{"title":"咀嚼表现表明心理脆弱的发展：SONIC研究组的6年前瞻性队列研究。","authors":"Suzuna Akema, Tomoaki Mameno, Takeshi Nakagawa, Hiroki Inagaki, Kodai Hatta, Yuki Murotani, Yoshitaka Tsujioka, Hiromasa Hagino, Kotaro Higashi, Toshihito Takahashi, Masahiro Wada, Yasuyuki Gondo, Kei Kamide, Mai Kabayama, Tatsuro Ishizaki, Yukie Masui, Soshiro Ogata, Kazunori Ikebe","doi":"10.2186/jpr.JPR_D_23_00282","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Although the association between oral health and physical frailty is well established, psychological frailty has not been investigated. Therefore, this prospective cohort study was conducted to examine the association between masticatory performance and psychological frailty in older community-dwelling Japanese individuals.</p><p><strong>Methods: </strong>The participants included 498 older adults who completed baseline and 3- and 6-year follow-up surveys. The World Health Organization-5 (WHO-5) scale and the Japanese version of the Montreal Cognitive Assessment (MoCA-J) were used to evaluate the psychological frailty status of participants. Psychological frailty was defined as a WHO-5 score < 13 and a MoCA-J score < 23. Masticatory performance was evaluated using a scoring method for the test gummy jelly (score: 0-9). A mixed-effects ordinal logit model analysis was used to examine the influence of masticatory performance and number of teeth on the development of psychological frailty while adjusting for relevant factors such as educational level, financial status, living situation, area of residence, history of chronic diseases, and handgrip strength.</p><p><strong>Results: </strong>A total of 311 participants (62.5%) exhibited psychological robustness at baseline. The rates of development of psychological frailty after 3 and 6 years were 4.2% and 4.5%, respectively. The longitudinal analysis revealed that masticatory performance at baseline was negatively associated with the prevalence of psychological frailty and pre-frailty at follow-up.</p><p><strong>Conclusions: </strong>Decreased masticatory performance is associated with the development of psychological frailty in older community-dwelling people of Japanese descent.</p>","PeriodicalId":16887,"journal":{"name":"Journal of prosthodontic research","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Masticatory performance indicates the development of psychological frailty: A 6-year prospective cohort study by the SONIC study group.\",\"authors\":\"Suzuna Akema, Tomoaki Mameno, Takeshi Nakagawa, Hiroki Inagaki, Kodai Hatta, Yuki Murotani, Yoshitaka Tsujioka, Hiromasa Hagino, Kotaro Higashi, Toshihito Takahashi, Masahiro Wada, Yasuyuki Gondo, Kei Kamide, Mai Kabayama, Tatsuro Ishizaki, Yukie Masui, Soshiro Ogata, Kazunori Ikebe\",\"doi\":\"10.2186/jpr.JPR_D_23_00282\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Although the association between oral health and physical frailty is well established, psychological frailty has not been investigated. Therefore, this prospective cohort study was conducted to examine the association between masticatory performance and psychological frailty in older community-dwelling Japanese individuals.</p><p><strong>Methods: </strong>The participants included 498 older adults who completed baseline and 3- and 6-year follow-up surveys. The World Health Organization-5 (WHO-5) scale and the Japanese version of the Montreal Cognitive Assessment (MoCA-J) were used to evaluate the psychological frailty status of participants. Psychological frailty was defined as a WHO-5 score < 13 and a MoCA-J score < 23. Masticatory performance was evaluated using a scoring method for the test gummy jelly (score: 0-9). A mixed-effects ordinal logit model analysis was used to examine the influence of masticatory performance and number of teeth on the development of psychological frailty while adjusting for relevant factors such as educational level, financial status, living situation, area of residence, history of chronic diseases, and handgrip strength.</p><p><strong>Results: </strong>A total of 311 participants (62.5%) exhibited psychological robustness at baseline. The rates of development of psychological frailty after 3 and 6 years were 4.2% and 4.5%, respectively. The longitudinal analysis revealed that masticatory performance at baseline was negatively associated with the prevalence of psychological frailty and pre-frailty at follow-up.</p><p><strong>Conclusions: </strong>Decreased masticatory performance is associated with the development of psychological frailty in older community-dwelling people of Japanese descent.</p>\",\"PeriodicalId\":16887,\"journal\":{\"name\":\"Journal of prosthodontic research\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-01-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of prosthodontic research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2186/jpr.JPR_D_23_00282\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of prosthodontic research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2186/jpr.JPR_D_23_00282","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Masticatory performance indicates the development of psychological frailty: A 6-year prospective cohort study by the SONIC study group.
Purpose: Although the association between oral health and physical frailty is well established, psychological frailty has not been investigated. Therefore, this prospective cohort study was conducted to examine the association between masticatory performance and psychological frailty in older community-dwelling Japanese individuals.
Methods: The participants included 498 older adults who completed baseline and 3- and 6-year follow-up surveys. The World Health Organization-5 (WHO-5) scale and the Japanese version of the Montreal Cognitive Assessment (MoCA-J) were used to evaluate the psychological frailty status of participants. Psychological frailty was defined as a WHO-5 score < 13 and a MoCA-J score < 23. Masticatory performance was evaluated using a scoring method for the test gummy jelly (score: 0-9). A mixed-effects ordinal logit model analysis was used to examine the influence of masticatory performance and number of teeth on the development of psychological frailty while adjusting for relevant factors such as educational level, financial status, living situation, area of residence, history of chronic diseases, and handgrip strength.
Results: A total of 311 participants (62.5%) exhibited psychological robustness at baseline. The rates of development of psychological frailty after 3 and 6 years were 4.2% and 4.5%, respectively. The longitudinal analysis revealed that masticatory performance at baseline was negatively associated with the prevalence of psychological frailty and pre-frailty at follow-up.
Conclusions: Decreased masticatory performance is associated with the development of psychological frailty in older community-dwelling people of Japanese descent.
期刊介绍：
Journal of Prosthodontic Research is published 4 times annually, in January, April, July, and October, under supervision by the Editorial Board of Japan Prosthodontic Society, which selects all materials submitted for publication.
Journal of Prosthodontic Research originated as an official journal of Japan Prosthodontic Society. It has recently developed a long-range plan to become the most prestigious Asian journal of dental research regarding all aspects of oral and occlusal rehabilitation, fixed/removable prosthodontics, oral implantology and applied oral biology and physiology. The Journal will cover all diagnostic and clinical management aspects necessary to reestablish subjective and objective harmonious oral aesthetics and function.
The most-targeted topics:
1) Clinical Epidemiology and Prosthodontics
2) Fixed/Removable Prosthodontics
3) Oral Implantology
4) Prosthodontics-Related Biosciences (Regenerative Medicine, Bone Biology, Mechanobiology, Microbiology/Immunology)
5) Oral Physiology and Biomechanics (Masticating and Swallowing Function, Parafunction, e.g., bruxism)
6) Orofacial Pain and Temporomandibular Disorders (TMDs)
7) Adhesive Dentistry / Dental Materials / Aesthetic Dentistry
8) Maxillofacial Prosthodontics and Dysphagia Rehabilitation
9) Digital Dentistry
Prosthodontic treatment may become necessary as a result of developmental or acquired disturbances in the orofacial region, of orofacial trauma, or of a variety of dental and oral diseases and orofacial pain conditions.
Reviews, Original articles, technical procedure and case reports can be submitted. Letters to the Editor commenting on papers or any aspect of Journal of Prosthodontic Research are welcomed.
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