Relationship Between Swallowing Function and Low Serum Albumin Levels in Older Japanese People Aged ≥ 75 Years.

IF 2.4 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Healthcare Pub Date : 2024-11-04 DOI:10.3390/healthcare12212197

Komei Iwai, Tetsuji Azuma, Takatoshi Yonenaga, Yasuyuki Sasai, Yoshinari Komatsu, Koichiro Tabata, Taketsugu Nomura, Iwane Sugiura, Yujo Inagawa, Yusuke Matsumoto, Seiji Nakashima, Yoshikazu Abe, Takaaki Tomofuji

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Abstract

Background/objectives: This cross-sectional study aimed to investigate the relationship between swallowing function and low serum albumin levels in older Japanese people (aged ≥ 75 years).

Methods: A total of 3258 participants (1325 males, 1933 females; mean age, 80.8 years) who had a dental checkup in Gifu City, Japan, between April 2020 and March 2021 were recruited. Swallowing function was assessed using the repetitive saliva swallow test, with poor swallowing function defined as swallowing fewer than three times in 30 s. A serum albumin level < 3.6 G/dL was considered low.

Results: In total, 78 participants (2%) had a low serum albumin level. Furthermore, after adjusting for age, gender, circulatory disease, support/care-need certification, number of present teeth, and tongue and lip function, a low serum albumin level was positively associated with older (odds ratio [OR]: 1.115; 95% confidence interval [CI]: 1.064-1.169), male (OR: 2.208; 95% CI: 1.360-3.584), circulatory disease (OR: 1.829; 95% CI: 1.079-3.099), support/care-need certification (OR: 2.087; 95% CI: 1.208-3.606), and poor swallowing function (OR: 2.379; CI: 1.377-4.112).

Conclusions: These results indicate that poor swallowing function was associated with a low serum albumin level in older Japanese people aged ≥ 75 years.

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年龄≥ 75 岁的日本老年人吞咽功能与血清白蛋白水平低之间的关系

背景/目的：本横断面研究旨在调查日本老年人（年龄≥ 75 岁）吞咽功能与血清白蛋白水平低之间的关系：方法：共招募了 3258 名 2020 年 4 月至 2021 年 3 月期间在日本岐阜市进行过牙科检查的参与者（男性 1325 人，女性 1933 人；平均年龄 80.8 岁）。采用重复唾液吞咽试验评估吞咽功能，30 秒内吞咽次数少于三次为吞咽功能不良，血清白蛋白水平小于 3.6 G/dL 为低吞咽功能：共有 78 名参与者（2%）的血清白蛋白水平偏低。此外，在对年龄、性别、循环系统疾病、支持/护理需求证明、现有牙齿数量以及舌头和嘴唇功能进行调整后，血清白蛋白水平低与年龄较大（几率比 [OR]：1.115；95% 置信区间 [CI]：1.064-1.169）、男性（OR：2.208；95% CI：1.360-3.584）、循环系统疾病（OR：1.829；95% CI：1.079-3.099）、支持/护理需求证明（OR：2.087；95% CI：1.208-3.606）和吞咽功能差（OR：2.379；CI：1.377-4.112）呈正相关：这些结果表明，在年龄≥ 75 岁的日本老年人中，吞咽功能差与血清白蛋白水平低有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Healthcare Medicine-Health Policy

CiteScore

3.50

自引率

7.10%

发文量

审稿时长

47 days

期刊介绍： Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.