men (62)(63)(64)(65)(66)(67)(68). Similarly, head lifting strength is associated with dysphagia and malnutrition in older persons (69).…”

Section: The Frailty Phenotype and Dysphagiamentioning

confidence: 99%

Dysphagia, Dementia and Frailty

Payne

Morley

2018

The Journal of nutrition, health and aging

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“…Sarcopenia defined by low SMMI and grip strength at the hospital, physical frailty, frailty, advancing age, history of clinical disease, loss of SMM, and handgrip strength have been found to be associated with dysphagia among older individuals in several settings (1,4,(28)(29)(30)(31)(32). Besides, tongue pressure was related to grip strength and gait speed in males, and head lifting strength was related to dysphagia and poor nutritional status among older patients where EAT-10 was associated with nutritional status at long term care (33)(34)(35). Likewise, dysphagia risk by EAT-10 was higher in patients with malnutrition, low SMMI, in the older ages, hospitalizations with pneumonia in the past year, and prescription of modified diet, but not in the participants with low grip strength, and the presence of diseases and hospitalizations in one year, in this study.…”

Section: Discussionmentioning

confidence: 98%

Self Reported Dysphagia is not Associated with Sarcopenia Defined by the Revised EWGSOP2 Criteria and Regional Thresholds at the Hospital Among Ambulatory Older Patients

Savaş

Yılmaz

2019

Mater Sociomed

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Introduction: Dysphagia and sarcopenia are geriatric syndromes, and they are shown to be related. There is no study on dysphagia and sarcopenia with the revised European Working Group on Sarcopenia in Older People (EWGSOP)2 criteria. Aim: We aimed to evaluate dysphagia and sarcopenia with the revised criteria implementing regional thresholds for skeletal muscle mass (SMM) in hospitalized older patients. Methods: Ambulatory patients ≥60 years of age from the Internal Medicine Department of our hospital were taken into the study. Grip strength, SMM via bioelectrical impedance analysis, nutritional status, dysphagia screening with Eating Assessment Tool-10, prior hospitalizations and diet were evaluated. Sarcopenia was defined by EWGSOP2 criteria using regional SMM thresholds adjusted to body mass index (BMI) (SMMI (BMI)). Results: Out of 112, 61 patients were enrolled. Sarcopenia, nutritional risk, and dysphagia were shown in 36.1%, 88.5%, and 14.8% of the patients. The risk of dysphagia was not associated with sarcopenia (p=0.263). Hospitalizations (≥1) in one year with pneumonia, modified diet, malnutrition, and low SMMI (BMI) were more common in patients with dysphagia risk than in the patients without (p=0.001, p<0.01, p=0.011, p=0.008, respectively). The median age and BMI were higher where SMMI (BMI) was lower in the group with dysphagia risk than in the group without (p=0.016, p=0.034, p=0.032), respectively. Conclusion: We found that self-reported dysphagia was not associated with sarcopenia defined by the EWGSOP2 criteria in ambulatory hospitalized patients over 60 years of age. Further studies using revised criteria, different adjustments and thresholds are needed to reveal possible differences.

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Can grip strength and/or walking speed be simple indicators of the deterioration in tongue pressure and jaw opening force in older individuals?

Abstract: Decreased swallowing-related muscle strength can be inferred in cases involving male patients for whom decreased grip strength is measured during physical examination or is otherwise suggested (eg, by an inability to open plastic bottles).

Cited by 28 publications

References 26 publications

Sarcopenia is associated with tongue pressure in older patients with type 2 diabetes: A cross‐sectional study of the KAMOGAWA‐DM cohort study

Sarcopenia is associated with tongue pressure in older patients with type 2 diabetes: A cross‐sectional study of the KAMOGAWA‐DM cohort study

Dysphagia, Dementia and Frailty

Self Reported Dysphagia is not Associated with Sarcopenia Defined by the Revised EWGSOP2 Criteria and Regional Thresholds at the Hospital Among Ambulatory Older Patients

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