Relationship between chewing ability and malnutrition, sarcopenia, and frailty in older adults

Basit Öğe Kaydı
dc.authoridOzsurekci, Cemile/0000-0002-2373-183X
dc.authoridHalil, Meltem Gulhan/0000-0001-7597-8140
dc.authoridGungor, Anil Evrim/0000-0001-5936-3605
dc.contributor.authorOzsurekci, Cemile
dc.contributor.authorKara, Murat
dc.contributor.authorGungor, Anil Evrim
dc.contributor.authorAycicek, Gozde Sengul
dc.contributor.authorCaliskan, Hatice
dc.contributor.authorDogu, Burcu Balam
dc.contributor.authorCankurtaran, Mustafa
dc.date.accessioned2025-01-21T16:44:01Z
dc.date.available2025-01-21T16:44:01Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground Several studies reported that impaired nutrition is associated with reduced muscle mass, muscle strength, and physical performance. Chewing ability is essential to maintain balanced oral nutrient intake. The study was designed to define the possible relationship between chewing ability and nutrition-related problems (malnutrition, sarcopenia, and frailty) in a holistic perspective. Methods This cross-sectional study recruited adults aged >= 65 years. All patients were evaluated with comprehensive geriatric assessment. Sarcopenia was diagnosed according to European Working Group on Sarcopenia in Older People criterion. Malnutrition was determined according to body mass index, calf circumference, and Mini Nutritional Assessment short form (MNA-SF). Frailty status was diagnosed with the Clinical Frailty Scale. Masseter and gastrocnemius muscle thicknesses (MTs) were measured via ultrasonography imaging. Oral examinations were carried out by a dentist, and chewing performance was examined with a color-changeable chewing gum. Results Overall, 135 older adults (76 females) were analyzed. Mean +/- SD age was 75.7 +/- 7.2 years; 37.0% of the patients were frail, 3.7% were malnourished, 12.6% were sarcopenic, and 20.0% had poor chewing function. In the poor chewing function group, age and frailty scores were increased and the MNA-SF scores, handgrip strength, skeletal muscle index, and masseter MT were reduced (all P < 0.05). After adjusting for confounders, regression analysis showed that low grip strength and low gastrocnemius MT were independently associated with poor chewing ability. Conclusions Chewing ability was related to sarcopenia. Age and low grip strength in females and low cognitive scores and having low gastrocnemius MT in males were independent variables affecting chewing ability.
dc.identifier.doi10.1002/ncp.10877
dc.identifier.endpage1417
dc.identifier.issn0884-5336
dc.identifier.issn1941-2452
dc.identifier.issue6
dc.identifier.pmid35711033
dc.identifier.scopus2-s2.0-85131909701
dc.identifier.scopusqualityQ1
dc.identifier.startpage1409
dc.identifier.urihttps://doi.org/10.1002/ncp.10877
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25380
dc.identifier.volume37
dc.identifier.wosWOS:000811800400001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofNutrition In Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectchewing; frailty; malnutrition; mastication; older adults; sarcopenia; ultrasonography
dc.titleRelationship between chewing ability and malnutrition, sarcopenia, and frailty in older adults
dc.typeArticle

Dosyalar

Koleksiyon

WOS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu