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. 2020 Jun 24;17(12):4555.
doi: 10.3390/ijerph17124555.

Association between Mixing Ability of Masticatory Functions Measured Using Color-Changing Chewing Gum and Frailty among Japanese Older Adults: The Kyoto-Kameoka Study

Daiki Watanabe  1   2 , Tsukasa Yoshida  1   2   3   4 , Keiichi Yokoyama  2   3 , Yasuko Yoshinaka  5 , Yuya Watanabe  1   3   6 , Takeshi Kikutani  7 , Mitsuyoshi Yoshida  8 , Yosuke Yamada  1   2   3 , Misaka Kimura  2   3   9 , Kyoto-Kameoka Study Group  1
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Association between Mixing Ability of Masticatory Functions Measured Using Color-Changing Chewing Gum and Frailty among Japanese Older Adults: The Kyoto-Kameoka Study

Daiki Watanabe et al. Int J Environ Res Public Health. .

Abstract

The relationship between mixing ability of masticatory functions and frailty has not been well evaluated. This study investigated the prevalence of physical and comprehensive frailty and its association with mixing ability in 1106 older adults aged ≥65 years who underwent physical examination as part of the Japanese Kyoto-Kameoka Study. Mixing ability was assessed using color-changing chewing gum (1-5 points, 5 representing the best mixing ability). Participants were divided into four groups (5 points, 4 points, 3 points, and 1 or 2 points). The modified Japanese versions of the Cardiovascular Health Study (mJ-CHS) criteria and the validated Kihon Checklist (KCL) were used to assess physical and comprehensive frailty, respectively. Multivariate logistic regression was used to evaluate the association between frailty and mixing ability. The prevalence of physical and comprehensive frailty was 11.8% and 27.9%, respectively. After adjusting for confounders, the odds ratios of physical and comprehensive frailty comparing the highest to the lowest chewing gum score groups were 3.64 (95% confidence interval (CI): 1.62 to 8.18; p for trend = 0.001) and 2.09 (95% CI: 1.09 to 4.03; p for trend = 0.009), respectively. Mixing-ability tests involving chewing gum may be an indicator associated with both physical and comprehensive frailty.

Keywords: color-changing chewing gum; cross-sectional study; frailty; mixing ability; older adults.

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Conflict of interest statement

Ajinomoto Co., Inc. provided funding to Y.Y. to conduct this study. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. Moreover, this study is not related to any particular products of a company, and the results do not recommend any particular products.

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