• Arch Gerontol Geriatr · Nov 2018

    Relationship between swallowing muscles and trunk muscle mass in healthy elderly individuals: A cross-sectional study.

    • Kanako Yoshimi, Koji Hara, Haruka Tohara, Ayako Nakane, Kazuharu Nakagawa, Kohei Yamaguchi, Yukiko Kurosawa, Saori Yoshida, Chantaramanee Ariya, and Shunsuke Minakuchi.
    • Department of Gerodontology, Division of Gerontology and Gerodontology, Tokyo Medical and Dental University, Tokyo, Japan.
    • Arch Gerontol Geriatr. 2018 Nov 1; 79: 21-26.

    Background And ObjectiveA decrease of swallowing muscle strength causes dysphagia, and a relationship between swallowing muscle strength and appendicular muscle mass has been reported. Moreover, the effect of trunk retention function on swallowing function has been clinically recognized. However, the relationship between trunk muscle mass and swallowing muscle strength is unclear. We aimed to clarify the association between these variables in elderly individuals.MethodsSubjects were 118 healthy community-dwelling individuals aged ≥65 years (men: 37, women: 81). We measured total muscle mass, grip strength, jaw-opening force, tongue pressure, cross-sectional area (CSA) of the geniohyoid muscle, and tongue muscle thickness. The appendicular skeletal muscle mass index (ASMI) and trunk muscle mass index (TMI) were calculated based on the appendicular skeletal muscle mass and trunk muscle mass, and corrected by height squared. Multiple regression analysis was performed with jaw-opening force and tongue pressure as dependent variables and with age, sex, grip strength, ASMI, TMI, CSA of the geniohyoid muscle, and tongue muscle thickness as independent variables.ResultsSignificant explanatory factors for jaw-opening force were sex (p = 0.002) and TMI (p = 0.003). Significant explanatory factors for tongue pressure were aging (p = 0.001), tongue muscle thickness (p = 0.027), and TMI (p = 0.033).ConclusionsUntil now, the relationship between swallowing muscles and whole body muscle mass has been reported using ASMI as the indicator of whole body muscle mass. This study suggests that TMI may be used as a highly relevant indicator of swallowing muscles rather than ASMI.Copyright © 2018 Elsevier B.V. All rights reserved.

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