Age-Related Changes in Tongue Strength and Endurance in Individuals With Obstructive Sleep Apnea

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-02 DOI:10.1111/joor.13989

Anpin Ni, Grace Hao, Sin-Yi Chou, Shiuan-Chih Chen, Yu-Jung Chang

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Abstract

Objective

Obstructive sleep apnea (OSA) is a prevalent sleep-related breathing disorder often associated with various health complications. This study investigated the impact of age on tongue function in OSA patients.

Methods

Study involved 214 participants (48.14 ± 16.29 years) categorised by OSA status (185 non-OSA, 29 OSA) and age groups: young adults (18–39 years), middle-aged (40–59 years) and older adults (> 59 years). Tongue function measures included anterior and posterior maximum isometric pressure (MIP_ant, MIP_post) and anterior and posterior tongue endurance (End_ant, End_post) using the Iowa Oral Performance Instrument (IOPI).

Results

Tongue function was higher in the OSA group compared to the non-OSA group. Significant differences were observed in middle-aged adults for MIP_ant (p = 0.018, Cohen's d = 0.60) and MIP_post (p = 0.003, Cohen's d = 0.90). Significant differences in tongue endurance were found in younger adults for End_post (p = 0.004, r = 0.35). Both groups experienced a decline in tongue function in individuals over 59 years, with the non-OSA group showing a significant age-related decline. However, no significant differences in tongue function across ages were found within the OSA group, but medium and large effects were indicated.

Conclusion

Age appears to influence tongue strength and endurance in both groups, with OSA patients showing slightly higher values overall. Our findings suggest that reduced tongue function may not be a primary factor in OSA pathophysiology. Further studies are warranted to explore the implications of tongue muscle function in OSA management and intervention strategies.

Abstract Image

查看原文本刊更多论文

阻塞性睡眠呼吸暂停患者舌头力量和耐力的年龄相关变化。

目的：阻塞性睡眠呼吸暂停（OSA）是一种常见的睡眠相关呼吸障碍，常伴有各种健康并发症。本研究探讨年龄对OSA患者舌功能的影响。方法：研究纳入214名参与者（48.14±16.29岁），按OSA状态（185名非OSA， 29名OSA）和年龄分组：青壮年（18-39岁）、中年（40-59岁）和老年人（50 -59岁）。舌功能测量包括使用爱荷华口腔表演仪（IOPI）测量前后最大等径压力（MIPant, MIPpost）和前后舌耐力（Endant, Endpost）。结果：OSA组舌功能明显高于非OSA组。MIPant （p = 0.018, Cohen’s d = 0.60）和MIPpost （p = 0.003, Cohen’s d = 0.90）在中年人中存在显著差异。在Endpost中，年轻人的舌头耐力有显著差异（p = 0.004, r = 0.35）。两组患者的舌头功能在59岁以上都出现了下降，非osa组患者的舌头功能出现了明显的与年龄相关的下降。然而，在OSA组中，舌功能在不同年龄之间没有明显差异，但表明有中等和较大的影响。结论：年龄似乎会影响两组患者的舌力和耐力，OSA患者总体上表现出稍高的值。我们的研究结果表明，舌头功能的减少可能不是OSA病理生理的主要因素。舌肌功能在OSA管理和干预策略中的意义有待进一步研究。

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

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.