Compatibility of two types of gummy jelly tests for detecting decreased masticatory function
Compatibility of two types of gummy jelly tests for detecting decreased masticatory function
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DOI：
10.1111/ger.12601
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发表时间：
2021-11-02
期刊：
影响因子：
2
通讯作者：
Ono, Takahiro
中科院分区：
文献类型：
--
作者：
Murakami, Kazuhiro;Hori, Kazuhiro;Ono, Takahiro
目的验证两种不同类型胶冻咀嚼效能测试的相容性。背景数据讨论了葡萄糖浓度测量法（GC）和10步视觉评分法（VS）（用于诊断口腔功能减退和使用不同类型软糖时咀嚼功能下降（DMF）的咀嚼性能测试）之间的现场兼容性的现状，尚未得到证实。材料与方法研究对象为134名日本老年人（男性51名，女性83名）。采用气相色谱法、比表面积测定法和比表面积增加法（伊萨）对咀嚼效能进行评价。用Cohen’s Kappa系数验证GC和VS检测DMF的一致性，用Pearson’s相关系数分析GC和伊萨的相关性。比较三组患者的各项咀嚼功能的剩余牙数。确定了与GC一致的DMF的VS和伊萨临界值。结果葡萄糖浓度测定方法与葡萄糖浓度测定方法具有良好的一致性（Kappa系数= 0.86）。GC和伊萨之间存在高度正相关（r = .70）。然而，GC和VS/伊萨的咀嚼性能随牙数的变化是不同的。VS和伊萨的临界值分别为2和1687 mm（2）。结论葡萄糖浓度测定法与VS/伊萨法检测DMF的结果一致性较好，可作为咀嚼效能研究的参考。
Objective This study aimed to verify the compatibility of masticatory performance tests using different two types of gummy jellies. Background data discussing the present status of the field Compatibility between the glucose concentration measuring method (GC) and 10-steps visual scoring method (VS), which are masticatory performance tests for diagnosing decreased masticatory function (DMF) in oral hypofunction and the use of different types of gummy jelly, has yet to be confirmed. Materials and methods The participants consisted of 134 Japanese older people (51 men and 83 women). GC, VS and the increased surface area measuring method (ISA), as an alternative analysis method for VS, were conducted to evaluate masticatory performance. Cohen's Kappa coefficient was used to verify the consistency for detecting DMF between GC and VS. Pearson's correlation coefficient was used to analyse the relationship between GC and ISA. Each masticatory performance was compared among three different groups for the number of residual teeth. Cut-off values of VS and ISA for DMF that were consistent with GC were identified. Results Glucose concentration measuring method and VS showed an excellent consistency (Kappa coefficient = 0.86). There was a high positive correlation between GC and ISA (r = .70). However, the change in masticatory performance according to the number of teeth was different between GC and VS/ISA. The cut-off values of VS and ISA were a Score of 2 and 1687 mm(2), respectively. Conclusion Glucose concentration measuring method and VS/ISA remained fairly consistent for detecting DMF, which might be useful information to interconnect the various studies on masticatory performance.