Gerodontology最新文献

{"title":"The Effect of Different Self-Administered Tongue Exercises on Tongue Strength and Endurance in Older Adults.","authors":"Thunchanok Suppapatpong, Atiphan Pimkhaokham, Boosana Kaboosaya","doi":"10.1111/ger.70005","DOIUrl":"https://doi.org/10.1111/ger.70005","url":null,"abstract":"<p><strong>Background: </strong>Self-administered tongue exercises (TEs) are proposed as an effective, low-cost and convenient intervention for improving maximum tongue strength and endurance. However, age-related factors make self-administered TEs more challenging for older individuals.</p><p><strong>Objective: </strong>This study aimed to evaluate the effects of self-administered TEs on maximum tongue strength and endurance in older individuals.</p><p><strong>Material and methods: </strong>Seventy-two healthy volunteers, both young and older groups, were randomly allocated to three self-administered TE groups: tongue wrap, tongue corner and tongue paint. Maximum tongue strength and tongue endurance were assessed at baseline (T0) and after 4 weeks of training (T1) using the Iowa Oral Performance Instrument (IOPI). The Wilcoxon signed-rank test was used to compare pre- and post-intervention outcomes within groups, and the Kruskal-Wallis test was used to compare gains among groups.</p><p><strong>Results: </strong>After 4 weeks of self-administered TEs, the average gains in maximum tongue strength and endurance did not differ significantly between young and older participants. The gains in maximum tongue strength for young and older participants were as follows: tongue wrap (7.7 vs. 3.3 kPa, p = 0.2), tongue corner (4.0 vs. 1.7 kPa, p = 0.6) and tongue paint (3.5 vs. 3.7 kPa, p = 1.0). For tongue endurance, young and older participants gained 3.9 vs. 13.0 s (p = 0.2), 1.3 vs. 11.0 s (p = 0.1) and 3.8 vs. -0.2 s (p = 0.5), respectively. While the tongue paint exercise resulted in the highest gains in maximum tongue strength, and the tongue wrap exercise showed the greatest improvement in tongue endurance among older adults, these differences were not statistically significant.</p><p><strong>Conclusion: </strong>Four weeks of self-administered TEs had a positive impact on tongue strength and endurance in older individuals. Although our findings are most compatible with no important difference among exercise types in the older, notable patterns suggest potential benefits. Future studies should explore optimal exercise intensity and duration to maximise effectiveness.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descriptive Epidemiology of Oral Function in Middle-Aged and Older Japanese Individuals.","authors":"Maki Shirobe, Masanori Iwasaki, Kentaro Igarashi, Keiko Motokawa, Ayako Edahiro, Shiho Morishita, Chiaki Matsubara, Tatsunosuke Gomi, Manami Ejiri, Hisashi Kawai, Maki Inoue, Shino Yamaguchi, Ayaka Isobe, Hisako Hikiji, Tatsuji Nishihara, Hiroyuki Sasai, Kazushige Ihara, Yoshinori Fujiwara, Shuichi Obuchi, Hirohiko Hirano","doi":"10.1111/ger.70003","DOIUrl":"https://doi.org/10.1111/ger.70003","url":null,"abstract":"<p><strong>Objective: </strong>To describe age-group differences in oral function in middle-aged and older Japanese adults.</p><p><strong>Background: </strong>To facilitate oral function management, it is essential research spanning a wider age range.</p><p><strong>Materials and methods: </strong>We conducted a secondary analysis of data in 2023 from two distinct populations. The Otassha Study included community-dwelling adults aged ≥ 65 years in Tokyo. The second sample consisted of middle-aged workers aged ≥ 40 years employed at municipal offices in Fukuoka. Survey items included tongue coating index, mucosal wetness, occlusal force, oral diadochokinesis, tongue pressure, masticatory function, swallowing function and the prevalence of oral hypofunction. Trend tests and binary logistic regression analysis were conducted. The dependent variable was the presence of oral hypofunction, and the independent variable was the age group.</p><p><strong>Results: </strong>Our analysis included 645 participants (275 men and 370 women, aged 40-89 years). The prevalence of oral hypofunction and low oral function in six elements, except mucosal wetness, showed a significant linear association by age group. The prevalence of oral hypofunction was higher in the 80s (adjusted odds ratio: 3.4, 95% confidence interval: 1.4-8.3) than in the reference category (60s).</p><p><strong>Conclusion: </strong>Expanding middle-aged participant data and conducting longitudinal studies are essential for understanding age-related changes in oral function. These efforts will help inform effective strategies to address oral functional decline.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Oral Diseases, Symptoms, and Oral Health-Related Quality of Life in 70-Year-Olds: A Cross-Sectional Study.","authors":"Linda C K Hasselgren, Ellen Berggreen, Hager Zein Elabdeen, Siri F Kvalheim, Gerhard Sulo, Anne N Åstrøm","doi":"10.1111/ger.70004","DOIUrl":"https://doi.org/10.1111/ger.70004","url":null,"abstract":"<p><strong>Objective: </strong>To describe the association between oral diseases, self-reported symptoms and oral health-related quality of life (OHRQoL) in 70-year-olds.</p><p><strong>Background: </strong>Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.</p><p><strong>Materials and methods: </strong>Adults who had been born in 1950-51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).</p><p><strong>Results: </strong>The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0-1) and 1 (0-4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).</p><p><strong>Conclusion: </strong>This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of Foreign Domestic Caregivers in Oral Hygiene Care for Older Adults With Dementia in Taiwan: A Qualitative Study.","authors":"Sumandar, Kuo-Hsun Lu, Min-Tao Hsu, Hsiao-Ling Huang, Shu-Fen Wung, Chang-Chun Chen, Pei-Chao Lin","doi":"10.1111/ger.70001","DOIUrl":"https://doi.org/10.1111/ger.70001","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the experiences of Indonesian domestic paid caregivers in providing oral hygiene care for older adults with dementia.</p><p><strong>Background: </strong>As dementia progresses, individuals increasingly rely on their caregivers for help with daily oral care.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted. Indonesian domestic caregivers were recruited through purposive sampling at four community-based dementia service sites in Kaohsiung, Taiwan. A total of 12 Indonesian female domestic caregivers participated in face-to-face interviews, which lasted between 30 and 70 min. The interview transcripts were analysed using Braun and Clarke's thematic analysis approach.</p><p><strong>Results: </strong>Three main themes and six sub-themes were identified from the interviews: (1) caring for the oral health of older adults with dementia as one would for a family member, (2) providing person-centred interactions during oral hygiene routines and (3) addressing the systemic and practical challenges related to oral hygiene.</p><p><strong>Conclusion: </strong>Indonesian female domestic caregivers recognise the importance of consistently providing oral hygiene care to older adults with dementia. There is a need for training programmes to improve caregiving skills, create supportive environments and foster a positive approach to care.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on ‘Root Caries in Older Adults: A Co-Citation Network Analysis (1980–2023)’ by Su and Chang","authors":"Yuh-Shan Ho,&nbsp;Nikolaos Christidis","doi":"10.1111/ger.70002","DOIUrl":"10.1111/ger.70002","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"438-439"},"PeriodicalIF":1.7,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor Regarding ‘Root Caries in Older Adults: A Co-Citation Network Analysis (1980–2023)’","authors":"Wen-Song Su,&nbsp;Ching-Yi Chang","doi":"10.1111/ger.70000","DOIUrl":"10.1111/ger.70000","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"436-437"},"PeriodicalIF":1.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distinguishing Between Gerodontology and Geriatric Dentistry: Key Perspectives on Oral Health in Older Adults","authors":"Dachel Martínez Asanza,&nbsp;Isis Anastasia Rojas Herrera,&nbsp;Noralydis Rodríguez Washington","doi":"10.1111/ger.12820","DOIUrl":"10.1111/ger.12820","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"434-435"},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falls and Interpersonal Violence, the Main Patterns of Maxillofacial Trauma in Older Adults in Chile.","authors":"Fabiola Werlinger, Marcelo Villalón, Valentina Duarte","doi":"10.1111/ger.12825","DOIUrl":"https://doi.org/10.1111/ger.12825","url":null,"abstract":"<p><strong>Objective: </strong>To describe the presentation patterns of maxillofacial trauma cases in older adults attending hospital emergency departments.</p><p><strong>Background: </strong>By 2030, one in six people will be 60 years of age or older. Trauma and injuries also affect older populations, with an increase in consultations in recent years. Specifically, in the case of maxillofacial trauma, the presentation profiles would be different in those over 60 years of age from the younger population.</p><p><strong>Materials and methods: </strong>A multi-centre case-series analysis with maxillofacial trauma records between 2016 and 2017, in three high-complexity hospitals in the central zone of Chile. Demographic data and diagnostic and therapeutic aspects of maxillofacial trauma were recorded. Multiple correspondence analysis was applied with Stata 14.0 software.</p><p><strong>Results: </strong>Two hundred and fifty-nine cases of maxillofacial trauma with recorded aetiology were registered. 45.9% were men, with a mean age of 73.4 years (range: 60-95), with differences by sex (p value > 0.05). The main causes of trauma were falls, interpersonal violence and traffic accidents. Two profiles of patients were identified: (a) women aged 80 years and over, mainly affected by falls during the daytime, with minor injuries; and (b) men aged 60-79 years, mainly affected by interpersonal violence during the night, and with hard tissue injuries, requiring hospitalisation.</p><p><strong>Conclusion: </strong>The emergency casuistry of maxillofacial trauma in the older population presents clearly differentiated profiles by sex, varying in severity, prognosis and aetiology. The relationships observed could help to understand in greater depth the mechanisms of trauma and injuries in the maxillofacial area that have been indicated as specific to each population and in the establishment of a potential monitoring system with the identification of injury patterns of clinical and social interest such as physical abuse of older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Number of Remaining Teeth and Obesity in Chilean Older Adults.","authors":"Camila Corral Núñez, Iris Espinoza, Daniel Olivares, Aler Fuentes Del Campo, Juan Carlos Salinas, Jorge Gamonal, Begoña Ruiz","doi":"10.1111/ger.12827","DOIUrl":"https://doi.org/10.1111/ger.12827","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To investigate whether the number of remaining teeth was associated with obesity among Chilean older people.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Contradictory findings on the associations between cumulative tooth loss, chewing discomfort and the consumption of fruits and vegetables in older people have been reported; moreover, findings on the relationship between dentition and nutritional status are inconsistent. The latter has been studied in some Latin American countries, but no data have been reported for Chile.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;We undertook a secondary analysis of clinical and self-reported data from a national survey of adults-the Chilean National Health Survey 2016-17 or 2016-17 (NHS)-to examine associations between the number of remaining teeth (defined both as the presence of a functional dentition and as ordinal categories of the number of remaining teeth: ≥ 20, 10-19, 1-9 or 0 teeth) and obesity (BMI ≥ 30.0 kg/m&lt;sup&gt;2&lt;/sup&gt;) among non-institutionalised older adults aged ≥ 65 years. Associations between the number of remaining teeth and (a) chewing discomfort and (b) daily consumption of fruits and vegetables were also examined. Multivariate models for obesity and functional dentition or dentition status were adjusted for sex, age, education level, residency and denture use. Analyses used Stata, applying survey weighting to obtain population estimates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Data from n = 1363 non-institutionalised older adults aged ≥ 65 years, representing a population of 1,765,340 individuals was analysed. A minority of the sample had a functional dentition (22.5%), which was more common in men (28.7%) and among urban residents (24.8%). A consistent gradient in functional dentition was observed by educational level, with prevalence rates of 7.2%, 27.2% and 76.8% among individuals of low, medium and high education level, respectively. More than one in 10 individuals (12.4% of the sample) reported chewing discomfort, and this was more common among those who had (14.9%) than for those who did not have a functional dentition (6.5%). Individuals with a functional dentition consumed more fruits and vegetables daily than those with fewer than 20 teeth. Regarding the study outcome, 35.6% of participants were obese. Obesity was more common among those who did not have a functional dentition (37.3%) than for those who did (30.2%). In the multivariate model, the lack of a functional dentition (having fewer remaining teeth) was not associated with obesity (PR 1.06; 95% CI 0.86, 1.32). Similar findings were observed when examining associations by dentition status categories (10-19 teeth: PR 1.13; 95% CI 0.9, 1.41, 1-9 teeth: PR 1.07; 0.84, 1.35, edentulous: PR 0.88; 95% CI 0.68, 1.13. using ≥ 20 teeth as ref.).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The lack of a functional dentition (having fewer remaining teeth) was associated with lower daily fruit and vegetable consumption and che","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Visiting Oral Health Service Providers: Using the Q Method and Focusing on Suggestions for the Role of Dental Hygienists in a Community.","authors":"Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin","doi":"10.1111/ger.12824","DOIUrl":"https://doi.org/10.1111/ger.12824","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify the types and characteristics of providers' (dental hygienists and caregivers) perceptions of visiting oral health care services and explore the contents of visiting oral health care services and the social role of dental hygienists in promoting the health of older adults in the upcoming post-aged society.</p><p><strong>Methods: </strong>This study was conducted using the Q method. The Q sample utilised the same 32 statements selected by Lee et al. (2021), who analysed the perceptions of Korean older adults on home-visiting oral health care services. The P sample was randomly selected and included 16 dental hygienists and 16 caregivers who provide oral hygiene care for older adults in the community. The 32 participants were asked to rank the statements in the Q-set based on their level of agreement. The Q-sorted data were analysed using the PC-QUANL programme.</p><p><strong>Results: </strong>A four-factor structure with five factor types was identified, explaining 50.9% of the variance. Analysis of provider perception types revealed differences regarding who should deliver oral health care to older adults-dental teams including dentists and hygienists or hygienists alone-and in service content and focus. However, most providers agreed that dental hygienists should accurately assess older adults' oral health needs and deliver appropriate care.</p><p><strong>Conclusion: </strong>To promote the health of older adults in the future, dental hygienists should be recognised as essential providers in community-based care systems and supported by national policy to deliver accessible, collaborative and preventive services.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}