Relationship between sensory perception and frailty in a community-dwelling elderly population

Somekawa, Shinji; Mine, Tomoyuki; Ono, Kumiko; Hayashi, Naoki; Obuchi, Shuichi; Yoshida, Hideyo; Kawai, Hisashi; Fujiwara, Yoshinori; Hirano, Hirohiko; Kojima, Motonaga; Ihara, Kazunari; Kim, Hunkyung

doi:10.1007/s12603-016-0836-5

Cited by 37 publications

(54 citation statements)

References 23 publications

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“…Recently, there have been publications suggesting that appetite and perception of taste and smell are associated with frailty and MCI. Taste and smell perception, particularly taste, were associated with a greater risk of frailty in community‐dwelling older people . One previous study reported appetite loss or disturbances in persons with dementia and MCI .…”

Section: Discussionmentioning

confidence: 97%

“…Taste and smell perception, particularly taste, were associated with a greater risk of frailty in community-dwelling older people. 26 One previous study reported appetite loss or disturbances in persons with dementia and MCI. 27 The present study showed an association between appetite and cognitive frailty, and further research is necessary to determine its relevance.…”

Section: Discussionmentioning

confidence: 99%

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Cognitive frailty in community‐dwelling older Japanese people: Prevalence and its association with falls

Kim

Awata

Watanabe

et al. 2019

Geriatrics Gerontology Int

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Aim To investigate the prevalence and associated factors of cognitive frailty and cognitive frailty‐related falls in community‐dwelling older people. Methods A total of 25 out of 1192 community‐dwelling older people aged >70 years with cognitive frailty participated in the present cross‐sectional study. Cognitive function was assessed using the Mini‐Mental State Examination. Physical function measures included calf circumference, Timed Up and Go (TUG) and usual walking speed. Interviews were carried out to assess Council on Nutrition Appetite Questionnaire (CNAQ); chronic diseases including hypertension, diabetes and falls; as well as physical frailty, defined as having three of five criteria: muscle weakness, slowness, exhaustion, low activity and weight loss. Results The prevalence of cognitive frailty was 2.1%. Participants with cognitive frailty had significantly reduced Mini‐Mental State Examination and calf circumference; and higher instrumental activities of daily living disability and falls. Old age (OR 1.151, 95% CI 1.053–1.257), fall history (OR 3.577, 95% CI 1.381–9.263), having four or more chronic diseases (OR 7.419, 95% CI 2.117–26.005) and slower TUG (OR 1.234, 95% CI 1.041–1.462) were significantly associated with cognitive frailty, whereas greater calf circumference (OR 0.748, 95% CI 0.625–0.895) and CNAQ (OR 0.736, 95% CI 0.628–0.8631) had protective effects. Old age (OR 1.132, 95% CI 1.002–1.280), hospitalization (OR 10.090, 95% CI 2.554–39.854), having four or more chronic diseases (OR 5.120, 95% CI 1.113–23.557) and slower TUG (OR 1.394, 95% CI 1.167–1.665) were significantly associated with cognitive frailty‐related falls, whereas CNAQ (OR 0.704, 0.571–0.868) had protective effects. Conclusions Age, chronic disease, TUG and CNAQ were significantly associated with cognitive frailty and cognitive frailty‐related falls. The TUG and CNAQ have the greatest potential for improvement by intervention or lifestyle change. Further research is necessary to determine the efficacy of positive changes in these factors for symptomatic improvements. Geriatr Gerontol Int 2019; 19: 647–653.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Cognitive frailty in community‐dwelling older Japanese people: Prevalence and its association with falls

Kim

Awata

Watanabe

et al. 2019

Geriatrics Gerontology Int

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“…Somekawa et al observed a significant association of gustatory impairment, but not of olfactory impairment, with frailty in community‐dwelling older adults after adjustment for confounding factors, using the Appetite, Hunger, Sensory Perception subjective questionnaire test . However, self‐assessment tools for olfactory testing are reliable indicators only in olfactory‐impaired patients, but not in healthy controls .…”

Section: Discussionmentioning

confidence: 99%

“…12,13 Using a subjective questionnaire test, a significant association was reported between lower gustatory perception, but not lower olfactory perception, and frailty in communitydwelling older adults. 14 In the present study, we evaluated the association of olfactory and gustatory impairment evaluated by well-defined objective tests with sarcopenia/frailty indexes proposed by AWGS and SOF in community-dwelling Japanese older adults with no prior history of support/care-need certification.…”

Section: Introductionmentioning

confidence: 99%

Association of olfactory impairment with indexes of sarcopenia and frailty in community‐dwelling older adults

Harita

Miwa

Shiga

et al. 2019

Geriatrics Gerontology Int

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Aim Individuals with olfactory or gustatory impairment often have associated difficulties with food‐related activities. As both functions decline in older adults, we investigated the association of these impairments with sarcopenia/frailty indexes in community‐dwelling older adults. Methods A total of 141 participants (69 men and 72 women, mean age 73.0 years) were enrolled. Odor identification was examined using the Open Essence test. Salty and sweet tastes were assessed using a whole‐mouth gustatory test. Participants underwent evaluation of the appendicular skeletal muscle mass index (ASMI) by InBody720 and grip strength, and determination of the Study of Osteoporotic Fractures frailty index. Results Participants with olfactory impairment (Open Essence ≤7), but not with gustatory impairment, showed a significantly higher prevalence of ASMI and grip strength less than the cut‐off values recommended by the Asian Working Group for Sarcopenia, and Study of Osteoporotic Fractures frailty and/or pre‐frailty status, compared with those without impairment. Multivariate logistic regression analysis showed a significant association of olfactory impairment with ASMI less than the cut‐off value, grip strength less than the cut‐off value, Asian Working Group for Sarcopenia sarcopenia and pre‐frailty/frailty in the Study of Osteoporotic Fractures index in the whole population, and with ASMI less than the cut‐off value and Asian Working Group for Sarcopenia sarcopenia in women, after adjustment. Three (Japanese cypress, wood and roasted garlic) and four (Japanese orange, India ink, menthol and curry) Open Essence odorants were elucidated as the “sarcopenia subset” and “frailty subset,” respectively, and showed higher ability to identify sarcopenia and frailty status, compared with the remaining five odorants. Conclusions These findings suggest that olfactory impairment is closely associated with sarcopenia and/or frailty in community‐dwelling older adults. Geriatr Gerontol Int 2019; 19: 384–391.

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“…Somekawa e colaboradores 37 avaliaram a relação entre a fragilidade e o paladar e a percepção do olfato de 768 idosos, com 65 anos ou mais, que viviam em áreas urbanas. A baixa percepção do gosto e do cheiro, em particular a percepção do gosto, foi associada a um maior risco de fragilidade em idosos que vivem na comunidade.…”

Section: Patologias Associadas Com Alterações Do Paladarunclassified

Sensibilidade gustativa em idosos: uma revisão narrativa

Ceolin

Pinheiro²

2017

PAJAR, Pan Am. J. Aging Res.

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RESUMOObjetivO: realizar uma revisão narrativa referente ao paladar e os diversos aspectos relacionados às alterações gustativas no envelhecimento, bem como o manejo nutricional. FOntes de dadOs: Foi realizada uma pesquisa bibliográfica na base de dados PubMed no período de março a julho de 2017. Para execução da busca, utilizaram-se os termos "taste perception", "taste disorders", "taste threshold", "taste bud", "elderly" com auxílio de operadores booleanos (and e Or). resuMO dOs achadOs: um dos primeiros receptores envolvidos na identificação e avaliação dos alimentos é o receptor gustativo. com o envelhecimento, ocorre uma perda de paladar devido a mudanças nas membranas das células gustativas envolvendo função alterada de canais iônicos e receptores sensoriais além da redução do número de botões gustativos numa papila gustativa. estas desordens podem estar associadas a diversas condições, dentre elas, a polifarmácia, tabagismo, álcool, higiene bucal inadequada e doenças debilitantes como doença renal e hepática, câncer, infecções respiratórias, aids e diabetes mellitus, doença de Parkinson e distúrbios cognitivos. Medidas simples como o uso de condimentos e temperos naturais, aumento da ingestão hídrica, mastigação adequada e higiene bucal apropriada podem trazer grandes benefícios ao evitar ou contornar alterações gustativas no idoso, sendo fundamental a atuação do nutricionista. cOnclusões: É essencial compreender as alterações na função gustativa que permeiam o processo de envelhecimento a fim de detectar precocemente essas alterações e contribuir para uma melhor qualidade de vida dos idosos.Palavras-chave: envelhecimento; idoso; paladar; distúrbios do paladar. ABSTRACTObjective: this study is a narrative review about the palate and the various aspects related to taste alterations in aging, as well as nutritional management. data sOurces: a bibliographic search was carried out in the PubMed database from March to july 2017. For the purpose of the search, the terms "taste perception", "taste disorders", "taste threshold", "taste" bud", "elderly" with the help of boolean operators (and and Or). suMMary: One of the earliest recipients involved in food identification and evaluation is the taste receptor. With aging, a loss of taste occurs due to changes in the membranes of taste cells involving altered function of ion channels and sensory receptors in addition to reducing the number of taste pores. these disorders may be associated with several conditions, including polypharmacy, smoking, alcohol, inadequate oral hygiene and debilitating diseases such as kidney and liver disease, cancer, respiratory infections, aids and diabetes mellitus, Parkinson's disease and cognitive disorders. simple measures such as the use of natural condiments and seasonings, increased water intake, proper chewing and proper oral hygiene can bring great benefits by avoiding or circumventing gustatory changes in the elderly, being essential the performance of the nutritionist. cOnclusiOns: it is essential to understand the changes in ...

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Relationship between sensory perception and frailty in a community-dwelling elderly population

Abstract: Taste and smell perception, particularly taste perception, were associated with a greater risk of frailty in community-dwelling elderly people. These results suggest that lower taste and smell perception may be an indicator of frailty in old age.

Cited by 37 publications

References 23 publications

Cognitive frailty in community‐dwelling older Japanese people: Prevalence and its association with falls

Cognitive frailty in community‐dwelling older Japanese people: Prevalence and its association with falls

Association of olfactory impairment with indexes of sarcopenia and frailty in community‐dwelling older adults

Sensibilidade gustativa em idosos: uma revisão narrativa

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