Associação entre pressão máxima de língua em idosos saudáveis e características demográficas e dentárias
Association between maximum tongue pressure in healthy elderly individuals and demographic and dental characteristics
Darley Luiz Gomes Ribeiro; Thais Mendes Rocha Alves Vieira; Aline Mansueto Mourão; Andréa Rodrigues Motta; Laelia Cristina Caseiro Vicente
Resumo
Palavras-chave
Abstract
Purpose This study analyzed tongue pressure in healthy older adults during maximum voluntary contraction in the anterior and posterior regions and verified whether it was associated with sex, age, and dental status.
Methods This is a cross-sectional, observational, descriptive study with a non-probabilistic sample of 128 active and healthy older adults of both sexes. The evaluation consisted of a medical history survey to collect personal data, cognitive screening, and assessment of dental status and tongue pressure, using the Iowa Oral Performance Instrument. The anterior and posterior tongue pressures at maximum contraction were the response variables, and age, sex, number of natural teeth, and conditions related to dentures were the explanatory variables. The significance level was set at 5% for data analysis.
Results Males had greater anterior tongue pressure. The anterior and posterior tongue pressure measurements were significantly different between participants aged 60 to 69 years and those over 80 years. No significant differences were found regarding dental status and denture fitting.
Conclusion Anterior and posterior tongue pressure values were higher in men and decreased after the age of 80. The conditions related to the number of teeth and denture use and fitting did not influence the tongue pressure levels.
Keywords
Referências
1 Valer DB, Bierhals CCBK, Aires M, Paskulin LMG. O significado de envelhecimento saudável para pessoas idosas vinculadas a grupos educativos. Rev Bras Geriatr Gerontol. 2015;18:809-19.
2 OMS: Organização Mundial da Saúde. Relatório mundial de envelhecimento e saúde [Internet]. Genebra: OMS; 2015 [citado em 2023 Out 4]. Disponível em:
3 Nakagawa K, Matsuo K. Assessment of oral function and proper diet level for frail elderly individuals in nursing homes using chewing training food. J Nutr Health Aging. 2019;23(5):483-9.
4 Hara K, Tohara H, Kenichiro K, Yamaguchi K, Ariya C, Yosimi K, et al. Association between tongue muscle strength and masticatory muscle strength. J Oral Rehabil. 2019;46(2):134-9.
5 Magalhães HV Jr, Tavares JC, Magalhães AAB, Galvão HC, Ferreira MAF. Characterization of tongue pressure in the elderly. Audiol Commun Res. 2014;19:375-9.
6 Yoshikawa M, Fukuoka T, Takahiro M, Hiraoka A, Higa C, Kuroki A. Comparison of the Iowa Oral Performance Instrument and JMS tongue pressure measurement device. J Dent Sci. 2021;16(1):214-9.
7 Nagano A, Ueshima J, Tsutsumiuchi K, Inoue T, Shimizu A, Mori N, et al. Effect of tongue strength on clinical outcomes of patients: A systematic review. Arch Gerontol Geriatr. 2022;102:104749.
8 Campos SML, Trindade DRP, Cavalcanti RVA, Taveira KVM, Ferreira LMBM, Magalhães HV Jr. Signs and symptoms of oropharyngeal dysphagia in institutionalized older adults: an integrative review. Audiol Commun Res. 2022;27.
9 Egashira R, Mizutani S, Yamaguchi M, Kato T, Umezaki Y, Oku S, et al. Low tongue strength and the number of teeth present are associated with cognitive decline in older Japanese dental outpatients: A cross-sectional study. Int J Environ Res Public Health. 2020;17(22):8700.
10 Zanesco C, Bordin D, Santos CB, Fadel CB. Implicações da saúde bucal na esfera funcional de idosos brasileiros. Rev Odontol UNESP. 2018;47(5):267-81.
11 Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3B):777-81.
12 Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2-9.
13 Perroca MG, Gaidzinnski RR. Avaliando a confiabilidade interavaliador de um instrumento para classificação de pacientes – coeficiente Kappa. Rev Esc Enferm USP. 2003;37(1):72-80.
14 Padoim K, Solda C. A importância do perfil emergencial em prótese fixa: revisão de literatura e relato de caso. Jornal of Oral Investigations. 2018;7(2):79-88.
15 Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strenght and endurence using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013;28(3):350-69.
16 Pitts LL, Stierwalt JAG, Hageman CF, LaPointe LL. The influence of oropalatal dimensions on the measurement of tongue strength. Dysphagia. 2017;32(6):759-66.
17 Yamanashi H, Shimizu Y, Higashi M, Koyamatsu J, Sato S, Nagayoshi M, et al. Validity of maximum isometric tongue pressure as a screening test for physical frailty: cross-sectional study of Japanese community-dwelling older adults. Geriatr Gerontol Int. 2018;18(2):240-9.
18 Molfenter SM, Brates D, Herzberg E, Nooramni M, Lazarus C. The swallowing profile of healthy aging adults: comparing noninvasive swallow tests to videofluoroscopic measures of safety and efficiency. J Speech Lang Hear Res. 2018;61(7):1603-12.
19 Barikroo A, Im I, Crary M, Carnaby G. Effects of age and lingual-palatal pressure levels on submental surface electromyography measures. Dysphagia. 2023;38(5):1277-85.
20 Saito S, Nakao Y, Hasegawa Y, Nagai K, Sano K, Uchiyama Y, et al. Relationship between rate of force development of tongue pressure and physical performance. J Clin Med. 2022;11(9):2347.
21 Kim S. Analysis of correlation among oral environment, oral myofunction, and oral microorganisms. J Dent Hyg Sci. 2019;19(2):96-106.
22 Limpuangthip N, Komin O, Tatiyapongpaiboon T. A simplified method for evaluating swallowing ability and estimating malnutrition risk: a pilot study in older adults. PLoS One. 2022;17(2):e0263896.
23 Hara K, Tohara H, Kobayashi K, Yamaguchi K, Yoshimi K, Nakane A, et al. Age-related declines in the swallowing muscle strength of men and women aged 20–89 years: a cross-sectional study on tongue pressure and jaw-opening force in 980 subjects. Arch Gerontol Geriatr. 2018;78:64-70.
24 Yoshida M, Tsuga K. Sarcopenia and mastication. Curr Oral Health Rep. 2020;7(2):179-87.
25 Arakawa-Kaneko I, Watarai Y, Schimmel M, Abou-Ayash S. Relationship between tongue pressure and handgrip strength: A systematic review and meta‐analysis. J Oral Rehabil. 2022;49(11):1087-105.
26 Ogino Y, Suzuki H, Ayukawa Y, Ueno Y, Jinnouchi A, Koyano K. Masticatory performance and other oral functions in community-dwelling elderly patients without posterior occlusal support by natural teeth. J Oral Sci. 2021;63(4):330-3.
27 Ribeiro AE, Santos GS, Baldani MH. Edentulismo, necessidade de prótese e autopercepção de saúde bucal entre idosos institucionalizados. Saúde Debate. 2023;47(137):222-41.
28 Maia LC, Costa SM, Martelli DRB, Caldeira AP. Edentulismo total em idosos: envelhecimento ou desigualdade social? Rev Bioet. 2020;28(1):173-81.
29 Lee YS, Ryu J, Baek SH, Lim WH, Yang IH, Kim TW, et al. Comparative analysis of the differences in dentofacial morphology according to the tongue and lip pressure. Diagnostics (Basel). 2021;11(3):503.
Submetido em:
21/05/2024
Aceito em:
16/07/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email