Evidence map›Paper›PMID 31564844›Full record

ArticleClinical interventions in aging2019

Effects of oral environment on frailty: particular relevance of tongue pressure.

Anna Satake, Wataru Kobayashi, Yoshihiro Tamura, Toshiaki Oyama, Haruka Fukuta, Akinari Inui, Kahori Sawada, Kazunari Ihara, Takao Noguchi, Koichi Murashita and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07080996 (Effect of Biofeedback Tongue Strengthening Program on Tongue Pressure and Swallowing Performance in Elderly With Abnormal Tongue Pressure), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07080996 phase3enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effect of Biofeedback Tongue Strengthening Program on Tongue Pressure and Swallowing Performance in Elderly With Abnormal Tongue Pressure

TypeinterventionalSponsorMahidol UniversityRan2025 to 2026Enrolled52ConditionsPresbyphagia, Abnormal Tongue PressureArmsStrengthening training with biofeedback, Endurance training with biofeedback
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  13. Relationship among cancer treatment, quality of life, and oral function in head and neck cancer survivors: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  14. Article
  15. Oral frailty: a concept analysis.BMC oral health · 2024
    Article
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  19. Lip Seal Strength and Tongue Pressure among Japanese Male Workers: Comparison of Different Age Groups.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Anna SatakeDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Wataru KobayashiDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.ORCID 0000-0001-7255-6030
Yoshihiro TamuraDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Toshiaki OyamaDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Haruka FukutaDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Akinari InuiDepartment of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.ORCID 0000-0002-7241-9615
Kahori SawadaDepartment of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Kazunari IharaDepartment of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Takao NoguchiDepartment of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Koichi MurashitaCOI Research Initiatives Organization, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Shigeyuki NakajiDepartment of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Hirosaki University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOral frailty or the loss of oral functionality can be a symptomatic precursor of overall frailty. Previous studies have suggested that decreased tongue pressure causes a decline in ingesting and swallowing function and poor nutrition. This study investigated what factor(s) contribute to tongue pressure, thereby leading to frailty. PATIENTS AND

methodsFor the purposes of the present study, 467 residents of Hirosaki city in northern Japan aged≥60 years who completed a questionnaire about frailty and underwent an intraoral assessment, which included number of teeth, presence or absence of periodontitis, tongue pressure, and oral diadochokinesis (ODK) were recruited.

resultsOf the 467 participants with complete data sets, frailty was identified in 13 (7.5%) of 173 males and in 34 (11.6%) of 294 females. Significantly fewer teeth, lower tongue pressure, and a reduced diadochokinetic syllable rate were more prevalent among frail than among healthy residents. Multivariable logistic regression analysis revealed that age, body mass index, number of teeth, and tongue pressure significantly contributed to frailty, whereas ODK did not. Multiple regression analysis showed that tongue pressure was positively associated with muscle index and number of teeth.

conclusionThe results of the present study suggest that fewer teeth and lower tongue pressure, but not ODK function, are risk factors for developing overall frailty among older residents.

Indexed as

Oral HealthAgedFemaleFrailtyHumansIsometric ContractionJapanMaleMiddle AgedPressureRisk FactorsTongueaginglow nutritionnumber of teethoral diadochokinesis

Identifiers

PMID31564844
PMCPMC6746308
OpenAlexW2972701439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.