ArticleMedicine2019
Gender- and age-dependent tongue features in a community-based population.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Metabolic Adaptations to Morning Versus Afternoon Training: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Circadian Rhythms in Tongue Features.Journal of clinical medicine · 2024Article
- Predictors of Difficult Laryngeal Exposure in Suspension Laryngoscopy: A Systematic Review and Meta-Analysis.Clinical and experimental otorhinolaryngology · 2024Article
- Accurate estimation of biological age and its application in disease prediction using a multimodal image Transformer system.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Tongue feature dataset construction and real-time detection.PloS one · 2024Article
- Exploring the pivotal variables of tongue diagnosis between patients with chronic kidney disease and health participants.Frontiers in big data · 2024Article
- Using Advanced Convolutional Neural Network Approaches to Reveal Patient Age, Gender, and Weight Based on Tongue Images.BioMed research international · 2024Article
- Objective evaluation of tongue diagnosis ability using a tongue diagnosis e-learning/e-assessment system based on a standardized tongue image database.Frontiers in medical technology · 2023Article
- Morphological, ultrastructural, and biochemical changes induced by sodium fluoride in the tongue of adult male albino rat and the ameliorative effect of resveratrol.Anatomy & cell biology · 2022Article
- Exploring the pivotal variables of tongue diagnosis between patients with acute ischemic stroke and health participants.Journal of traditional and complementary medicine · 2022Article
- Mining intrinsic information of convalescent patients after suffering coronavirus disease 2019 in Wuhan.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022Article
- Chinese Medicine Syndrome Differentiation for Early Breast Cancer: A Multicenter Prospective Clinical Study.Frontiers in oncology · 2022Article
- Deep Learning Multi-label Tongue Image Analysis and Its Application in a Population Undergoing Routine Medical Checkup.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Weakly Supervised Deep Learning for Tooth-Marked Tongue Recognition.Frontiers in physiology · 2022Article
- A Perspective on Tongue Diagnosis in Patients with Breast Cancer.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Tongue features of patients with coronavirus disease 2019: a retrospective cross-sectional study.Integrative medicine research · 2020Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study, an important groundwork for clinical tongue diagnosis and future traditional Chinese medicine (TCM) research, tested the hypothesis that some tongue features vary significantly between different gender and age groups by utilizing an automatic tongue diagnosis system (ATDS).A cross-sectional study of 1487 participants from a community-based population was performed. Study subjects with ages ranging from 20 to 92 were categorized into 3 groups: <40, 40 to 64, and ≥65 years old, and the subjects were also stratified according to gender. Tongue images were collected at the end of each normal health examination routine to further derive the relevant tongue features of every participant by using the ATDS developed by our team. There were a total of nine tongue features that were identified: tongue shape, tongue color, fur thickness, fur color, saliva, tongue fissure, ecchymosis, teeth mark, and red dot. The corresponding tongue features, demography, and physical/laboratory examination data were compared between different gender and age groups.Our study showed that, compared to females, males had enlarged tongue shape, thicker fur, more fissures and fewer teeth marks (all P < .001), and also had more red tongue color (P = .019), normal saliva (P = .001), more red dots (P = .005) and yellower fur (P = .014). In females, increasing age was associated with more enlarged tongue shape, thicker fur, yellower fur, more saliva, fissures and fewer teeth marks (all P < .001), more ecchymoses (P = .009), and more red tongue color (P = .023). These associations of age with more fissures, fewer teeth marks, fewer red dots (P < .001), median tongue shape (P = .029), and wet saliva (P = .014) were also evident in males, but other relationships were not clearly evident.Even though most of the common tongue features derived from a community-based population are consistent with TCM theory, yet some significantly gender- and age-dependent tongue characteristics were identified. These disparities in tongue features associated with gender or age shall be prudently taken into consideration in clinical tongue diagnosis and future TCM research.
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