Effect of Isometric Tongue Lifting Exercise on Oral Function, Physical Function, and Body Composition in Community-Dwelling Older Individuals: A Pilot Study
Effect of Isometric Tongue Lifting Exercise on Oral Function, Physical Function, and Body Composition in Community-Dwelling Older Individuals: A Pilot Study
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DOI：
10.1159/000518270
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发表时间：
2021-09-01
期刊：
影响因子：
3.5
通讯作者：
Kashiwazaki, Haruhiko
中科院分区：
文献类型：
--
作者：
Iyota, Kiyomi;Mizutani, Shinsuke;Kashiwazaki, Haruhiko
简介：众所周知，口腔脆弱是身体脆弱的危险因素之一。因此，早期发现，适当的治疗和预防口腔脆弱是非常重要的。舌提升运动已被确定为一种众所周知的方法，用于改善舌压下降，这是口腔脆弱的因素之一。然而，很少有报告调查如何舌头加强练习影响身体功能和身体成分。本研究旨在探讨等长提舌运动对学童口腔功能、身体机能及身体组成的影响。方法：研究对象为49名68-79岁的老年人，他们曾参加过“Itoshima Frail研究”。“参与者进行了3个月的等长舌头提升练习。在基线和干预后测量口腔功能（舌压和口腔回旋运动）、身体功能（握力、睁眼单腿站立、从坐到站的运动时间、5 m步态速度和3 m计时起立和行走[TUG]）和身体成分，并对每项的变化程度进行统计分析。此外，根据[BMC Geriatr. 2015年4月;15：36]，并比较各项目基线和干预后的变化程度。结果如下：干预后，口腔功能显著增加，身体功能、睁眼单腿站立时间、坐立运动和3 m TUG均显著改善。体成分方面，内脏脂肪水平和基础代谢率显著降低。虽然身体虚弱/虚弱前组在干预后没有观察到身体成分的显著变化，但在强壮组中观察到几个项目的显著改善。结论：等长提舌运动能有效改善口腔功能。此外，它可能会影响身体功能和身体成分。
Introduction: It is known that oral frailty is one of the risk factors for physical frailty. Therefore, early detection, appropriate treatment, and prevention of oral frailty are really important. Tongue lifting exercise has been identified as a well-known method for improving decreased tongue pressure, one of the factors for oral frailty. However, few reports have investigated how tongue-strengthening exercises affect physical function and body composition. The aim of this study was to investigate the effects of isometric tongue lifting exercises on oral function, physical function, and body composition. Methods: Participants were 49 elderly people aged 68-79 years, who had previously participated in the "Itoshima Frail Study." Participants performed isometric tongue lift exercises for 3 months. Oral function (tongue pressure and oral diadocokinesis), physical function (grip strength, open-eyed one-leg standing, sit-to-stand motion time, 5-m gait speed, and 3-m Timed up and go [TUG]), and body composition were measured at baseline and post-intervention, and the extent of changes in each item was statistically analyzed. Furthermore, participants were divided into physical frailty/pre-frailty and robust groups based on the Japanese version of the frail scale proposed by [BMC Geriatr. 2015 Apr;15:36] and were compared in terms of the extent of changes in each item baseline and the post-intervention. Results: After the intervention, oral function increased significantly together with a significant improvement in physical function, open-eyed one-leg standing time, sit-to-stand motion, and 3-m TUG. For body composition, visceral fat level and basal metabolic rate decreased significantly. Although no significant change in body composition was observed in the physical frailty/pre-frailty group after the intervention, significant improvements in several items were observed in the robust group. Conclusion: Isometric tongue lifting exercise can effectively improve oral function. Furthermore, it might affect physical function and body composition.