Impact of occlusal force on decline in body mass index among older Japanese adults: Finding from the SONIC study.
Aged
Aged, 80 and over
Bite Force
Body Mass Index
Dentition, Permanent
Elder Nutritional Physiological Phenomena
Female
Geriatric Assessment
Humans
Japan
Logistic Models
Longitudinal Studies
Male
Nutrition Assessment
Nutritional Status
Odds Ratio
Rural Population
/ statistics & numerical data
Surveys and Questionnaires
Urban Population
/ statistics & numerical data
body mass index
occlusal force
older adults
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
04
01
2021
received:
11
05
2020
accepted:
16
02
2021
pubmed:
26
3
2021
medline:
12
10
2021
entrez:
25
3
2021
Statut:
ppublish
Résumé
To determine any independent influence of occlusal force and of number of natural teeth on decline in body mass index (BMI) among older Japanese adults. Longitudinal study over a 3- to 6-year period. Urban and rural area in Japan. Independently living Japanese adults aged 69-71 years and 79-81 years at baseline. This analysis excluded participants who were defined as underweight at baseline. Information was collected on age, gender, occlusal force, the number of teeth, BMI, socioeconomic factors, medical history, the number of daily prescription medications, cognitive function, depressive symptoms, hand grip strength, and physical function. Maximal occlusal force was measured with a pressure-sensitive sheet. Nutritional status was assessed using BMI, and participants with BMI <21.5 were defined as underweight. Then, they were divided into two groups: a "BMI declined" group who were defined as underweight at either 3- or 6-year follow-up survey, and a "BMI maintained" group who were not defined as underweight at both follow-up surveys. Logistic generalized estimating equation (GEE) models were used to assess the effect of occlusal force and the number of teeth at baseline on decline in BMI over 3 or 6 years, after adjusting for possible covariates associated with nutritional status. The final analysis included 704 participants. Eighty-six (12.2%) participants were classified into the BMI declined group. Logistic GEE models showed that the number of teeth was not significantly associated with decline in BMI. However, occlusal force was significantly associated with decline in BMI (odds ratio = 0.90, 95% confidence interval = 0.83-0.97) after adjusting for covariates. Participants with lower occlusal force were more likely to be in the BMI less than 21.5 kg/m
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1956-1963Informations de copyright
© 2021 The American Geriatrics Society.
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