Association Between Tongue Pressure and Prevalence of Mild Cognitive Impairment in Japan

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2024-09-13 DOI:10.1002/gps.6144

Keiko Tanaka, Hisanori Utsunomiya, Hiromasa Kato, Susumu Ogawa, Hiroyuki Suzuki, Yoshinori Fujiwara, Takashi Nobuhara, Hidenori Senba, Eizen Kimura, Bunzo Matsuura, Ryuichi Kawamoto, Yoshihiro Miyake

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引用次数: 0

Abstract

Objective

Although it has been suggested that a decline in oral function is one of the potential risk factors affecting mild cognitive impairment (MCI), evidence is insufficient to draw clear conclusions. This Japanese cross-sectional study examined the association between tongue pressure (TP) and MCI in middle-aged and older adults aged 36–84 years.

Methods

Study participants were 1019 (368 men and 651 women). TP was evaluated using a TP measurement device. The maximum value of three measurements was used for analysis. MCI was defined as being present if a participant had a Japanese version of the Montreal Cognitive Assessment score of <26. Adjustment was made for age, smoking status, alcohol consumption, leisure-time physical activity, body mass index, hypertension, dyslipidemia, diabetes mellitus, history of depression, number of teeth, employment, education, and household income.

Results

The prevalence of MCI was 45.3%. Among women, compared with the lowest tertile of TP, the second and highest tertiles were significantly associated with a lower prevalence of MCI with a clear dose–response relationship; the adjusted odds ratio (95% confidence intervals) in the second and highest tertiles of TP were 0.54 (0.36–0.83) and 0.55 (0.36–0.84), respectively (p for trend = 0.005). In contrast, no statistically significant association was observed between TP and the prevalence of MCI among men.

Conclusions

Our findings suggest that higher TP might be inversely associated with the prevalence of MCI in middle-aged and older Japanese women.

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日本人舌压与轻度认知障碍患病率之间的关系

目的虽然有人认为口腔功能下降是影响轻度认知障碍（MCI）的潜在风险因素之一，但目前还没有足够的证据来得出明确的结论。这项日本横断面研究探讨了 36-84 岁中老年人舌压（TP）与 MCI 之间的关系。方法参与研究者共 1019 人（男性 368 人，女性 651 人）。使用舌压测量仪对舌压进行评估。分析采用三次测量的最大值。如果参与者的日文版蒙特利尔认知评估得分达到 26 分，则定义为存在 MCI。对年龄、吸烟状况、饮酒量、业余体力活动、体重指数、高血压、血脂异常、糖尿病、抑郁症病史、牙齿数量、就业、教育程度和家庭收入进行了调整。结果 MCI 患病率为 45.3%。在女性中，与TP最低三分位数相比，TP第二分位数和最高三分位数与MCI患病率较低有显著相关性，且有明显的剂量-反应关系；TP第二分位数和最高三分位数的调整几率比（95%置信区间）分别为0.54（0.36-0.83）和0.55（0.36-0.84）（趋势P=0.005）。相比之下，TP 与男性 MCI 患病率之间没有统计学意义上的显著关联。结论我们的研究结果表明，在日本中老年女性中，较高的 TP 可能与 MCI 的患病率成反比。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.