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Chewing Difficulty Should be Included as a Geriatric Syndrome

1,2,*, 2 and 1,2
Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China
Author to whom correspondence should be addressed.
Nutrients 2018, 10(12), 1997;
Received: 7 November 2018 / Revised: 7 December 2018 / Accepted: 13 December 2018 / Published: 17 December 2018
(This article belongs to the Special Issue Older Individuals' Nutrition)
PDF [218 KB, uploaded 17 December 2018]


Recent studies have noted an association between chewing difficulties and frailty. In a pilot survey of primary care needs of older people living in the community using automated methods, we examined the prevalence of chewing difficulties and the cross-sectional association with other geriatric syndromes, chronic diseases, and the use of hospital services. A brief multi-domain geriatric assessment was administered to 2259 men and women using a mobile device, the data uploaded to the cloud and analyzed. A total of 37.8% had chewing difficulties, which were associated with older age, poor vision, frailty, sarcopenia, memory complaints, low subjective well-being, incontinence, and stroke. The results suggest that chewing difficulties should be included as a geriatric syndrome and should be included in primary care screening of geriatric syndromes as well as chronic diseases. View Full-Text
Keywords: chewing difficulty; frailty; primary care; geriatric syndrome; oral health chewing difficulty; frailty; primary care; geriatric syndrome; oral health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Woo, J.; Tong, C.; Yu, R. Chewing Difficulty Should be Included as a Geriatric Syndrome. Nutrients 2018, 10, 1997.

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