Can grip strength and/or walking speed be simple indicators of the deterioration in tongue pressure and jaw opening force in older individuals?
Can grip strength and/or walking speed be simple indicators of the deterioration in tongue pressure and jaw opening force in older individuals?
复制标题
DOI：
10.1111/ger.12292
复制
发表时间：
2017-12-01
期刊：
影响因子：
2
通讯作者：
Minakuchi, Shunsuke
中科院分区：
文献类型：
--
作者：
Wakasugi, Yoko;Tohara, Haruka;Minakuchi, Shunsuke
目的由于肌肉减少症，与吞咽相关的肌肉力量下降，老年人面临肌肉减少症和由此产生的吞咽困难的风险。然而，没有研究评估全身力量和吞咽相关肌肉之间的直接关系。因此，本研究探讨全身强度下降，这是很容易评估，吞咽相关的肌肉strength.Materials和methodsA共197名老年人（97名男性年龄78.56.6years和100名女性年龄77.86.2years）之间的关系。握力，步行速度，舌压力和下颌张开力进行了测量，年龄的影响和全身力量和吞咽相关的肌肉strength.ResultsWith相对于年龄相关的变化，舌压力，下颌张开力，握力和步行速度随着年龄的增长下降，男性和女性之间的关系进行了调查。以年龄作为控制变量，分析了全身力量与吞咽相关肌肉力量之间的关系。在男性中，舌压与握力和步行速度相关，而下巴张开力与握力相关。在妇女中，无论是舌头的压力，也没有下巴张开的力量与握力或步行speeds.ConclusionsThere是一个基于性别的差异之间的相关性全身力量和吞咽相关的肌肉力量。在男性中，吞咽相关的肌肉力量与全身力量相关，因此握力可以作为吞咽相关肌肉力量的简单指标。临床意义吞咽相关肌肉力量下降可以在涉及男性患者的病例中推断，这些患者在体格检查期间测量到握力下降或以其他方式提示（例如，无法打开塑料瓶）。
ObjectivesSwallowing-related muscle strength decreases due to sarcopenia, and older people are at risk for sarcopenia and the resultant dysphagia. However, no studies have assessed the direct relationships between whole-body strength and swallowing-related muscles. Therefore, this study investigates the relationships between decreased whole-body strength, which is easily evaluated, and swallowing-related muscle strength.Materials and methodsA total of 197 elderly individuals (97 men aged 78.56.6years and 100 women aged 77.86.2years) were enrolled. Grip strength, walking speed, tongue pressure and jaw opening force were measured, and the effects of age and the relationships between whole-body strength and swallowing-related muscle strength were investigated.ResultsWith respect to age-related changes, tongue pressure, jaw opening force, grip strength and walking speed decreased with age in men and women. The relationships between whole-body strength and swallowing-related muscle strength were analysed, with age used as the control variable. Among men, tongue pressure was correlated with grip strength and walking speed, whereas jaw opening force was correlated with grip strength. Among women, neither tongue pressure nor jaw opening force was correlated with grip strength or walking speed.ConclusionsThere was a sex-based difference in the correlations between whole-body strength and swallowing-related muscle strength. Among men, swallowing-related muscle strength was correlated with whole-body strength, and grip strength could thus serve as a simple indicator for swallowing-related muscle strength.Clinical relevanceDecreased 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).