Abstract
Predictive factors associated with a decline in swallowing function after 2 years were examined in 3409 Japanese older people aged ≥ 75 years who had undergone a dental checkup in Gifu Prefecture, Japan. Participants with normal swallowing function in a baseline survey in April 2018 were followed for 2 years. Swallowing function was assessed using a repetitive saliva swallowing test. In our study, 429 participants (13%) who were swallowing less than three times in 30 s based on a repetitive saliva swallowing test after 2 years were diagnosed as those with decline in swallowing function. Multivariate logistic regression analyses showed the decline in swallowing function after 2 years was associated with the male gender (odds ratio [ORs]: 0.772; 95% confidence interval [CIs]: 0.615–0.969), age ≥ 81 years (presence; ORs: 1.523; 95% CIs: 1.224–1.895), support/care-need certification (presence; ORs: 1.815; 95% CIs: 1.361–2.394), periodontal pocket depth (PPD) ≥ 4 mm (presence; ORs: 1.469; 95% CIs: 1.163–1.856), difficulty in biting hard food (yes; ORs: 1.439; 95% CIs: 1.145–1.808), choking on tea and water (yes; ORs: 2.543; 95% CIs: 2.025–3.193), and dry mouth (yes; ORs: 1.316; 95% CIs: 1.052–1.646) at baseline. Therefore, the dental checkup items associated with a decline in swallowing function after 2 years were a PPD ≥ 4 mm, difficulty in biting hard food, choking on tea and water, and dry mouth. PPD status and confirming to the self-administered questionnaire about biting, choking, and dry mouth may be useful in predicting future decline in swallowing function.
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MDPI and ACS Style
Iwai, K.; Azuma, T.; Yonenaga, T.; Sasai, Y.; Komatsu, Y.; Tabata, K.; Nomura, T.; Sugiura, I.; Inagawa, Y.; Matsumoto, Y.;
et al. Predictive Factors Associated with Future Decline in Swallowing Function among Japanese Older People Aged ≥ 75 Years. Int. J. Environ. Res. Public Health 2024, 21, 674.
https://doi.org/10.3390/ijerph21060674
AMA Style
Iwai K, Azuma T, Yonenaga T, Sasai Y, Komatsu Y, Tabata K, Nomura T, Sugiura I, Inagawa Y, Matsumoto Y,
et al. Predictive Factors Associated with Future Decline in Swallowing Function among Japanese Older People Aged ≥ 75 Years. International Journal of Environmental Research and Public Health. 2024; 21(6):674.
https://doi.org/10.3390/ijerph21060674
Chicago/Turabian Style
Iwai, Komei, Tetsuji Azuma, Takatoshi Yonenaga, Yasuyuki Sasai, Yoshinari Komatsu, Koichiro Tabata, Taketsugu Nomura, Iwane Sugiura, Yujo Inagawa, Yusuke Matsumoto,
and et al. 2024. "Predictive Factors Associated with Future Decline in Swallowing Function among Japanese Older People Aged ≥ 75 Years" International Journal of Environmental Research and Public Health 21, no. 6: 674.
https://doi.org/10.3390/ijerph21060674
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