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The present study aimed to examine the association between MIP and frailty, and to assess the screening validity of MIP for physical frailty. Methods: We carried out a cross-sectional study, and enrolled participants aged ?60 years from Japanese national medical check-ups in 2015 and 2016. The Fried frailty phenotype model was used. We analyzed odds ratios (OR) and 95% confidence intervals (CI) of physical frailty using one standard deviation increments of tongue pressure. Receiver operating characteristic curves were obtained to predict physical frailty using MIP values. Results: Out of 1603 participants, 968 were categorized as non-frail, 605 as pre-frail and 30 as frail. In logistic regression analysis, one standard deviation increment of MIP significantly differentiated frail and pre-frail: the OR for frail with one standard deviation increment in MIP was 0.37 (95% CI 0.26?0.54, P \u003c 0.001), and the OR for pre-frail was 0.63 (95% CI 0.57?0.70, P \u003c 0.001). 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Validity of maximum isometric tongue pressure as a screening test for physical frailty: Cross-sectional study of Japanese community-dwelling older adults
http://hdl.handle.net/10069/37973
http://hdl.handle.net/10069/379735c357add-ccc5-4835-afbd-3ef962ef240f
名前 / ファイル | ライセンス | アクション |
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GGI18_240.pdf (267.8 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-02-20 | |||||
タイトル | ||||||
タイトル | Validity of maximum isometric tongue pressure as a screening test for physical frailty: Cross-sectional study of Japanese community-dwelling older adults | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | aging | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | frailty | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | geriatric medicine | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | maximum isometric tongue pressure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | screening | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Yamanashi, Hirotomo
× Yamanashi, Hirotomo× Shimizu, Yuji× Higashi, Miho× Koyamatsu, Jun× Sato, Shimpei× Nagayoshi, Mako× Kadota, Koichiro× Kawashiri, Shinya× Tamai, Mami× Takamura, Noboru× Maeda, Takahiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Aim: Maximum isometric tongue pressure (MIP) seems to have a diagnostic value for oral phase dysphagia. The present study aimed to examine the association between MIP and frailty, and to assess the screening validity of MIP for physical frailty. Methods: We carried out a cross-sectional study, and enrolled participants aged ?60 years from Japanese national medical check-ups in 2015 and 2016. The Fried frailty phenotype model was used. We analyzed odds ratios (OR) and 95% confidence intervals (CI) of physical frailty using one standard deviation increments of tongue pressure. Receiver operating characteristic curves were obtained to predict physical frailty using MIP values. Results: Out of 1603 participants, 968 were categorized as non-frail, 605 as pre-frail and 30 as frail. In logistic regression analysis, one standard deviation increment of MIP significantly differentiated frail and pre-frail: the OR for frail with one standard deviation increment in MIP was 0.37 (95% CI 0.26?0.54, P < 0.001), and the OR for pre-frail was 0.63 (95% CI 0.57?0.70, P < 0.001). The area under the receiver operating characteristic curve for predicting frailty with MIP score was as high as 0.776 (95% CI 0.689?0.862). A point of MIP 35 kPa had a sensitivity of 90.0%, specificity of 40.4%, a positive likelihood ratio of 1.5 and a negative likelihood ratio of 0.2 for predicting frailty. Conclusions: MIP performance is independently associated with frailty. MIP also can be used as a simple screening tool for frailty. | |||||
書誌情報 |
Geriatrics & Gerontology International 巻 18, 号 2, p. 240-249, 発行日 2018-02-20 |
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出版者 | ||||||
出版者 | Japan Geriatrics Society | |||||
出版者別言語 | ||||||
日本老年医学会 | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14441586 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1111/ggi.13166 | |||||
権利 | ||||||
権利情報 | c 2017 Japan Geriatrics Society. | |||||
権利 | ||||||
権利情報 | This is the accepted version of the following article: Geriatrics & Gerontology International, 18(2), pp.240-249; 2018, which has been published in final form at http://dx.doi.org/10.1111/ggi.13166. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Geriatrics & Gerontology International, 18(2), pp.240-249; 2018 |