Masticatory movements and food textures in older patients with eating difficulties.
Masticatory movements and food textures in older patients with eating difficulties.
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作者：
研究进食困难老年患者的咀嚼运动是否与口腔运动功能、身体功能和适当的食物质地相关。关于老年进食困难患者咀嚼运动与食物质地之间的关系的报道很少。这项横断面研究涉及一家专门从事饮食和吞咽康复的诊所的门诊患者。咀嚼运动被评价为正常或异常的咀嚼路径模式。根据口腔和身体状况、肌肉力量和运动技能评估口腔和身体功能。适当的食物质地是根据吞咽的光纤内窥镜评估和视频荧光吞咽研究确定的。分析食物质地与咀嚼器官、肌肉力量和运动技能的关系。共有126名门诊患者（75名男性和51名女性;平均年龄，78.2岁; SD，9.6岁）被纳入分析。68例（54.0%）咀嚼运动异常。咀嚼运动与咀嚼功能（比值比[OR] = 0.99，95%置信区间[CI] = 0.98 - 0.99）、口腔内移运动（OR = 0.55，CI = 0.35 - 0.86）和踏步试验（OR = 0.92，CI = 0.86 - 0.97）相关。咀嚼运动（OR = 2.94，CI = 1.23 - 7.01）和天然牙数量（OR = 0.94，CI = 0.89 - 0.99）与正常食物相关。进食困难的老年患者的咀嚼运动可能与适当的食物质地有关，同时受到全身运动控制个体差异的影响。咀嚼运动可能与牙齿一样重要，以享受进食。
To investigate whether masticatory movements in older patients with eating difficulties were associated with oral motor function, physical function, and appropriate food textures. There are few reports on the association between masticatory movements and food textures in older patients with eating difficulties. This cross‐sectional study involved outpatients at a clinic that specialised in eating and swallowing rehabilitation. Masticatory movements were evaluated as normal or abnormal masticatory path patterns. Oral and physical functions were assessed in terms of oral and physical status, muscle strength and motor skills. The appropriate food texture was determined based on fibreoptic endoscopic evaluation of swallowing and a video fluoroscopic swallowing study. The associations between food texture and masticatory organ, muscle strength and motor skills were analysed. A total of 126 outpatients (75 men and 51 women; mean age, 78.2 years; SD, 9.6 years) were included in the analysis. 68 participants (54.0%) showed abnormal masticatory movements. Masticatory movement was associated with masticatory performance (odds ratio [OR] = 0.99, 95% confidence interval [CI] = 0.98‐0.99), oral diadochokinesis (OR = 0.55, CI = 0.35‐0.86) and stepping test (OR = 0.92, CI = 0.86‐0.97). Masticatory movement (OR = 2.94, CI = 1.23‐7.01) and the number of natural teeth (OR = 0.94, CI = 0.89‐0.99) were associated with normal food. Masticatory movements in older patients with eating difficulties may be associated with appropriate food textures whilst being influenced by individual differences in systemic motor control. Masticatory movements may be as important as teeth to enjoy eating.
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影响因子：
4.8
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通讯作者：
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